2020-2022年南昌市8~10岁儿童碘营养监测结果分析  

Analysis of iodine nutrition monitoring results for children aged 8 to 10 years old in Nanchang City from 2020 to 2022

作　　者：戴学伟 彭国华[1] 胡主花[1] 孙延双[1] Dai Xuewei;Peng Guohua;Hu Zhuhua;Sun Yanshuang(Department of Schistosomiasis and Endemic Disease Prevention and Control,Nanchang Center for Disease Control and Prevention,Nanchang 330038,China)

机构地区：[1]南昌市疾病预防控制中心血吸虫病(地方病)防制科,南昌330038

出　　处：《中华地方病学杂志》2024年第9期732-735,共4页Chinese Journal of Endemiology

摘　　要：目的了解南昌市8~10岁儿童碘营养情况。方法2020年3月至2022年9月,选择南昌市9个县(区、管理局)作为监测点,每个监测点按东、西、南、北、中方位划分5个抽样片区,每个片区抽取1个乡镇,每个乡镇抽取1所小学的40名8~10岁非寄宿儿童(年龄均衡、男女各半)作为调查对象。采集儿童家中食用盐盐样和随机1次尿样,检测盐碘和尿碘含量;同时测定儿童甲状腺容积。结果2020-2022年,共检测儿童家中食用盐盐样5400份,盐碘中位数为24.13 mg/kg。其中,合格碘盐5172份,不合格碘盐168份,非碘盐60份。碘盐覆盖率为98.89%(5340/5400),碘盐合格率为96.85%(5172/5340),合格碘盐食用率为95.78%(5172/5400)。共检测儿童尿样5400份,尿碘中位数为210.90μg/L。共检查2662名儿童甲状腺,其中甲状腺肿大4例,肿大率为0.15%(4/2662)。结论南昌市8~10岁儿童总体碘营养处于超适宜量水平,甲状腺肿大率符合国家标准(<5%)。Objective To investigate the iodine nutrition status of children aged 8 to 10 years old in Nanchang City.Methods From March 2020 to September 2022,9 counties(districts,administration bureau)in Nanchang City were selected as monitoring points.Each monitoring point was divided into 5 sampling areas according to the east,west,south,north,and middle directions.One township was selected from each area,and 40 non-boarding children aged 8 to 10 years old(age balanced,half male and half female)from one primary school were selected as survey subjects.Edible salt samples from children's homes,as well as a random urine sample were collected to detect salt iodine and urinary iodine level.The thyroid volume of children was also measured.Results From 2020 to 2022,a total of 5400 edible salt samples from children's homes were tested,with a median salt iodine level of 24.13 mg/kg.Among them,there were 5172 qualified iodized salt samples,168 unqualified iodized salt samples,and 60 non-iodized salt samples.The coverage rate of iodized salt was 98.89%(5340/5400),the qualified rate of iodized salt was 96.85%(5172/5340),and the consumption rate of qualified iodized salt was 95.78%(5172/5400).A total of 5400 children's urine samples were tested,with a median urinary iodine level of 210.90μg/L.A total of 2662 children were examined for thyroid,of which 4 had thyroid enlargement,with an enlargement rate of 0.15%(4/2662).Conclusion The overall iodine nutrition of children aged 8 to 10 years old in Nanchang City is at a super appropriate level,and the thyroid enlargement rate meets the national standard(<5%).

关 键 词：儿童 碘 尿 盐类 监测 

分 类 号：R153.2[医药卫生—营养与食品卫生学]