[目的]通过对张家口市2008年度防治碘缺乏病效果分析,对目前碘缺乏病现状进行评价。[方法]碘盐监测:按照卫生部《全国碘缺乏病监测方案》要求进行;病情监测:每县区按东南西北抽取1个乡,每个乡随机抽取1所小学,抽检20名8～10岁儿童甲状腺肿大情况,共计100人,同时抽取相同人份的学生一次性随机尿样;盐碘采用直接滴定法;尿碘采用砷铈氧化还原法;甲状腺肿大采用GB16004-1995标准进行触诊检查。[结果]碘盐加工(批发)层次批质量合格率99.48%,居民户盐层次碘盐合格率99.47%,碘盐覆盖率99.36%,儿童甲肿率1.5%,尿碘中位数为282.4μg/L。[结论]评价IDD防治效果各项指标均在国家控制标准范围内,同近几年结果相比,保持在较为稳定的水平。 [Objective] Through the analysis of the effect of prevention and treatment of iodine deficiency disorders in 2008 in Zhangjiakou City, the current status of iodine deficiency disorders was evaluated. [Methods] Iodine salt monitoring: According to the Ministry of Health “National Iodine Deficiency Disease Surveillance Program” requirements; Condition monitoring: 1 counties were selected from southeast, northwest and north of each county, 1 primary school was randomly selected from each township, and 20 8-10 Year-old children with goiter, a total of 100 people, while taking the same student a one-time random urine; salt iodine using direct titration; urinary iodine arsenic cerium redox method; goiter with GB16004-1995 standard touch Examination examination. [Results] The qualified rate of the quality of iodized salt processing (wholesale) was 99.48%. The passing rate of salt iodine in household was 99.47%, the coverage rate of iodized salt was 99.36%, the rate of children’s hypothyroidism was 1.5% and the median of urinary iodine was 282.4μg / L. [Conclusion] The indicators for evaluating the control effect of IDD were all within the scope of the national control standards, and remained at a relatively stable level compared with the results in recent years.