论文部分内容阅读
目的了解新疆巴音郭楞蒙古自治州辖属南部塔里木盆地南缘若羌县、且末县和东缘尉犁县碘缺乏病流行现状及存在问题,为制定科学防治规划提供依据。方法采用人口比例概率抽样方法,对8～10岁儿童采用B型超声波法检查甲状腺,采用砷铈催化分光光度测定法测量尿碘含量。结果塔里木盆地东、南缘三县8～10岁儿童甲状腺肿大率为5.4%(39/725)。其中男童肿大率为5.9%(22/374),女童肿大率为4.8%(17/351);男女间甲状腺肿大率差异无统计学意义(P>0.05)。且末县和若羌县肿大率分别为7.7%(19/246)和5.8%(14/240),尉犁县肿大率为2.5%(6/239);且末县与尉犁县甲状腺肿大率差异有统计学意义(χ2=4.25,P<0.05)。三县8～10岁儿童尿碘中位数为203.9μg/L,尿碘含量<50μg/L的占8.8%(64/725),尿碘含量<100μg/L的占20.8%(151/725),尿碘含量>100μg/L占79.2%(574/725)。且末县、若羌县和尉犁县尿碘中位数分别为189.5μg/L、197.4μg/L、222.2μg/L。结论塔里木盆地东缘尉犁县达到了碘缺乏病控制标准,南缘的且末县和若羌县达到了碘缺乏病基本控制标准。
Objective To understand the prevalence and existing problems of iodine deficiency disorders in Ruoyong County, the southern boundary of Tarim Basin in the southern Bayingolin Mongol Autonomous Region of Xinjiang and the Yuli County in Yandu County and the eastern margin of the border region, and to provide the basis for the formulation of scientific prevention and control plans. Methods The method of population proportion probability sampling was used to detect the thyroid gland in children aged 8 ~ 10 years using B ultrasonic method. Urinary iodine content was measured by arsenic cerium catalytic spectrophotometry. Results The goiter rate was 5.4% (39/725) in children aged 8 ~ 10 in the three counties in the eastern and southern margins of the Tarim Basin. There were 5.9% (22/374) cases of boy’s enlargement and 4.8% (17/351) cases of girl’s enlargement. There was no significant difference in the rate of goiter between boys and girls (P> 0.05). In Qiemo County and Ruoqiang County, the rate of swelling was 7.7% (19/246) and 5.8% (14/240) respectively, and that of Yuli County was 2.5% (6/239). The goiter There was significant difference between the rates of large scale (χ2 = 4.25, P <0.05). The urinary iodine median was 203.9 μg / L for children aged 8-10 years, 8.8% (64/725) for urinary iodine <50 μg / L and 20.8% for urinary iodine <100 μg / L (151/725) ), Urinary iodine content> 100μg / L accounted for 79.2% (574/725). The median urinary iodine concentrations in Jiefeng County, Ruoqiang County and Yuli County were 189.5μg / L, 197.4μg / L and 222.2μg / L, respectively. Conclusion Yuli County, the eastern margin of Tarim Basin, has reached the control standard for iodine deficiency disorders. In the southern margin, Qimo County and Ruoqiang County have reached the basic control standard for iodine deficiency disorders.