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目的通过对2012年陕西省靖边县8~10岁儿童甲状腺肿、尿碘和居民户食用盐的监测,了解全县碘缺乏病现状。方法按照《陕西省碘缺乏病监测技术方案》要求,对靖边县5个乡(镇)的5所中心小学210名8~10岁学生进行甲状腺检查及尿样采集;对采集尿样和甲状腺肿大监测的5个乡(镇)的20个行政村(居委会)的300户居民户食用盐进行监测。结果检测居民户食用盐300份,其中碘盐覆盖率99.67%,碘盐合格率93.65%,合格碘盐食用率93.33%;触诊检查学龄儿童210人,检出甲状腺肿大8人,甲状腺肿大率3.05%;检测学龄儿童尿样120份,尿碘中位数273.53μg/L,农村儿童327.83μg/L,城市儿童247.55μg/L,城市好于农村。结论陕西省靖边县在以食盐加碘的防治基础上已达到消除碘缺乏病目标,但仍检出甲状腺肿大患者和非碘盐,需要进一步的解决处理。
Objective To understand the status of iodine deficiency disorders in goats in 2012 in Jingbian County of Shaanxi Province by monitoring children with goiter, urinary iodine and household consumption of salt. Methods According to the requirements of “Technical Scheme for Monitoring Iodine Deficiency Disorders in Shaanxi Province”, thyroid and urine samples were collected from 210 students aged 8-10 in 5 central primary schools in 5 townships (town) in Jingbian County. Urine samples and thyroid 300 households in 20 administrative villages (neighborhood committees) in 5 townships (towns) under monitoring of swollen monitoring were monitored for salt consumption. Results 300 cases of salt consumption were detected in the households, of which iodized salt coverage rate was 99.67%, iodized salt rate was 93.65%, and qualified iodized salt rate was 93.33%. Palpation examination of 210 school-age children, detection of goiter, goiter The rate was 3.05%. There were 120 urine samples in school-age children, the median of urinary iodine was 273.53μg / L, the rural children was 327.83μg / L and the urban children was 247.55μg / L. Conclusion Jingbian County in Shaanxi Province has reached the goal of eliminating iodine deficiency deficiency based on the prevention and treatment of salt iodization. However, patients with goiter and non-iodized salt are still detected and need further treatment.