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目的了解昆明市1998～2009年碘缺乏病防治现状,为持续开展碘缺病防治工作提供依据。方法按照《全国碘缺乏病监测方案》,采用人口容量比例概率抽样方法(PPS),随机抽取昆明市所辖14县(市)区8～10岁儿童和居民户,调查儿童甲状腺肿大率、尿碘含量、居民家中合格碘盐食用率以及碘缺乏病健康教育知晓情况。结果儿童甲肿率由1998年的19.25%大幅下降到2009年的2.16%;尿碘中位数由2000年的421.32μg/L下降到2009年的272.8μg/L,除2007年居民合格碘盐食用率低于90%(89.56%)外,1998～2009年度碘盐覆盖率、碘盐合格率、合格碘盐食用率连续12年在90%以上。结论昆明市碘缺乏病防治效果显著,但仍需建立可持续消除碘缺乏病工作机制。
Objective To understand the current status of prevention and treatment of iodine deficiency disorders in Kunming from 1998 to 2009, and to provide basis for continuing prevention and treatment of iodine deficiency disorders. Methods In accordance with the National Monitoring Program for Iodine Deficiency Disorders, the PPS method was used to randomly select children and residents from 8 to 10 years old in 14 counties (cities) under the jurisdiction of Kunming City to investigate the prevalence of goiter in children, Urinary iodine content, the rate of consumption of qualified iodized salt in residents’ homes, and awareness of health education about iodine deficiency disorders. Results The children’s goiter rate dropped sharply from 19.25% in 1998 to 2.16% in 2009; The median of urinary iodine dropped from 421.32μg / L in 2000 to 272.8μg / L in 2009, except for the resident iodine salt The consumption rate of less than 90% (89.56%), 1998-2009, iodized salt coverage, qualified rate of iodized salt, iodized salt consumption rate of 12 consecutive years in more than 90%. Conclusion The prevention and treatment of iodine deficiency disorders in Kunming is significant, but the working mechanism of eliminating iodine deficiency disorders still needs to be established.