2016-2020年海口市8~10岁儿童及孕妇碘营养水平调查  

Iodine nutrition levels of children aged 8-10 and pregnant women in Haikou City from 2016 to 2020

作　　者：符亚蝶 方桂红[2] 李晓珍[2] Fu Yadie;Fang Guihong;Li Xiaozhen(Department for Chronic Noninfectious Disease Prevention and Control,Haikou Center for Disease Control and Prevention,Haikou 571100,China;nternational College of Public Health and One Health,Hainan Medical University,Haikou 571199,China)

机构地区：[1]海口市疾病预防控制中心慢性非传染病预防控制科,海口571100 [2]海南医学院公共卫生与全健康国际学院,海口571199

出　　处：《中华地方病学杂志》2022年第6期471-475,共5页Chinese Journal of Endemiology

基　　金：海口市医学扶持学科建设项目(2018-475)。

摘　　要：目的了解海口市8~10岁儿童及孕妇碘营养现况,为科学补碘提供依据。方法2016-2020年,按照《海南省碘缺乏病监测方案》要求,在海口市龙华、美兰、琼山及秀英4个区抽取监测点,对监测点生活饮用水碘含量、居民户食用盐碘含量、8~10岁儿童及孕妇尿碘含量进行调查分析。结果共采集388份生活饮用水水样,水碘中位数为5.60μg/L;共采集6000份居民户食用盐盐样,盐碘中位数为25.70 mg/kg,碘盐覆盖率为98.65%(5919/6000),碘盐合格率为98.36%(5822/5919),合格碘盐食用率为97.03%(5822/6000);共采集4000份8~10岁儿童尿样,尿碘中位数为181.68μg/L;共采集2000份孕妇尿样,尿碘中位数为130.70μg/L。结论海口市外环境缺碘,儿童碘营养总体处于适宜状态,孕妇碘营养总体处于缺乏状态。实行食盐加碘政策的同时,应加强人群碘营养监测及居民碘营养知识普及,做到分类指导、科学补碘,以达到持续消除碘缺乏病的目标。Objective This study aims to provide scientific evidence for scientific iodine supplementation through monitoring the iodine nutrition status of children aged 8-10 and pregnant women in Haikou City.Methods From 2016 to 2020,monitoring sites were selected in Longhua,Meilan,Qiongshan and Xiuying districts of Haikou City according to the requirements of the"Hainan Iodine Deficiency Disorders Monitoring Program".The iodine contents of drinking water,household edible salt and urinary iodine contents of children aged 8-10 and pregnant women were determined and analyzed.Results The median iodine content of 388 drinking water samples was 5.60μg/L,the median salt iodine content of 6000 household edible salt samples was 25.70 mg/kg,the coverage rate of iodized salt was 98.65%(5919/6000),the qualified rate of iodized salt was 98.36%(5822/5919)and the consumption rate of qualified iodized salt was 97.03%(5822/6000).The median urinary iodine content of 4000 children aged 8-10 was 181.68μg/L and the median urinary iodine content of 2000 pregnant women was 130.70μg/L.Conclusions The external environment of Haikou is iodine deficient.The iodine nutrition of children is generally in an appropriate state,and that of pregnant women is generally insufficient.While implementing the salt iodization policy,we should strengthen the monitoring of iodine nutrition among people and spreading iodine nutrition knowledge among residents,providing classified guidance and scientific iodine supplementation,so as to achieve the goal of continuous elimination of iodine deficiency disorders.

关 键 词：碘 水 盐类 尿 

分 类 号：R153[医药卫生—营养与食品卫生学]