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目的了解五华县碘缺乏病各项防治措施落实情况及防治效果,为完善可持续消除碘缺乏病防治策略提供科学依据。方法技术指标评估采用抽样调查,全县按地理位置东、西、南、北、中5个方位各随机抽取1个乡镇的居民和小学,调查居民食用碘盐情况、儿童尿碘中位数、8～10岁儿童甲状腺肿大率和碘缺乏病防治知识;管理指标评估采用查阅相关防控部门档案的资料及文件。结果抽查8～10岁学生家庭食用盐和尿碘各200份,碘盐覆盖率100%,合格碘盐食用率97.5%;尿碘中位数为136.0μg/L,低于50μg/L的比例为4.0%。检查400名儿童的甲状腺肿,校正甲状腺肿大率3.1%。300名五年级学生的碘缺乏病防治知识问卷平均得分4.93分(满分5分);100名家庭主妇的碘缺乏病防治知识问卷平均得分4.43分(满分5分)。综合管理指标评估得分94.36分。结论五华县落实了碘缺乏病的各项防治措施,而且防治效果非常显著。其中综合管理指标达到考评标准80分以上;碘盐覆盖率、居民合格碘盐食用率、8～10岁儿童尿碘水平及甲状腺肿大率均达到国家消除碘缺乏病标准。确认五华县已经实现了消除碘缺乏病目标。
Objective To understand the implementation of the prevention and treatment measures for iodine deficiency disorders in Wuhua County and to provide a scientific basis for improving the prevention and cure strategies for iodine deficiency disorders. The method of technical indicators assessment using sampling survey, the county according to geographical location East, West, South, North, Central and South China five randomly selected from a township residents and primary schools to investigate residents eating iodized salt, the median urinary iodine in children, Knowledge of prevention and treatment of goiter and iodine deficiency disorders in children aged 8 to 10 years; Management indicators assessment were conducted by referring to the files and documents of relevant prevention and control departments. Results A total of 200 table salt and urinary iodine were collected from 8 to 10-year-old students. The coverage of iodized salt was 100% and the rate of qualified iodized salt was 97.5%. The urinary iodine median was 136.0μg / L, less than 50μg / L 4.0%. Check the goiter of 400 children to correct the goiter rate of 3.1%. The average score of knowledge-based questionnaires about iodine deficiency disorders in 300 fifth graders was 4.93 (out of 5). The average knowledge-based questionnaire about knowledge of prevention and treatment of iodine deficiency disorders among 100 housewives was 4.43 (out of 5). Overall management index evaluation score 94.36 points. Conclusion Wuhua County has implemented various prevention and treatment measures of iodine deficiency disorders, and the prevention and treatment effect is very significant. Among them, the comprehensive management index reached 80 points or above. The iodized salt coverage rate, the resident iodine salt consumption rate, the urinary iodine level and the goiter rate of children aged 8-10 years reached the national standard of eliminating iodine deficiency deficiency. Confirmed Wuhua County has achieved the goal of eliminating iodine deficiency disorders.