云南少数民族地区儿童碘缺乏病流行现状调查  

Study on Iodine dificiency Disorders in Minorities of Yunnan Province

作　　者：王珊珊[1] 陆林[1] 王希荣[1] 宁岚[1] 白斌[1] 蒋笃强[1] 汪梅[1] 安广武[1] 

机构地区：[1]云南省卫生防疫站,云南昆明650022

出　　处：《中国地方病学杂志》2002年第4期289-291,共3页Chinese Jouranl of Endemiology

基　　金：ICCIDD基金资助项目 (2 0 0 0 -2 0 0 1)

摘　　要：目的　调查少数民族地区碘缺乏病的流行现状 ,为今后的防治工作提供科学依据。方法　对所选的4 2 2 2名 8～ 12岁少数民族儿童进行甲状腺检查 ,同时测定儿童尿碘和居民户盐碘水平。用《中国联合型瑞文测验》和《津医精神运动成套测验》进行亚克汀病调查。结果　检查 4 0 73名儿童甲状腺 ,触诊肿大率为 4 .6 % ,B超肿大率为 5 .4 % ;尿碘中位数 4 15 .4μg/L ,用户盐碘中位数 36 .13m g/kg、合格率为 94 .9% ;4 2 2 2名儿童平均智商均值 91± 19,其中智商 5 5～ 6 9的 2 77人中查出精神运动障碍 119人。结论　少数民族儿童甲状腺肿大率达到了基本实现国家碘缺乏病消除标准 (<10 % ) 。Objective To estimate the prevalence of iodine dificiency disorders (IDD) in 8 minorities of Yunnan province and to privide scientific basis for public health policy making, as well as for prevention and control of IDD.Methods Four thousand two hundred and twenty two minority school children aged 8~12 years selected from 29 schools in 8 minority counties were measured by Combined Raven's Test in China (CRT C 2) and Jinyi Psychomotor test Battery (JPB).Results Average of intelligence quotient (IQ) on 4 222 children was 91±19. Among 277 pupils with IQ between 55~69, 119 of them showed abnormal on JPB test . 5.4% of the children were found to have goiter under ultrasonography .Median level of urinary iodine was 415.4 μg/L, and the qualified rate of iodized salt was 94.9%.Conclusions The rate of goiter had basically achieved the standard of elimitating IDD and urinary iodine and iodized salt were reach the national standard of eliminating IDD among minority children.

关 键 词：儿童 调查 亚克汀病 少数民族集居地 智商 精神运动 流行病学 

分 类 号：R181.3[医药卫生—流行病学]