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目的了解国家新的碘盐监测方案下发后,影响焦作市各县市区居民户碘盐监测的因素,评价碘盐监测系统以及监测质量。方法采取问卷了解专业人员对碘盐监测的认知情况,从抽样、现场、实验室和数据录入上报4个环节评价监测质量;盐碘含量均按照国标GB/T13025.7-1999中直接滴定法定量测定。结果问卷没有专业人员能够全部正确回答,问题回答正确率在96.30%~11.1%之间;“缺乏经费支持”和“专业人员少”等是影响居民户碘盐监测工作开展的因素;50%的县市区入户核实真实采样率达100%;80.00%的县市区抽样记录表填写完整、按时上报;录入上报正确率99.69%;碘盐监测软件存在系统不稳定、操作不方便等诸多问题和弊端;40%县市区实验室样品检验符合率在70%以上,检测技术较好、真实性较高。结论新的碘盐监测方案仍需要进行系统的培训;需要不断加强对碘盐监测的督导检查,理顺居民户监测的各个环节;加强专业防治队伍建设和经费投入,保证监测工作的可持续性;监测方案需要进一步修订,监测软件在人性化设计、使用功能方面需要进一步修改完善。
Objective To understand the factors that affect the monitoring of iodized salt of households in urban counties in Jiaozuo City after the national new iodized salt monitoring program was issued and evaluate the monitoring system of iodized salt and the quality of monitoring. Methods A questionnaire was used to understand the professional knowledge of iodized salt monitoring. The quality of monitoring was evaluated by sampling, on-site, laboratory and data entry. Salt iodine content was measured by direct titration in GB / T13025.7-1999 Quantitative determination. Results of the questionnaire did not all professionals can answer correctly, the correct answer rate of 96.30% ~ 11.1%; “lack of financial support ” and “less professionals ” are the factors that affect the household iodized salt monitoring work ; 50% of the counties and cities in the home verification of real sampling rate of 100%; 80.00% of the counties and cities in the sample record form complete, reported on time; the correct rate of entry reported 99.69%; iodized salt monitoring software system instability, the operation is not Convenience and many other problems and drawbacks; 40% of the county laboratory sample test in line with the rate of 70% or more, detection technology is better, higher authenticity. Conclusion The new iodized salt monitoring program still needs to be systematically trained. Supervision and inspection of iodized salt monitoring needs to be continuously strengthened so as to straighten out all aspects of residential household monitoring. Construction and funding of professional prevention and treatment teams should be strengthened to ensure the sustainability of monitoring work The monitoring program needs to be further revised, and the monitoring software needs to be further modified and improved in terms of humanized design and use of functions.