论文部分内容阅读
目的:及时掌握陕西省清涧县碘缺乏病区居民户碘盐普及与目标人群碘缺乏病防治知晓情况,动态评价人群碘营养状况及病情消长趋势,为上级部门及时调整碘缺乏病干预策略提供科学依据。方法:按照陕西省碘缺乏病监测方案的要求,2012年随机抽取5个乡(镇、街道办)20个行政村,开展居民食用盐调查,抽到的5个乡(镇、街道办)中心小学,每所中心小学随机抽查8~10周岁学生42人检查甲状腺,采用地方性甲状腺肿诊断标准(WS276-2007)进行;在城区、农村各抽查8~10周岁学生各60名,共计120名学生,采集即时尿样5 ml送上级实验室,按照GB/T(3025.7-1999)测定盐中碘含量;采用一对一询问法调查学生及育龄妇女碘缺乏病知识知晓情况。结果:共监测居民食用盐300份,合格碘盐298份,不合格碘盐2份,碘盐覆盖率100%,碘盐合格率99.33%,合格碘盐食用率99.33%,碘含量最高值48.99 mg/kg,最低值17.37 mg/kg。农村8~10周岁学生尿碘在111.16~467.58μg/L之间,城区8~10周岁学生尿碘含量在51.35~369.15μg/L之间。五年级学生和育龄妇女(20~40岁)分别调查90名和45名,知晓率分别为70%和71.1%。结论:碘盐覆盖率、合格率、食用率和甲状腺肿大率均达标,碘缺乏病已达标。碘缺乏病知晓率较低,人群碘营养状况超足量,防治任务依然艰巨,今后要继续加大病区碘盐的配给,加强碘缺乏病的健康教育工作,巩固碘缺乏病防治效果。
OBJECTIVE: To grasp the status of iodized salt in iodine deficient areas and prevention and treatment of iodine deficiency in target population in Qingjian County of Shaanxi Province in a timely manner, to dynamically evaluate the iodine nutrition status and the trend of the disease in the population, and to provide the superior departments with timely intervention strategies for adjusting for iodine deficiency disorders Scientific basis. Methods: According to the requirements of monitoring program of iodine deficiency disorders in Shaanxi Province, in 2012, 5 villages (towns and subdistrict offices) were selected randomly from 20 administrative villages. Residents’ salt intake survey was conducted. Five townships Primary schools, each center of the primary school randomly selected 8 to 10-year-old 42 students to check the thyroid gland, the use of diagnostic criteria of endemic goiter (WS276-2007); in urban areas, rural areas of each of 8 to 10 students 60, a total of 120 Students collected 5 ml of real-time urine samples and sent them to a lab. The content of iodine in salt was measured according to GB / T (3025.7-1999). One-on-one questionnaires were used to investigate the knowledge of iodine deficiency disorders among students and women of childbearing age. Results: A total of 300 food salt, 298 qualified iodized salt, 2 unqualified iodized salt, 100% iodized salt, 99.33% iodized salt, 99.33% qualified iodized salt and 48.99 iodine mg / kg, the lowest value of 17.37 mg / kg. Urine iodine was between 111.16 ~ 467.58μg / L in rural students of 8 ~ 10 years old, and urine iodine content of urban students aged 8 ~ 10 was 51.35 ~ 369.15μg / L. Fifth graders and women of childbearing age (20-40 years old) surveyed 90 and 45 respectively, with awareness rates of 70% and 71.1% respectively. Conclusion: The coverage of iodized salt, pass rate, edible rate and goiter rate all reached the standard, iodine deficiency disease has reached the standard. Iodine deficiency disease awareness is low, the crowd iodine nutrition over-the-counter, prevention and treatment tasks are still arduous, in the future to continue to increase the distribution of iodized salt in wards, to strengthen the health education of iodine deficiency disorders, to consolidate the prevention and treatment of iodine deficiency disorders.