2017-2019年安康市碘缺乏病监测结果分析  

Analysis of monitoring results of iodine deficiency disorders in Ankang City from 2017 to 2019

作　　者：梁磊[1] 苏锋 姜玮[1] 张同蕾 邓英[1] LIANG Lei;SU Feng;JIANG Wei;ZHANG Tong-lei;DENG Ying(Centers for Disease Control and Prevention,Ankang City of Shaanxi Province,Ankang 725000,China)

机构地区：[1]安康市疾病预防控制中心,陕西725000

出　　处：《中国地方病防治》2020年第4期435-439,共5页Chinese Journal of Control of Endemic Diseases

摘　　要：目的分析安康市2017-2019年碘缺乏病监测结果,为科学制定碘缺乏病防控策略提供依据。方法 2017-2019年按照《陕西省碘缺乏病监测方案》,在全市开展了盐碘监测、人群碘营养状况、儿童甲状腺肿调查,随机选取部分儿童和家庭主妇开展碘缺乏病防治知识知晓率调查。按照《陕西省生活饮用水水碘含量调查方案》要求,根据供水方式,以乡(镇、街道办事处)为单位开展生活饮用水水碘调查。盐碘检测采用直接滴定法测定,川盐及其他强化食用盐采用仲裁法(GB/T 13025.7-2012),尿碘检测采用《尿中碘的砷铈催化分光光度测定方法》(WS/T 107-2006),甲状腺检查按照《地方性甲状腺肿诊断标准》(WS 276-2007)进行检查和判定,水碘检测采用中国疾病预防控制中心国家碘缺乏病参照实验室推荐的"适合缺碘及高碘地区水碘检测的方法"。结果 2017-2019年共计调查9 450份盐样、6 300名儿童、3 150名孕妇,盐碘中位数均为24.63 mg/kg,碘盐覆盖率100.00%,合格碘盐食用率均>95%,儿童甲状腺肿大率为0.97%,儿童尿碘中位数为209.31μg/L,孕妇尿碘中位数为180.79μg/L。900名儿童碘缺乏病防治知识知晓率为95.86%,780名家庭主妇防治知识知晓率为93.56%。调查饮用水1878份,水碘中位数为2.00μg/L。结论安康市全市均处于缺碘环境,通过实施食盐加碘防治策略实施,从县级层面达到国家实现消除碘缺乏病标准。儿童碘营养处于超适宜量水平,孕妇碘摄入量处于碘适宜水平,应继续坚持碘缺乏病监测工作,开展特需人群补碘及健康教育,维持防控效果,为科学补碘提供依据。Objective To analyze the results of iodine deficiency disease monitoring in Ankang City from 2017 to 2019 for providing evidence for making scientific strategies for the prevention and control of the iodine deficiency disease.Methods According to the monitoring protocol for iodine deficiency disease in Shaanxi Povince,the research on salt iodine monitoring,iodine nutrition status of the population and goiter in children was carried out in the city from 2017 to 2019,and some of the children and housewives were randomly selected to conduct a survey on the knowledge of iodine deficiency disease prevention and control.According to the Shanxi Province drinking water iodine content survey program,the iodine level in the drinking water was detected in units of counties(towns,street offices) based on the water supply.The salt iodine was measured by direct titration method,the levels of Sichuan salt and other fortified edible salts were determined by arbitration method(GB/T 13025.7-2012),and urine iodine was measured by the arsenic sulphate catalytic speclumit determination method of iodine in the urine(WS/T 107-2006).Thyroid examination was performed in accordance with the local goiter diagnostic standards(WS 276-2007).The water iodine was measured by suitable testing methods for water iodine in iodine deficiency and/or high iodine areas recommended by the National Iodine Deficiency Reference Laboratory in China Center for Disease Control and Prevention.Results A total of 9 450 salt samples,6 300 children and 3 150 pregnant women were included from 2017 to 2019.The median salt iodization rate was 24.63 mg/kg,the iodized salt coverage rate was 100.00%,and the consumption rate of qualified iodized salt was more than 95%.The rate of goiter in children was 0.97%,the median urine iodine in children was 209.31 μg/L,and the median urine iodine in pregnant women was 180.79 μg/L.The knowledge awareness rates of iodine deficiency disease prevention and treatment in 900 children and 780 hoursewives were 95.86% and 93.56% respecti

关 键 词：碘 盐类 尿 甲状腺肿 水 

分 类 号：R591.1[医药卫生—内科学]