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目的了解20年综合防治后光泽县地方性克汀病防治效果。方法采用PPS抽样法和随机整群抽样法进行调查。结果儿童甲状腺肿大率从防治前的56.41%下降到3.92%,尿碘中位数306.5μg/L,居民碘盐覆盖率为96.11%,合格碘盐食用率为90.28%,供应碘盐第二年后未再出现新发的地方性克汀病病人。结论光泽县碘盐合格率、儿童的尿碘水平和甲状腺肿大率等指标均达到了消除碘缺乏病的标准,并实现了消除地方性克汀病的预期目的。
Objective To understand the prevention and treatment of endemic cretinism in Guangze County after 20 years of comprehensive prevention and treatment. Methods PPS sampling method and random cluster sampling method were used to investigate. Results The rate of thyroid goiter in children dropped from 56.41% to 3.92% and the median of urinary iodine was 306.5μg / L. The coverage rate of iodized salt in residents was 96.11% and the rate of qualified iodized salt was 90.28%. The supply of iodized salt was second Years later no new cases of endemic cretinism occurred. Conclusion The qualified rate of iodine salt in Guangze County, urinary iodine level in children and goiter rate of children reached the standard of eliminating iodine deficiency deficiency, and achieved the expected goal of eliminating endemic cretinism.