1995～2011年广东省碘缺乏病防治效果分析  

Analysis on effectiveness of iodine deficiency disorders control in Guangdong province from 1995 to 2011

作　　者：杨通[1] 刘礼平[1] 钟文[1] 张姗花[1] 池海珊[1] 宋德志[1] 

机构地区：[1]广东省疾病预防控制中心,广州510300

出　　处：《中国地方病防治》2013年第1期53-56,共4页Chinese Journal of Control of Endemic Diseases

摘　　要：目的通过对广东省碘缺乏病防治效果的分析,为制定"因地制宜、分类指导、科学补碘"防治措施提供依据。方法按卫生部统一要求,分别于1995、1997、1999、2002、2005和2011年开展了6次碘缺乏病抽样监测,监测点采用"人口比例概率抽样方法"抽取,监测内容包括盐碘、尿碘、儿童甲状腺肿大率、儿童智商和人均摄盐量等。结果广东省的居民合格碘盐食用率从56.4%提高到96.1%,儿童尿碘水平从91.6μg/L提高到186.5μg/L,儿童甲状腺肿大率从11.1%降至3.5%,儿童智商水平比2002年提高了3.7%,但孕妇和哺乳期妇女尿碘中位数为147.8μg/L,低于世界卫生组织推荐碘供给量。结论广东省碘缺乏病防治措施落实较好,已取得明显的防治效果;但需特别关注孕妇和哺乳妇女碘营养并采取综合措施提高其碘营养水平。Objective To analyze the effectiveness of iodine deficiency disorders（IDD） control in Guangdong province in order to give suggestion on making policy＂tailering to local conditions,sorting guidance and supplying iodine scientifically＂.Methods According to the unified arrangement by MOH,six times of IDD surveillance were conducted in 1995,1997,1999,2002,2005,2011 respectively.The monitoring sites were selected by the method of ＂population proportionate sampling＂.The monitored items consisted of salt iodine,urine iodine,children＇s goiter rate,children＇s intelligence quotient and the salt intake per capita.Results The qualified rate of iodized salt was increased from 56.4% to 96.1%,the level of children＇s urine iodine was increased from 91.6μg/L to 186.5μg/L,the goiter rate in pupils was decreased from 11.1% to 3.5%,children＇s intelligence quotient was increased by 3.7% in 2011 than in 2002.But the median urinary iodine of pregnant women and lactation women was 147.8μg/L,which was below the iodine supply recommended by WHO.Conclusion The control measurements for IDD were well implemented in Guangdong province,and remarkable achievements were obtained.However,special attention should be paid to the iodine nutrition of pregnant women and lactation women,and to improving their iodine nutrition level.

关 键 词：碘缺乏 盐碘 尿碘 智商 甲状腺肿 

分 类 号：R591.1[医药卫生—内科学]