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本文对佟井村补碘10年后的防治现状进行了全面调查。结果表明该村为严重缺碘病区,经10年补碘防治后,仍存在不同程度缺碘。7～14岁儿童的甲状腺肿大率为22.68%,尚有少数儿童患有 I~0甲肿、有16.85%的学龄儿童发生轻度智力低下(IQ≤69)、8.5%的儿童骨龄落后(平均落后8.1个月)等。我们建议对严重缺碘病区,在供应碘盐基础上应坚持对育龄妇女肌注或口服碘油,并加强监测尤其碘盐质量的监测工作。
This paper conducted a comprehensive investigation on the status of prevention and treatment of Tongjing Village iodine 10 years later. The results show that the village is a serious iodine deficiency area, after 10 years of iodine prevention and treatment, there are still varying degrees of iodine deficiency. The thyroid goiter rate of children aged 7-14 years old was 22.68%. There were still a small number of children with I to 0 goiter, 16.85% of them had mild mental retardation (IQ≤69), and 8.5% 8.1 months behind on average). We suggest insisting on intramuscular or oral lipiodol for women of childbearing age based on the supply of iodized salt and monitoring the quality of iodized salt, especially in areas with severe iodine deficiency.