山东省碘缺乏地区重点人群碘营养调查  

Survey on iodine nutrition of vulnerable population in iodine deficiency areas of Shandong province

作　　者：王金彪[1] 王晓明[1] 秦玉平[1] 秦启亮[1] 边建朝[1] 蒋雯[1] 王玲芳[1] 黄居梅[1] 王欣[1] 

机构地区：[1]山东省地方病防治研究所碘缺乏病与高碘防治研究科,济南250014

出　　处：《中国地方病学杂志》2011年第4期413-415,共3页Chinese Jouranl of Endemiology

基　　金：山东省医药卫生科技发展计划（2007HZ085 2007-2009）

摘　　要：目的 了解山东省当前盐碘水平状态下,碘缺乏地区重点人群碘营养状况及防治措施落实情况,为今后防治工作提供依据.方法 2007年,在山东省碘缺乏地区选择山区的岱岳、蒙阴,平原的莒县、高密,沿海的招远,共5个县（市、区）作为调查地区,在每个县（市、区）选择1个乡（镇）作为调查点.采用触诊、B超法进行8～10岁儿童甲状腺检查,直接滴定法检测其家中食用盐含碘量;砷铈催化分光光度法检测8～10岁儿童、孕妇、哺乳期妇女、2岁内婴幼儿及20～45岁育龄妇女5种重点人群的尿碘水平.结果 共检查514例8～10岁儿童甲状腺,触诊甲状腺肿大率为1.8%（9/514）,B超检查甲状腺肿大率为1.2%（6/514）;共检测501份食用盐,盐碘均值为30.95 mg/kg,碘盐覆盖率为94.6%（474/501）,合格碘盐食用率为90.4%（453/501）;共检测1707份尿样,尿碘中位数为216.7μg/L,8～10岁儿童、孕妇、哺乳期妇女、2岁内婴幼儿及20～45岁育龄妇女尿碘中位数分别为234.0、165.5、162.4、257.5、233.0μg/L.结论 山东省碘缺乏地区重点人群碘营养水平处于适宜或较适宜状态.表明目前盐碘水平能够满足山东省不同碘缺乏地区人群对碘的需求.Objective To learn the iodine nutritional status of the vulnerable population with different iodine level under the current level of iodized salt in Shandong province and to offer prevention and cure measures.Methods Five groups of vulnerable population including school children aged 8 - 10, pregnant, lactation women, infants and women of childbearing age from mountain areas （ Daiyue, Mengyin counties ） , plain （ Luxian,Gaomi counties ） and coastal （Zhaoyuan county ） of five different iodine deficient areas were investigated in 2007.The thyroids of children aged 8 - 10 were checked by palpation and B ultrasound, their edible salt iodine level was detected by direct titration. The lever of urinary iodine of vulnerable population was examined by arsenic and cerium speetrophotometry. Results The goiter rates of 8 - 10 year-old were 1.8%（9/514） and 1.2%（6/514）, respectively by palpation and B-ultrasonic. The mean iodine of 501 edible salt samples was 30.95 mg/kg. The coverage rate of iodized salt was 94.6% （474/501）. The rate of qualified iodized salt was 90.4% （453/501）. The median of urinary iodine was 216.7 μg,/L. The urinary iodine of school children aged 8 - 10, pregnant, lactation women, infants and women of childbearing age were 234.0, 165.5, 162.4, 257.5, 233.0 μg/L, respectively. Conclusions Current iodine nutritional level is basically appropriate in all groups of vulnerable people. The current iodine content of iodized salt could meet the needs of population from different iodine deficient areas of Shandong province.

关 键 词：碘 缺乏症 盐类 尿 甲状腺肿 

分 类 号：R686[医药卫生—骨科学]