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目的掌握甘肃省会宁县实施重点地方病防治“十二五”规划期间碘缺乏病防治进展和现状,及时发现存在的问题,为制订有针对性的防治对策提供科学依据。方法按照《甘肃省碘缺乏病监测方案》的要求,2011—2015年在全县范围内监测居民户食用盐,调查8~10岁儿童甲状腺肿大情况;测定8~10岁儿童及孕妇尿碘浓度;对五年级小学生及家庭主妇碘缺乏病核心信息开展问卷调查。结果 2011—2015年共监测会宁县居民户食用盐1 488份,碘盐合格率97.71%,合格碘盐食用率97.38%,碘盐覆盖率99.66%,盐碘中位数29.30 mg/kg;8~10岁儿童甲状腺肿大率为2.03%,儿童尿碘中位数为185.10μg/L,尿碘50μg/L以下占6.00%,孕妇尿碘中位数195.07μg/L;五年级小学生及家庭主妇碘缺乏病核心信息知晓率分别为92.00%和75.00%。结论甘肃省会宁县碘盐覆盖率、合格碘盐食用率保持高水平,各项指标均达到了县级消除碘缺乏病阶段目标;极少数地方仍存在非碘盐及不合格碘盐、家庭主妇健康教育知晓度不高的问题,建议加大对盐业市场的监管及居民户食用盐的监测,积极开展形式多样的碘缺乏病健康教育宣传活动。
Objective To grasp the progress and current situation of prevention and treatment of iodine deficiency disorders during the implementation of key endemic diseases prevention and control in Huining County, Gansu Province during the 12th Five-Year Plan period and find out the existing problems in time so as to provide a scientific basis for formulating targeted prevention and control measures. Methods According to the requirements of “Monitoring program of iodine deficiency disorders in Gansu Province”, the consumption of salt was monitored in the whole county from 2011 to 2015 to investigate the status of goiter in children aged 8 ~ 10 years. The urinary iodine Concentration; fifth grade primary school students and housewives to carry out a questionnaire survey of core information on iodine deficiency disorders. Results A total of 1 488 table salt samples were collected from households in Huining County during 2011-2015. The iodized salt pass rate was 97.71%, the qualified iodized salt rate was 97.38%, the iodized salt coverage rate was 99.66%, and the median salt iodine concentration was 29.30 mg / kg. Goiter rate was 2.03% in 10-year-old children, median of urinary iodine was 185.10μg / L in children, 6.00% of urinary iodine was below 50μg / L, and median of urinary iodine in pregnant women was 195.07μg / L. Grade 5 pupils and families Housewives awareness of iodine deficiency disease core information were 92.00% and 75.00%. Conclusion The coverage rate of iodized salt and the rate of qualified iodized salt in Huining County of Gansu Province kept a high level. All indicators reached the goal of eliminating iodine deficiency deficiency at the county level. Non-iodized salt and unqualified iodized salt were still found in a few places, and the health of housewives Education awareness is not high, it is proposed to increase supervision of the salt market and the monitoring of household salt consumption, and actively carry out various forms of iodine deficiency disorders health education campaign.