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目的对易县地区连续14年持续消除碘缺乏病的方法及效果进行分析。方法采取三级预防并重等综合防治措施,并对儿童甲状腺肿大率、合格碘盐食用率及尿碘中位数3项指标进行统计分析。结果儿童甲肿患病率自1998-2011年一直控制在5%以内;合格碘盐食用率自1996-2011年一直在90%以上;儿童尿碘中位数自1995-2011年一直在100μg/L以上。通过观察发现,碘缺乏病重病区合格碘盐食用率达国家标准后(90%以上)2年可使甲状腺肿患病率降至5%以内。结论采取综合防治措施是实现可持续消除碘缺乏病行之有效的方法。
Objective To analyze the methods and effects of continuous elimination of iodine deficiency disorders in Yixian County for 14 consecutive years. Methods Three levels of prevention and treatment were taken. The three indicators of goiter rate, eligible iodine salt rate and median urinary iodine in children were statistically analyzed. Results The prevalence rate of children with acne was controlled within 5% from 1998 to 2011; the consumption rate of qualified iodized salt was more than 90% from 1996 to 2011; the median of urinary iodine in children from 1995 to 2011 was 100 μg / L or more. Through observation, it is found that the prevalence of goiter is reduced to 5% within 2 years after the qualified iodized salt reaches the national standard (more than 90%) in the iodine deficiency sickness area. Conclusion The adoption of integrated prevention and control measures is an effective way to achieve sustainable elimination of iodine deficiency disorders.