2020—2022年烟台市长岛海洋生态文明综合试验区碘缺乏病监测分析  

Monitoring and Analysis of Iodine Deficiency Disorders in The Marine Ecological Civilization Comprehensive Experimental Area of ChangDao from 2020 to 2022

作　　者：涂巍巍 Tu Weiwei(Changdao Center for Disease Control and Prevention,Yantai,Shandong,265800,China)

机构地区：[1]长岛海洋生态文明综合试验区疾病预防控制中心,山东烟台265800

出　　处：《中国初级卫生保健》2023年第12期96-98,共3页Chinese Primary Health Care

摘　　要：目的:分析2020—2022年烟台市长岛海洋生态文明综合试验区重点人群尿碘、盐碘水平、甲状腺肿大率等情况,及时掌握人群碘营养状况及病情的消长趋势,为相关管理部门制定防控措施和科学调整干预策略提供依据。方法:收集监测对象食用盐样、尿样进行碘含量检测分析;测量8~10岁儿童甲状腺容积,计算甲状腺肿大率。结果:2020—2022年,长岛海洋生态文明综合试验区8~10岁儿童合格碘盐覆盖率为12.34%,盐碘中位数为23.1mg/kg,尿碘中位数为175.4μg/L,甲状腺肿大率为2.30%;孕妇合格碘盐覆盖率为8.11%,盐碘中位数为24.5mg/kg,尿碘中位数为113.4μg/L,补碘率为100.00%。结论:2020—2022年,长岛海洋生态文明综合试验区8~10岁儿童碘营养处于适宜水平,孕妇碘营养处于缺乏水平,满足国家碘缺乏病消除评价标准基本技术指标及两项辅助技术指标,实现碘缺乏病的消除目标。相关管理部门应针对不同人群做好分类指导、科学补碘,做到既要消除碘缺乏病,又要防止碘摄入过量。OBJECTIVE To analyze the urinary iodine,salty iodine and goiter rate of key population in Changdao from 2020 to 2022,and to grasp the iodine deficient status of the population in time,so as to provide the basis for timely adoption prevention and control measures and scientific adjustment of intervention strategies.METHODS More than 200 non-boarding students aged 8 to 10 were selected every year,and all pregnant women in the project towns(streets)were selected as the monitoring objects.The iodine content of edible salt samples and urine samples was detected and analyzed.The thyroid volume of children aged 8~10 years was measured and the goiter rate was calculated.RESULTS From 2020 to 2022,the coverage rate of qualified iodized salt for children aged 8~10 in Changdao was 12.34%,the median of salty iodine was 23.1 mg/kg,the median of urinary iodine was 175.4μg/L,which was at the appropriate level,and the goiter rate was 2.3%(15/640).The coverage rate of qualified iodized salt in pregnant women was 8.11%,the median of salty iodine was 24.5 mg/kg,the median of urinary iodine was 113.4μg/L,which was at the level of iodine deficiency,and the rate of iodine supplementation was 100%.CONCLUSION The iodine nutrition of children aged 8~10 in Changdao is at an appropriate level,and the iodine nutrition of pregnant women is at a lack level,which meets the basic technical in⁃dicators and two auxiliary technical indicators of the national iodine deficiency disease elimination evaluation standard,and achieves the elimination goal.It should continue to do a good job in monitoring,provide classified guidance and scientific iodine supplementa⁃tion for different groups of people,so as to eliminate iodine deficiency disorders and prevent excessive iodine intake.

关 键 词：碘营养 碘缺乏病 尿碘 盐碘 

分 类 号：R195[医药卫生—卫生统计学]