消除碘缺乏病指标的初步探讨  

Study on the trend of the iodine nutrition condition of the residents after universal

作　　者：陈志辉 黄文金 林兆和 夏亚平 林本翔 林曙光 

机构地区：[1]福建省地方病防治研究所,福州350001

出　　处：《中国地方病防治》2003年第1期6-9,共4页Chinese Journal of Control of Endemic Diseases

基　　金：NTTST资助项目

摘　　要：目的探讨合格碘盐食用率达到90%作为消除碘缺乏病指标的合理性。方法在闽东南沿海漳浦县随机抽取30个行政村,每个村各抽查8～10岁学生40名共1200名甲状腺大小,对740名学生进行智力测验、尿碘测定和食用盐碘含量测定,并检查孕妇和育龄妇女尿碘水平。结果在居民合格碘盐食用率51.1%情况下,当地儿童甲状腺肿大率为4.9%,尿碘中位数为200.3μg/L,孕妇尿碘中位数为207.8μg/L,育龄妇女尿碘中位数为228.5μg/L。结论对沿海地区而言,合格碘盐食用率是否达到90%不应作为消除碘缺乏病目标的一项首要的指标。Objective To probe into advisadility about the proportion of households consuming effectively iodized salt getting up to 90 percent as indicator of elimination of IDD.Methods The goiter rate in 1 200 pupils aged 8～10 years old elected from 30 villages in south-east areas of Fujian province were examined by using random sampling(40 from each village),urinary iodine levels、mental tests and iodine level in salt in their household in 740 pupils were examined.We also observed urinary iodine levels in pregnant and reproductive women.Result On condition of the proportion of households consuming effectively iodized salt was 51.1%,the goiter rate was 4.9%and the median urinary iodine levels were 200.3 μg/L in pupils.The median urinary iodine levels were 207.8 μg/L in pregnant and 228.5 μg/L in reproductive women.Conclusions In coastal areas,whether the proportion of households consuming effectively iodized salt got up to 90 percent was needless as first-class indicator of elimination of IDD.

关 键 词：碘盐 使用率 90% 碘缺乏病 指标 智力测验 尿碘测定 食用盐碘含量测定 沿海地区 

分 类 号：R591.1[医药卫生—内科学]