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目的掌握哈尔滨市碘缺乏病消除现况。方法于2015年对自评达标的全市18个区县碘缺乏病防治情况进行调查,按照《重点地方病控制和消除评价办法》进行评价。结果全市各区、县(市)共调查居民户食用盐1 798份,合格碘盐食用率达到90.53%~100%;调查8~10岁学生尿样1 800份,检测尿中碘含量,各区、县(市)学生尿碘中位数在141.13μg/L~227.92μg/L,尿碘水平低于50μg/L的比例在0%~8%;调查1 800名8~10岁学生甲状腺肿大情况,各区、县(市)学生甲状腺肿大率在0%~4%。调查718份孕妇尿碘,各区、县(市)孕妇尿碘中位数在151.67μg/L~388.18μg/L;调查孕妇碘盐719份,各区、县(市)孕妇合格碘盐食用率均在92.3%~100%。调查各区、县(市)健康教育问卷360份,平均分在6.55分~10分。经调查,各区、县(市)各项技术指标均达到碘缺乏病消除标准技术指标。结论哈市所辖18个区县通过自评和市级调查复核,各项管理、技术指标均达到碘缺乏病消除标准要求,在市级层面上,可判定各区县实现碘缺乏病消除目标。
Objective To understand the status of iodine deficiency disorders in Harbin. Methods In 2015, we investigated the prevention and treatment of iodine deficiency disorders in 18 districts and counties in our city, and evaluated them in accordance with the Measures for the Assessment and Control of Key Infectious Diseases. Results A total of 1 798 food salt samples were collected from households and 90.53% -100% of qualified iodized salt in all districts and counties in the city. A total of 1 800 urine samples were collected from 8 to 10-year-old students. The urinary iodine median of students in county (city) ranged from 141.13μg / L to 227.92μg / L, and the level of urinary iodine below 50μg / L ranged from 0% to 8%. A total of 1 800 students aged 8-10 years with goiter Situation, district, county (city) goiter rate of 0% to 4%. The urinary iodine of 718 pregnant women was investigated. The median urinary iodine of pregnant women in all districts and counties was 151.67μg / L ~ 388.18μg / L. The iodized salt of 719 pregnant women was investigated. The iodine salt consumption rates of pregnant women in all districts and counties At 92.3% ~ 100%. Survey of districts, counties (cities) health education questionnaire 360, the average score of 6.55 points to 10 points. After investigation, the technical indicators of all districts and counties (cities) reached the standard of eliminating iodine deficiency disorders. Conclusion 18 districts and counties under the jurisdiction of Harbin Municipality have passed the self-assessment and municipal-level survey review, and all the management and technical indicators have reached the standard of elimination of iodine deficiency deficiency. On the municipal level, it can be determined that all districts and counties have achieved the goal of eliminating iodine deficiency deficiency.