合肥市全民食用碘盐前后儿童碘营养及甲状腺肿调查  

Studies on the iodine nutrition and goiter of children from Hefei city before and after one year's universal salt iodzation

作　　者：汪延华[1] 贾敬华[1] 潘天荣[1] 储小宏[1] 赵广碧[1] 孙家通 刘树琴[1] 包爱民[1] 章秋[1] 帅宗文[1] 杨明功[1] 徐胜前[1] 

机构地区：[1]安徽医科大学第一附属医院内分泌科

出　　处：《中国地方病学杂志》2000年第6期451-453,共3页Chinese Jouranl of Endemiology

基　　金：卫生部全国地办;省地办资助项目课题

摘　　要：目的　为获得全民食用盐加碘前、后合肥市儿童碘营养、甲状腺肿大率及其甲状腺免疫学状况 ,为今后碘盐合理实验依据。方法　以 2 6 44～ 2 395名 7～ 14岁儿童为对象 ,作甲状腺肿大率调查和尿碘、甲状腺肿大者作免疫学测定。结果　食用碘盐前 7～ 14岁儿童甲肿率为 4.0 % (8～ 10岁 3.8% )。肿大的甲状腺均为弥漫 度 ,其过氯酸盐排泌试验阳性率 8.1% ,TGA和 MCA阳性率为 12 .5 % ,尿碘中位数为 79.2μg/ L ,而食用碘盐1年后甲肿率为 7.5 % ,肿大的甲状腺 10 0 %为结节 I°,其过氯酸盐阳性率增至 42 .9% ,TGA、MCA阳性率增至19.6 % ,尿碘中位数 2 6 8.8μg/ L ,且 5 0 0～ 2 0 0 0μg/ L者占 42 % ,前后比均有显著性差异 (P <0 .0 3- 0 .0 0 0 1)。结论　现标准全民碘盐 ,防治碘缺乏病效果良好 。Objective To know the current situation of iodine nutrition among children in Hefei city.Methods Iodine nutrition and thyroid of 2644~2395 cases were carried out in Hefei city before and after the one year's implementation of universal salt iodization (USI).Results The results showed:UI (M=79.2 μg/L) and TGR (4.0%) were lower before USI.But after one year's USI,the UI was 268.8 μg/L(M) and the TGR was increased (7.5%) (the increased rate was 87.5%).Discussion held that Hefei city was iodine-nutrition deficiency area.Conclusions The effect of prevention for IDD was significantly after one year's USI.But it indicated that the high-iodine is presence also.Suggest for children safe growth,that the quanlity of iodne salt should be take consideration of areas and the nomal standards of prevention treatment must be taking also.

关 键 词：碘盐 儿童 碘营养 甲状腺肿 

分 类 号：R725.813[医药卫生—儿科]