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目的为全面落实地方病防治措施,了解西平县8岁-10岁小学生的碘营养状况及其碘的主要来源,为下一步碘缺乏病防治工作提供科学指导。方法2007年冬在全县范围内按东西南北中5个方位抽取5个乡镇,每个乡随机抽取1个村小学,每个小学抽取8岁-10岁学生50人,共250名小学生分别进行甲状腺触诊,并采集其尿样及家庭食用盐样做碘含量测定。150名小学5年级学生进行健康教育问卷调查,50名家庭主妇进行问卷调查。结果甲状腺1度肿大患者6名,肿大率小于5%;碘盐中位数为275 mg/L;尿碘中位数279.6μg/L;水碘中位数10.6μg/L;家庭主妇知识各晓及格率90.4%,学生健康知晓及格率89.4%。结论调查结果说明我县小学生碘营养水平保持良好,碘缺乏病防治工作已走向良性轨道,只有食用合格碘盐,才能获得人体代谢所获得的碘。
Objective To comprehensively implement the prevention and treatment measures for endemic diseases and understand the iodine nutrition status and the main sources of iodine among pupils aged 8-10 in Xiping County, so as to provide scientific guidance for the prevention and treatment of iodine deficiency disorders in the next step. Methods In the winter of 2007, five villages and towns were selected from five directions in east, west, north and south of China. One village primary school was randomly selected from each township. 50 primary school students aged 8-10 were selected from each primary school. A total of 250 primary school students Thyroid palpation, and collected urine samples and household consumption of salt iodine determination. 150 primary fifth grade students conducted a health education questionnaire, 50 housewives conducted a questionnaire survey. Results Six patients with grade 1 thyroid enlargement were less than 5%. The median of iodized salt was 275 mg / L, the median urinary iodine was 279.6 μg / L, and the median of water iodine was 10.6 μg / L. The housewife The knowledge passing rate is 90.4%, and the student health rate is 89.4%. Conclusions The survey results show that iodine nutrition of primary school pupils in our county is well maintained. Prevention and treatment of iodine deficiency disorders has been on a healthy track. Only qualified iodized salt can get iodine from human metabolism.