闽东南沿海居民碘营养状况评价及对策  

Evaluation and countermeasure on iodine nutritional status of residents in south east coastal areas of Fujian provice

作　　者：陈志辉[1] 林曙光[1] 林本翔[1] 何萌[1] 林兆和[1] 林章清[1] 

机构地区：[1]福建省卫生防疫站

出　　处：《中国地方病学杂志》1997年第4期210-213,共4页Chinese Jouranl of Endemiology

摘　　要：采用容量比例概率抽样法对闽东南沿海１１个县（市、区）各抽取１２００名８～１０岁儿童进行甲状腺肿大率和尿碘水平的两项指标的调查，在莆田、福州两地观察了４３７７名新生儿脐带血（全血）ｓＴＳＨ水平，福清、福州两地对１７１３名儿童的智力水平进行了测量。结果表明：１１个县（市、区）儿童的甲状腺肿大率在１６．４４％至４１．０８％，尿碘水平均低于１００μｇ／Ｌ；莆田、福州两地新生儿脐带血ｓＴＳＨ＞５ＩＵ／Ｌ略占２４．４％和２３．３％；智力测验结果表明福清、福州两地儿童ＩＱ≤６９的各占５％和２．５４％。认为闽东地沿海１１个县（市。In our study,the goiter rate and the urinary iodine levels in 1200 pupils aged 8-10 years old elected from 11 counties on south east areas of Fujian province were examined by using PPS method (1200 from each county),thyrotropin level in 4377 neonatal cord blood was observed in Putian and Fuzhou cities and the IQ(intelligent quotient)in 1713 pupils was tested in Fuqing and Fuzhou cities.The result showed that in 11 counties the goiter rate of children was from 16.44%to 41.08% and median urinary iodine level of children was less than 100μg/L.The proportion of newborns,whose thyrotropin level of cord blood was greater than 5mU/L,in Putian and Fuzhou cIties was 24.4% and 23.3%.The proportion of children,whose IQ was less than 69,in Fuqing and Fuzhou cities was 5% and 2.54%,respectively,According to IDD prevalence indicators and proposed criteria by WHO/UNICEF/ICCIDD and the National criteria for elimination of IDD,we considered that a public health problem of iodine deficiency existed in residents of 11 counties in south east coastal areas of Fujian province and therefor the iodized salt program should be implemented immediately.

关 键 词：磺营养 儿童 新生儿 碘缺乏 

分 类 号：R591.1[医药卫生—内科学]