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目的调查福建省碘缺乏病高危地区新发地克病、地方性甲状腺肿流行现况及防治措施落实情况,提出有针对性的防治措施。方法按《全国碘缺乏病监测方案(试行)》和《福建省碘缺乏病监测实施细则》在东山县开展碘缺乏病高危地区监测。结果病例搜索未发现新发地方性克汀病及疑似地方性克汀病病例,8～10岁儿童甲肿率(B超)为2.9%,8～10岁儿童和18～40岁育龄妇女的尿碘中位数为129.1和92.5μg/L,碘盐覆盖率66.7%。结论被调查县未发现新发地克病病例及疑似地方性克汀病病例,儿童尿碘中位数处于适宜水平,育龄妇女的尿碘中位数为不足状态。
Objective To investigate the status of endemic goitre and endemic goiter prevalence in high risk areas of iodine deficiency disorders in Fujian province and to put forward specific prevention and control measures. Methods According to “National Iodine Deficiency Disease Surveillance Program (Trial)” and “Fujian Province iodine deficiency disorders monitoring implementation details” in Dongshan County to carry out monitoring of iodine deficiency disorders in high-risk areas. Results No new endemic cretinism or suspected endemic cretinism was found in the case-finding. The rate of children with graying (B-ultrasonography) was 2.9% in children aged 8-10 years, children aged 8-10 years and women of reproductive age 18-40 years Urinary iodine median was 129.1 and 92.5μg / L, iodized salt coverage of 66.7%. Conclusion No cases of new gram-positive cases and endemic cretinism were found in the investigated counties. The median urinary iodine in children was at an appropriate level, and the median urinary iodine in underage women was deficient.