[目的]监测消除碘缺乏病状况,提供可持续的防治对策。[方法]抽样监测10个县8～10岁小学生甲状腺大小、家中食盐碘含量、监测尿碘,对抽取学生和学生家庭主妇进行问卷调查,对安塞学生进行智商测定,测定安塞中心小学周围环境水中碘含量。[结果]各县甲状腺肿大率分布在1.90%～9.52%,女生高于男生;尿碘为24.5～993.5μg/L,各县中位数均达到100μg/L以上,低于50μg/L的小于20%;碘盐合格率和合格碘盐食用率均为91.4%;智商抽查中等及以上级别低于非病区儿童;问卷调查儿童和家庭主妇的及格率分别为98.8%和97.5%;抽查学校周围环境的水碘含量均低于10μg/L。[结论]抽查各县达到了消除碘缺乏病标准,但病情有所回升,需要政府和广大群众共同努力,使碘缺乏病持续消除。 [Purpose] To monitor the elimination of iodine deficiency disorders and provide a sustainable control strategy. [Methods] The thyroid size, the iodine content in the home and the urinary iodine in primary school students aged 8 ~ 10 in 10 counties were monitored by sampling. Questionnaires were made on the sampled students and housewives. The students of Ansai were measured by IQ. Environmental water iodine content. [Results] The prevalence of goiter in each county ranged from 1.90% to 9.52%, while that in girls was higher than that in boys. The urinary iodine was 24.5-993.5μg / L, and the median of each county was above 100μg / L and below 50μg / L Less than 20%; the passing rate of iodized salt and the eligible iodized salt rate were 91.4%; the IQ of middle and above grade was lower than that of non-ward children; the passing rate of questionnaire children and housewives were 98.8% and 97.5% respectively; Water iodine levels in the school environment were lower than 10μg / L. [Conclusion] The spot checks of all counties have reached the standard of eliminating iodine deficiency disorders, but their condition has picked up. The government and the general public should work together to eliminate the iodine deficiency disorders.