北海市重点人群碘营养水平现状调查  

ANALYSIS ON THE IODINE NUTRITION STATUS OF TARGET POPULATION IN BEIHAI

作　　者：陈玲[1] 张万标[1] 谢平[1] 郑日真[1] 刘军[2] 宁锐军[2] 廖敏[2] 

机构地区：[1]北海市疾病预防控制中心,北海536000 [2]广西壮族自治区疾病预防控制中心

出　　处：《现代预防医学》2011年第14期2831-2832,2835,共3页Modern Preventive Medicine

基　　金：广西2007年中央补助地方公共卫生专项资金地方病防治项目

摘　　要：[目的]调查北海市重点人群碘营养状况,为调整和完善碘缺乏病防治措施提供依据。[方法]在北海市各县(区)随机抽取3～6个乡(镇、街道办事处),每个乡(镇、街道办事处)抽取2所小学,每所小学检测40名8～10岁儿童尿碘,在小学所在村抽取20名育龄妇女测定其家中食用盐含碘量,并测定其中10名妇女尿碘。[结果]采集居民户食盐样品600份,各县(区)碘盐覆盖率均﹤80%。采集1194份8～10岁儿童尿样,各县(区)儿童尿碘中位数均﹥100μg/L。采集302份18～40岁育龄妇女尿样,铁山港区及银海区尿碘中位数分别为88.2μg/L和100.9μg/L;采集168名孕妇和哺乳期妇女尿样,尿碘中位数分别为海城区168.8μg/L,合浦县131.3μg/L,银海区90.3μg/L,铁山港区78.6μg/L。[结论]北海市碘盐覆盖率低,育龄妇女尤其是孕妇和哺乳期妇女面临碘不足的危险,铁山港区问题尤为突出;应大力普及碘盐,努力提高育龄妇女尤其是孕妇和哺乳期妇女的碘营养水平,并加强重点地区的碘缺乏病防治工作。[Objective] To investigate the status of iodine nutrition of the target population in Beihai.[Methods]The investigation was carried out in 4 counties（districts）of Beihai city.Three to six townships（sub-districts）were randomly sampled in each county and two elementary schools in each of those townships（sub-districts）.Urinary iodine level was measured for 40 children aged from 8 to 10 years in each elementary school.Twenty salt samples collected from 20 reproductive-aged women’s households were tested for iodine,and urine iodine were tested in 10 of those women.[Results]A total of 600 salt samples were collected.The coverage rates iodized salt were below than 80% in 4 counties（districts）.The median levels of urine iodine of 1 194 children in all counties（districts）were more than 100μg/L.Urine samples were collected from 302 reproductive-aged women,and the median levels of their urine iodine in Tieshangang district and Yinhai district were 100.9μg/L and 88.2μg/L,respectively.The median levels of urine iodine of 168 pregnant women and lactating women were 168.8μg/L in Haicheng district,131.3μg/L in Hepu townships,90.3μg/L in Yinhai district,and 78.6μg/L in Tieshangang district.[Conclusion]Low coverage rate of iodized salt was observed in Beihai.The reproductive-aged women,especially pregnant women and lactating women,were facing iodine dificiency.Tieshangang district was the area where the lowest rate was observed.Therefore,it is necessary to further promote iodized salt,to improve the iodine nutrition status of pregnant women and lactating women,and to strengthen the control of Iodine Deficiency Disorders in the target area.

关 键 词：碘营养 重点人群 盐碘 尿碘 

分 类 号：R591.1[医药卫生—内科学]