目的为了解郑州市碘缺乏病发展动态、防治现状,掌握和评价我市基础碘营养水平。方法 2008年郑州市对巩义、新密、中原、管城、金水、惠济、上街等7个县(市、区)进行基础碘营养水平调查,以县(市、区)为单位,按照东、西、南、北、中5个方位分别抽取5个乡(镇、办事处)随机抽取1所小学8～10岁学生50名,分别进行甲状腺触诊,并采集其尿样及家庭食用盐样,进行尿碘及盐碘测定。每1所小学对30名5年级学生进行健康教育问卷,对小学所在村东、西、南、北、中不同方位采饮用水5份,进行水碘测定,对所在村10名家庭主妇进行问卷调查。结果郑州市所属7个县(市、区)8～10岁儿童甲状腺肿大率为1.72%,尿碘中位数为182.6μg/L,盐碘合格率为93.46%,非碘盐率为2.22%,水碘中位数为9.11μg/L,学生健康问卷及格率为98.29%,家庭主妇健康问卷及格率为99.72%。结论 2008年郑州所属7个县(市)8～10岁儿童甲状腺肿大率、尿碘中位数和盐碘合格率等3项指标均达到了国家消除碘缺乏病标准,健康教育问卷平均得分4.5以上,水碘中位数低于国家标准。说明郑州市的碘缺乏病防治工作达到了国家消除碘缺乏病标准,但是仍是缺碘地区,还有非碘盐冲击市场,应加强盐业市场管理,提高人群碘营养水平。 Objective To understand the development of iodine deficiency disorders in Zhengzhou City, prevention and treatment status, master and evaluation of the city’s basic iodine nutrition. Methods In 2008, Zhengzhou conducted a survey of iodine nutrition level in seven counties (cities and districts) of Gongyi, Xinmi, Central Plains, Guancheng, Jinshui, Huiji and Shangjie, taking county (city and district) as the unit, Fifty townships (towns and offices) were randomly selected from 50 schools of 8 to 10 years old in the five directions of East, West, South, North and Central China respectively for palpation of the thyroid gland and urine samples and family consumption Salt samples for urinary iodine and salt iodine determination. Each primary school conducted a questionnaire on health education for 30 grade 5 students. Five drinking water samples were collected from east, west, south, north and south of the village where primary schools were located, and water iodine was measured. Ten housewives in the village were surveyed survey. Results The goiter rate was 1.72%, the median urine iodine was 182.6μg / L in 7 counties (cities and districts) of Zhengzhou City, the passing rate of salt and iodine was 93.46% and the rate of non-iodized salt was 2.22 %, The median of water iodine is 9.11μg / L, the passing rate of student health questionnaire is 98.29%, and the passing rate of health questionnaire of housewife is 99.72%. CONCLUSIONS Three indicators of goiter, urinary iodine and salt iodine pass rate of children aged 8-10 in seven counties (cities) in Zhengzhou in 2008 all reached the national standard of eliminating iodine deficiency deficiency, and the average score of health education questionnaire 4.5 above, the median water Iodine below the national standard. Indicating that the prevention and treatment of iodine deficiency disorders in Zhengzhou reached the national standard to eliminate iodine deficiency disorders, but still iodine deficiency areas, as well as non-iodized salt impact the market, should strengthen the salt market management and improve the population iodine nutrition.