2018~2020年濮阳市特殊人群碘监测  

Analysis on iodine monitoring of special populations,Puyang city,2018-2020

作　　者：高秀静[1] 焦雪成[1] 王利波[1] 王兰珍[1] GAO Xiu-jing;JIAO Xue-cheng;WANG Li-bo;WANG Lan-zhen(Puyang City Center for Disease Control and Prevention,Puyang,Henan,457001 China;不详)

机构地区：[1]濮阳市疾病预防控制中心,河南濮阳457001

出　　处：《预防医学论坛》2021年第9期711-713,F0004,共4页Preventive Medicine Tribune

摘　　要：目的了解濮阳市碘缺乏病的各项结果,掌握全市特殊人群的碘水平状况,为制定碘缺乏病防治策略提供科学依据。方法2018~2020年每个监测县按东、西、南、北、中划分5个抽样片区,在每个片区各随机抽取1个乡镇/街道,每个乡镇/街道各抽取1所小学校,每所小学抽取8~10岁非寄宿学生40人(不足40人可在邻近的学校补齐)。每个监测县在所抽取的5个乡中每乡抽取20名孕妇(人数不足可在邻近乡镇补齐)。监测8~10岁儿童及孕妇的盐碘、尿碘含量。结果2018~2020年共监测8~10岁儿童3452人,盐碘中位数为24.40 mg/kg,儿童合格碘盐覆盖率为72.60%,尿碘中位数为313.70μg/L,其中不同年龄、不同年份儿童尿碘差异有统计学意义(P<0.01);共监测孕妇1530人,盐碘中位数为24.50 mg/kg,孕妇补碘率84.97%,尿碘中位数241.70μg/L,不同年份孕妇尿碘差异有统计学意义(P<0.01);不同孕期孕妇尿碘水平比较,差异无统计学意义(P>0.05)。结论濮阳市儿童营养过量,孕妇碘营养适宜。Objective To understand the results of iodine deficiency disorders(IDD)in Puyang city,and master the iodine level of special population in the city,so as to provide scientific basis for formulating prevention and control strategies of IDD.Methods From 2018 to 2020,each monitoring county will be divided into 5 sampling areas according to the east,west,south,north and middle.1 township/street will be randomly selected from each area,and 1 primary school will be selected from each township/street.Each primary school will select 40 non-boarding students aged 8-10(less than 40 students can be filled in the neighboring schools).In each monitoring county,20 pregnant women were selected from each of the 5 selected townships(if the number was insufficient,it can be filled in neighboring townships).The content of salt iodine and urine iodine in children and pregnant women aged 8-10 years was monitored.Results A total of 3452 children aged 8-10 years were monitored during 2018-2020.The median salt iodine was 24.40 mg/kg,the coverage rate of qualified iodized salt for children was 72.60%,and the median urinary iodine was 313.70μg/L,the urinary iodine level of children in different age groups and different years was significantly different(P<0.01);a total of 1530 pregnant women were monitored,the median salt iodine was 24.50 mg/kg,the iodine supplement rate of pregnant women was 84.97%,and the median urinary iodine was 241.70μg/L.There was statistically significant difference in the urine iodine level of pregnant women in different years(P<0.01);but no statistically significant difference in the urinei odine level of pregnant women in different pregnancy periods(P>0.05).Conclusion Children are over nourished and pregnant women have adequate iodine nutrition in Puyang city.

关 键 词：碘营养 碘缺乏病 监测 

分 类 号：R151.3[医药卫生—营养与食品卫生学]