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目的了解掌握原平市碘缺乏病流行现状及干预措施落实情况,为制定防治措施提供科学依据。方法选择原平市较重的历史碘缺乏病(IDD)病区,采取随机抽样的方法,对居民户食用盐、儿童甲状腺、儿童尿碘、居民饮用水碘浓度、IDD健康教育知识等进行监测调查。结果 8~10岁儿童甲状腺肿大率为5.7%。儿童尿碘中位数188.94μg/L,<100μg/L的占18.3%。居民盐现场半定量检测碘盐覆盖率达97.7%,全定量测定居民合格碘盐食用率为94.4%。五年级IDD知识问卷调查平均得分3.6分,家庭主妇平均得分3.8分。居民饮水含碘值范围1.2~5.5μg/L。儿童智力测验:共测验8~10岁儿童171人,总体样本IQ均值为(99.86±15.6)。结论监测调查结果表明,原平市儿童甲状腺肿大率未达到国家消除碘缺乏病目标指标(<5%),对此应予以高度重视,并进一步探讨研究。儿童尿碘水平和居民食用碘盐率均达到了国家消除碘缺乏病标准。碘缺乏病健康教育知识宣传不到位发展滞后,人群防病保健意识淡薄。
Objective To understand the prevalence of iodine deficiency disorders in Yuanping City and the implementation of intervention measures so as to provide a scientific basis for the formulation of prevention and control measures. Methods A random sample was used to monitor the prevalence of iodine deficiency in patients with IDD in Yuanping City. The monitoring results were as follows: household salt intake, thyroid of children, urinary iodine of children, iodine concentration of drinking water of residents, knowledge of IDD health education . Results The prevalence of goiter in children aged 8-10 years was 5.7%. The median urinary iodine for children was 188.94 μg / L, accounting for 18.3% for those with <100 μg / L. The semi-quantitative detection of iodized salt at the site of residents’ salt coverage rate reached 97.7%, and the quantitative determination of resident iodine salt consumption rate was 94.4%. Fifth grade IDD knowledge survey average score of 3.6 points, housewives average score 3.8. Residents drinking water iodine value range 1.2 ~ 5.5μg / L. Children’s intelligence test: a total of 171 children aged 8 to 10 were tested, the overall sample IQ mean (99.86 ± 15.6). Conclusion The results of surveillance survey showed that the prevalence of goiter in Yuanping City did not reach the national target of eliminating iodine deficiency disorders (<5%), which should be attached great importance to further explore the study. Urinary iodine levels and iodine consumption of residents have reached the national standard of eliminating iodine deficiency disorders. Iodine deficiency disease education in health education is not in place for the development of lagging behind, the crowd awareness of prevention and health care is weak.