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目的 评价全民食盐加碘对碘缺乏病病情消长趋势的影响。方法 在食盐加碘 ２ 年后采用容量比例概率法在闽东南沿海 １０ 个县、市、区各抽取 １ ２００ 名 ８～１０ 岁儿童进行甲状腺肿大率调查，每个县、市、区再抽检 ２１０ 名儿童进行尿碘水平和家中盐碘含量的测定，并在莆田市观察 ２ ７７２名新生儿脐带血（全血）ｓ Ｔ Ｓ Ｈ 水平。结果 １９９７ 年 １０ 个县、市、区儿童甲肿率为 １４０５％ ，尿碘水平大于 １００μｇ／ Ｌ 所占比例为 ６８３７％ ，大部分县、市、区儿童尿碘中位数大于 １００μｇ／ Ｌ，莆田市新生儿的ｓ Ｔ Ｓ Ｈ 大于 ５ｍ Ｕ／ Ｌ 占 ２０３％ 。结论 闽东南沿海居民经 ２ 年的全民食盐加碘的干预措施后，碘缺乏病病情已明显下降，居民的碘营养得到改善，但对孕妇和 ０～２ 岁婴幼儿的碘营养监测和补碘工作仍需加强。
Objective To evaluate the effects of salt iodization on the growth and decline of iodine deficiency disorders. Methods Two years after salt iodization, the capacity proportionality probability method was used to investigate the goiter rate of 1 200 children aged 8 to 10 in 10 counties, cities and districts along the southeastern Fujian coast. Totally 210 children were tested for urinary iodine levels and salt iodine content in their homes, and 2,772 newborn cord blood (whole blood) s T S H levels were observed in Putian City. Results In 1997, the prevalence of urinary iodine was 1405% in children from 10 counties, cities and districts, and the urinary iodine level was above 100μg / L, accounting for 6837%. The median urinary iodine in children in most counties, cities and districts was greater than 100μg / L, Putian City, neonatal s T S H greater than 5m U / L accounted for 20 3%. Conclusion Residents of coastal areas in southeastern Fujian Province, after 2 years of universal salt iodization intervention, have obviously decreased their iodine deficiency disorders and their iodine nutrition has been improved. However, iodine nutrition monitoring and iodine supplement monitoring in pregnant women and infants aged 0 ~ 2 years Work still needs to be strengthened.