2011年新疆生产建设兵团碘缺乏病防治效果评价  

An evaluation of the effectiveness of control measures on iodine deficiency disorders in Xinjiang Production and Construction Corps in 2011

作　　者：李雪琪[1,2] 马晓玲[2] 王立杰[2] 李凡卡[2] 

机构地区：[1]南京工业大学食品与轻工学院,210009 [2]新疆生产建设兵团疾病预防控制中心

出　　处：《中华地方病学杂志》2014年第4期411-413,共3页Chinese Journal of Endemiology

基　　金：国家“十一五”科技支撑计划（2006BAI06B05）

摘　　要：目的：评价新疆生产建设兵团（简称兵团）碘缺乏病防治效果。方法按照国家统一要求，结合兵团实际情况，采用人口比例概率抽样方法（PPS）抽取30个团（场），每个团（场）抽取1所小学，每所小学抽取40名8-10岁学生（男女各半），采集家中盐样检测盐碘含量，并检测甲状腺肿大情况；在每所小学抽取的40名学生中再选择12名学生（男女各半），收集尿样检测尿碘含量；在每所小学抽取五年级学生20名，另在每所小学附近选取5名家庭主妇，进行碘缺乏病健康教育知识调查。盐碘检测采用直接滴定法（GB/T 13025.7-1999）；甲状腺肿大检测采用超声法（WS 276-2007）；尿碘检测采用砷铈催化分光光度测定法（WS/T 107-2006）。结果共检测盐样1195份，其中盐碘平均值为（30.91±6.99）mg/kg，碘盐覆盖率为97.49%（1165/1195），碘盐合格率为98.54%（1148/1165），合格碘盐食用率为96.07%（1148/1195）。共检测8-10岁儿童1220名，其中甲状腺肿大者42名，甲状腺肿大率为3.44%。共检测8-10岁儿童尿样407份，尿碘中位数为235.31μg/L。其中尿碘〈50μg/L的6份，占1.47%；50-〈100μg/L的27份，占6.63%。五年级学生、家庭主妇碘缺乏病健康教育知识知晓率分别为83.39%（1519/1800）、84.44%（380/450）。结论新疆生产建设兵团碘缺乏病防治工作达到国家消除碘缺乏病防治标准。Objective To evaluate the effectiveness of control and prevention of iodine deficiency disorders（IDD） in Xinjiang Production and Construction Corps. Methods According to the national requirement and the situation of Xinjiang Production and Construction Corps, thirty sampling units were selected by the“probability proportionate to size” method; one school was chosen in each sampling unit; forty children （half male half female） aged 8 - 10 years old were chosen in each school. Family salt samples were collected to detect salt iodine content, and the goiter was determined. Twelve children（half male half female） from the 40 children were selected; urine samples were collected to detect urinary iodine content. Twenty fifth-grade children in each school and five housewives around each school were selected, and the survey of health education knowledge was conducted. Salt iodine was measured using direct titration （GB/T 13025.7-1999）;the volume of thyroid was detected by ultrasound （ WS 276-2007 ）; urinary iodine was measured by arsenic Ce catalytic spectrophotometry method （WS/T 107-2006）. Results A total of 1 195 household salt samples were tested. The mean of salt iodine was （30.91 ± 6.99）mg/kg;the coverage rate of iodized salt was 97.49%（1 165/ 1 195）;the qualified rate of iodized salt was 98.54%（1 148/1 165）; and the consumption rate of qualified iodized salt was 96.07%（1 148/1 195）. Twelve hundred and twenty children aged 8-10 years old were examined;forty-two goiters were examined;and goiter rate was 3.44%. Four hundred and seven urine samples were tested, the median of urinary iodine was 235.31 μg/L;〈 50 μg/L accounted for 1.47%（6/407）; and 50 - 〈 100 μg/L accounted for 6.63%（27/407）. The awareness rates of IDD health education knowledge of the fifth-grade students and housewives were 84.39%（1 519/1 800） and 84.44%（380/450）, respectively. Conclusion The level of IDD control and prevention in Xinjiang Production and Construction Corps has been up

关 键 词：碘 缺乏症 盐类 甲状腺 尿 

分 类 号：R599[医药卫生—内科学]