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目的了解新疆生产建设兵团(简称兵团)碘缺乏病防治状况及存在问题,为制定科学防治策略提供依据。方法按《全国碘缺乏病监测方案》要求,结合兵团实际,采用“人口比例概率抽样方法(PPS)”选取30个团场,在每个团场抽取40名8~10岁学龄儿童作为调查对象,用B超法检测儿童甲状腺肿大情况并采集其家中食用盐样测定盐碘。同时,从被抽到的40名儿童中随机抽取12名,采集并检测尿碘水平。结果共检测1195份盐样,居民盐碘中位数为31.50mg/kg,居民户碘盐覆盖率、合格碘盐食用率分别为97.49%、96.07%;共检测1 220名8~10岁儿童甲状腺,检出甲状腺肿大者40名,甲状腺肿大率为3.3%;共检测407名8~10岁儿童尿样,尿碘中位数为235.31μg/L,尿碘低于50μg/L的比例占1.5%,低于100μg/L的比例占8.1%。结论兵团防治碘缺乏病的效果显著,各项指标均达到国家碘缺乏病消除标准,不存在碘过量的问题,应根据人群碘营养水平适时调整盐碘,坚持不懈的采用因地制宜、科学补碘的方法防治碘缺乏病,巩固碘缺乏病防治成果。
Objective To understand the status and existing problems of prevention and control of iodine deficiency disorders in Xinjiang Production and Construction Corps (abbreviation: Corps), and provide basis for formulating scientific prevention and control strategies. Methods According to the requirements of “National Monitoring Program for Iodine Deficiency Disorders”, combined with the actual situation of Corps, 30 “PPS” population groups were selected and 40 schoolchildren aged 8-10 years Subjects, detection of children with goiter B goiter and collect salt samples of their homes for the determination of salt and iodine. At the same time, 12 children were randomly selected from among the 40 children who were drawn to collect and test urinary iodine levels. Results A total of 1195 salt samples were detected. The median of salt iodine was 31.50mg / kg. The coverage of iodized salt and the iodine salt were 97.49% and 96.07% respectively. A total of 1 220 children aged 8-10 Thyroid gland was detected in 40 goiter, goiter rate was 3.3%; detected a total of 407 children aged 8 to 10 urine samples, urinary iodine median of 235.31μg / L, urinary iodine less than 50μg / L Proportion accounted for 1.5%, less than 100μg / L ratio accounted for 8.1%. Conclusions The Corps has a significant effect in preventing and treating iodine deficiency disorders. All the indicators have reached the national standard for elimination of iodine deficiency disorders. There is no problem of iodine excess. Salt iodine should be adjusted in time according to the iodine nutrition of the population. Persistent use of iodine Methods Prevention and treatment of iodine deficiency disorders, to consolidate the results of prevention and treatment of iodine deficiency disorders.