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目的:了解南郑县碘缺乏病防治现况,完善可持续发展策略。方法:按照《陕西省碘缺乏病监测方案(试行)》要求,于2009～2011年进行碘缺乏病监测。结果:3年间碘盐覆盖率均为100%,碘盐合格率为98.26%～98.61%,8～10岁儿童甲状腺肿大率为3.81%～4.76%,尿碘中位数为314.47～371.89μg/L。结论:南郑县持续实施以食盐加碘为主的综合防治措施,碘缺乏病防治成效显著,达到实现消除碘缺乏病目标。但是,大多数儿童尿碘处于超适宜水平,应根据碘营养水平适时下调食盐加碘浓度,并将孕妇、哺乳期妇女尿碘也作为监测内容。
Objective: To understand the status of iodine deficiency disorders prevention and treatment in Nanzheng County and to improve the strategy of sustainable development. Methods: According to the requirements of “monitoring program of iodine deficiency disorders in Shaanxi Province (Trial)”, iodine deficiency disorders were monitored from 2009 to 2011. Results: The iodine salt coverage rate was 100%, the iodine salt pass rate was 98.26% ~ 98.61% in 3 years, the goiter rate was 3.81% ~ 4.76% in children aged 8 ~ 10 years, and the median urinary iodine was 314.47 ~ 371.89μg / L. Conclusion: Nanzheng County continued to implement comprehensive prevention and treatment measures based on salt iodization. The prevention and treatment of iodine deficiency disorders achieved remarkable results, achieving the goal of eliminating iodine deficiency disorders. However, most children with urinary iodine are at a super-optimal level. Salt and iodine concentrations should be lowered according to the level of iodine nutrition. Urinary iodine should also be used as monitoring content in pregnant and lactating women.