新疆生产建设兵团2011年碘缺乏病防治现状分析  

Analysis of current iodine deficiency disorders prevalence situation in Xinjiang production and construction corps in 2011

作　　者：王立杰[1] 陈鹏[1] 李凡卡[1] 

机构地区：[1]新疆生产建设兵团疾病预防控制中心,乌鲁木齐830002

出　　处：《中国地方病防治》2013年第5期348-350,共3页Chinese Journal of Control of Endemic Diseases

基　　金：中央补助地方公共卫生专项资金地方病防治项目(2011)

摘　　要：目的了解新疆生产建设兵团（简称兵团）碘缺乏病防治状况及存在问题,为制定科学防治策略提供依据。方法按《全国碘缺乏病监测方案》要求,结合兵团实际,采用＂人口比例概率抽样方法（PPS）＂选取30个团场,在每个团场抽取40名8~10岁学龄儿童作为调查对象,用B超法检测儿童甲状腺肿大情况并采集其家中食用盐样测定盐碘。同时,从被抽到的40名儿童中随机抽取12名,采集并检测尿碘水平。结果共检测1195份盐样,居民盐碘中位数为31.50mg/kg,居民户碘盐覆盖率、合格碘盐食用率分别为97.49%、96.07%;共检测1 220名8~10岁儿童甲状腺,检出甲状腺肿大者40名,甲状腺肿大率为3.3%;共检测407名8~10岁儿童尿样,尿碘中位数为235.31μg/L,尿碘低于50μg/L的比例占1.5%,低于100μg/L的比例占8.1%。结论兵团防治碘缺乏病的效果显著,各项指标均达到国家碘缺乏病消除标准,不存在碘过量的问题,应根据人群碘营养水平适时调整盐碘,坚持不懈的采用因地制宜、科学补碘的方法防治碘缺乏病,巩固碘缺乏病防治成果。Objective To understand the current situation of iodine deficiency disorders（IDD） in Xinjiang production and construction corps and to evaluate the effect of control and prevention measures of IDD in order to provide basic information for working out control strategies of IDD.Methods Probability sampling method（PPS） was used to select 30 units in Xinjiang production and construction corps,of each unit 40 children aged 8 to 10 were selected as the investigation objects,their thyroids were examined by B ultrasound and the household salt iodine were also investigated.At the same time,12 children aged 8 to 10 were selected randomly as a group to examine urinary iodine.Results A total of 1 195 salt samples were detected and the coverage and qualified rates of iodized salt were 97.49% and 96.07%,respectively.1 220 children aged 8 to 10 were examined,40 goiter were detected,goiter rate was 3.3% by B ultrasound.407 urine samples of children aged 8 to 10 were detected,urinary median iodine was 235.31 μg / L,urinary iodine lower than 50 μg / L accounted for 1.5%,lower than 100 μg / L accounted for 8.1%.Conclusion Control and prevention measures of IDD has achieved remarkable results in Xinjiang production and construction corps,all indicators have reached the national standard to eliminate IDD,and iodine excess dose not exist.But we should also adjust measures according to local conditions,and guide residents in eating iodized salt scientifically.

关 键 词：碘缺乏病 盐碘 甲状腺肿 尿碘 

分 类 号：R591.1[医药卫生—内科学]