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目的研究消除碘缺乏病的对策与措施,评价效果。方法1994~1996年对重点人群进行口服碘油丸,1997年起全民普供碘盐,重点地区综合干预,逐年开展碘盐监测,抽样监测儿童甲状腺肿大率、智商、尿碘,评价防治效果。结果2001~2007年,居民碘盐覆盖率为94.2%~98.4%,合格碘盐食用率为83.5%~94.1%;儿童甲状腺肿大率由1994年的43.2%(触诊)显著降至2005年的10.5%(触诊)和9.9%(B超),2007年再降至7.8%(触诊)和7.3%(B超),尿碘近7年稳定在250μg/L左右,智商由2002年的103.2显著提高至2005年的106.3,2007年实现基本消除碘缺乏病阶段目标。结论全民普供碘盐和碘盐监测为主的碘缺乏病防治对策与措施取得显著成效。
Objective To study the countermeasures and measures to eliminate iodine deficiency disorders and evaluate the effect. Methods From 1994 to 1996, oral iodized oil pills were administered orally to key populations. In 1997, the whole country served as the general population for iodized salt and integrated intervention in key areas. The monitoring of iodized salt was carried out year by year. The thyroid enlargement rate, IQ and urinary iodine were monitored by sampling, and the prevention and treatment effects were evaluated . Results From 2001 to 2007, the iodized salt coverage rate of residents was 94.2% -98.4% and the qualified iodized salt consumption rate was 83.5% -94.1%. The rate of goiter in children dropped significantly from 43.2% (palpation) in 1994 to 2005 , 10.5% (palpation) and 9.9% (B ultrasound) in 2007, and then decreased to 7.8% (palpation) and 7.3% (B ultrasound) in 2007; urine iodine was stable at 250μg / L in the past 7 years; Of 103.2 was significantly increased to 106 in 2005. 3, in 2007 to achieve the basic elimination of iodine deficiency deficiency stage goals. Conclusion The general population for iodized salt and iodized salt monitoring of iodine deficiency disorders prevention and treatment measures and measures to achieve remarkable results.
