2010年东方市碘缺乏病监测分析

目的了解东方市居民碘盐普及情况及碘缺乏病病情现况。方法在东方市3个碘盐覆盖率较低的乡镇开展8～10岁儿童碘缺乏病病情监测、育龄妇女尿碘监测,在全市开展居民碘盐食用情况监测。结果检测8～10岁儿童240人,触诊法检测甲状腺肿大率为3.75%,B超法检测甲状腺肿大率为0.00%;儿童尿碘中位数为134.4μg/L,育龄妇女尿碘中位数为157.8μg/,儿童智商分值96.6±14.5;碘盐覆盖率95.83%,较2007年提高了56.25个百分点,合格碘盐食用率95.14%,较2007年提高了58.33个百分点。结论东方市近几年来居民碘盐普及率的不断提高,儿童和育龄妇女碘营养水平均得到有效改善,儿童甲状腺肿下降到正常范围,下一步应继续保持和巩固普及碘盐消除碘缺乏病的政策措施。

Results of monitoring of iodine deficiency disorder in Dongfang City in 2010

Objective To understand the status of iodine deficiency disorder and coverage in residents of Dongfang City in 2010.Methods The status of iodine dificiency disorder in 8～10 years old children in three townships with low iodine-containing salt coverage and the idoine concentrations in urine of child-bearing age women were monitored.In addition the idonie-containing salt consumption by the residents in the whole city was also surveyed.Results Totally 240 children aged 8～10 years were detected and the goitre rates detected by palpation were 3.75% and 0 by B ultrasornogaph.The median urine iodine in children was 134.4μg/L,the proportion of less than 50μg/L and 100μg/L were 6.7% and 29.6%.While the median urine iodine for women of child-bearing age were 157.8μg/,and the proportion of less than 50μg/L and 100μg/Lwere 4.2% and 18.3%.The IQ score for the children was 96.6±14.5 and the iodine-containing salt coverage was 95.83% an increase of 56.25% compared to 2007.The intake of qualified iosine-containing salt was95.14% an increase of 58.33% compared to 2007.Conclusion The converage of iodine-containing salt intake by the residents in Dongfang City has been continuously enhanced and the iodine nutrition in children and women of child-bearing age have been improved and the goitre rate in children dropped to normal.