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[目的]了解济宁市碘缺乏病防治现状,分析、评价防治措施效果,为今后制定防治策略提供依据。[方法]在济宁市8个县市区按东、西、南、北、中随机采集居民盐样,每县市区288份,并按容量比例概率抽样法(pps)确定40所小学,每所小学抽取8~10岁学生20名采集尿样,同时,在16所学校,每所学校抽取300名8~10岁进行甲状腺触诊检查,计算甲状腺肿大率、尿碘中位数、碘盐覆盖率、碘盐合格率和非碘盐率。[结果]济宁市8~10岁学生甲状腺肿大率为1.95%(128/4 935),尿碘中位数263.615μg/L,碘盐覆盖率为99.14%(2 201/2 220),碘盐合格率为98.11%(2 178/2 220),非碘盐率0.77%(17/2 220)。[结论]济宁市碘缺乏病防治工作达到国家消除碘缺乏病防治标准,但8~10岁学生尿碘水平偏高,应引起重视。
[Objective] To understand the current situation of prevention and treatment of iodine deficiency disorders in Jining, analyze and evaluate the effect of prevention and treatment measures, and provide basis for future prevention and treatment strategies. [Method] The salt samples of residents were collected randomly from 8 counties in Jining City, east, west, south, north and north, and 288 samples were collected in each urban area. 40 elementary schools were determined according to the volume proportion probability sampling method (pps) In primary schools, 20 urine samples were collected from 8 to 10-year-old students. At the same time, thyroid palpation was performed in 300 children aged from 8 to 10 in each of the 16 schools, and the thyroid enlargement rate, median urinary iodine, iodine Salt coverage, iodized salt pass rate and non-iodized salt rate. [Results] The prevalence of goiter was 1.95% (128/4 935), the median urinary iodine was 263.615μg / L, the coverage of iodized salt was 99.14% (2 201/2 220) Salt pass rate was 98.11% (2 178/2 220), non-iodized salt rate 0.77% (17/2 220). [Conclusion] The prevention and cure of Iodine Deficiency Disorders in Jining City has reached the national standard of eliminating iodine deficiency disorders. However, the urinary iodine levels of students aged 8 to 10 are high, which should be paid more attention.