泰安市泰山区8~10岁儿童碘营养水平分析  

Analysis of iodine nutrition level of children aged 8-10 years in Taishan District of Tai’an City

作　　者：李颖颖 周军 LI Ying-ying;ZHOU Jun(Center for Disease Control and Prevention of Taishan Dis-trict,Tai’an City,Tai’an 271000,Shandong,China)

机构地区：[1]泰安市泰山区疾病预防控制中心,山东泰安271000

出　　处：《中国校医》2023年第1期37-39,共3页Chinese Journal of School Doctor

摘　　要：目的 分析2018—2020年泰安市泰山区8~10岁儿童碘营养水平,为制订有效的干预措施提供依据。方法 2018—2020年,按照《山东省碘缺乏病与高碘防治项目技术实施方案》的要求,按照分层抽样的方法,每年选取200名8~10岁儿童进行盐碘、尿碘和甲状腺容积的检测。结果 2018—2020年,泰山区8~10岁儿童尿碘中位数分别为107.75、252.15、252.50μg/L,不同年度尿碘中位数差异有统计学意义(H=192.15,P<0.001);不同年龄组儿童尿碘值水平的差异有统计学意义(χ~2=84.17,P<0.001),不同性别儿童尿碘值水平的差异无统计学意义(χ~2=2.92,P=0.089);合格碘盐覆盖率分别为84.00%、86.00%、78.00%;3年共检出甲状腺肿大10人,甲状腺肿大率平均为1.67%。结论 2018年泰山区儿童碘营养状况处于适宜水平,2019、2020年为碘超适宜量水平,但泰山区合格碘盐食用率偏低,还应继续加强健康教育,合理科学食用碘盐。Objective To analyze the iodine nutrition levels of children aged 8-10 years in Taishan District of Tai’an City from 2018 to 2020,so as to provide evidence for formulating effective intervention measures.Methods From 2018 to 2020,according to the requirements of the technical implementation plan for iodine deficiency disease and high iodine prevention and control project in Shandong Province,200 children aged 8 to 10 years were selected each year according to the stratified sampling method for salt iodine,urine iodine,and thyroid volume testing.ResultsFrom 2018 to 2020,the medians of urinary iodine in children aged 8 to 10 years in Taishan District were 107.75 μg/L,252.15 μg/L,and 252.50 μg/L,respectively,the difference in medians of urinary iodine in different years was statistically significant(H = 192.15,P <0.001).There was a significant difference in urine iodine levels of children in different age groups(χ~2= 84.17,P < 0.001),but there was no significant difference in urine iodine levels between children of different genders(χ~2= 2.92,P = 0.089).The coverage rates of qualified iodized salt were 84.00%,86.00%,and 78.00% respectively.A total of 10 patients with goiter were detected in 3 years,with an average goiter rate of 1.67%.Conclusion In 2018,the iodine nutrition status of children in Taishan District was at an appropriate level,but in 2019 and 2020,the iodine nutrition status was above the appropriate level.However,the consumption rate of qualified iodized salt in Taishan District was low.Therefore,health education should be continued to strengthen and iodized salt should be reasonably and scientifically consumed.

关 键 词：儿童 盐碘 尿碘 甲状腺肿大率 

分 类 号：R15[医药卫生—营养与食品卫生学]