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目的在实现消除碘缺乏病的阶段性目标近10年后,了解和掌握禹州市碘缺乏病流行情况,巩固防治成果,为完善持续消除碘缺乏病工作机制提供科学依据。方法按东西南北中5个方位抽取5个乡,每乡随机抽取一个村小学,触诊法查8～10岁儿童甲状腺肿大情况;从每所小学的受检儿童中中抽取50份尿样,男女各半;抽取9个乡(镇)36个村288户居民食用盐。结果禹州市8～10岁儿童甲状腺肿大率为4.73%,尿碘中位数为255.6μg/L,<50μg/L的比率为1%,碘盐覆盖率为99.31%,碘盐定量测定合格率98.96%,合格碘盐食用率为98.26%。结论禹州市于2000年达到消除碘缺乏病阶段性目标后,持续处于消除碘缺乏病阶段。坚持长期食用合格碘盐是持续消除碘缺乏病的根本途径。
Objective To understand and grasp the epidemic situation of iodine deficiency disorders in Yuzhou in the recent 10 years and to consolidate the results of prevention and treatment so as to provide a scientific basis for improving the working mechanism of eliminating iodine deficiency disorders continuously. Methods Five townships were selected from five orientations in north, south, east, north and south. A village primary school was randomly selected in each township. Thyroid enlargement was examined in children aged 8 to 10 by palpation. Fifty urine samples were taken from the children in each primary school , Men and women in half; extracted nine townships (towns) 36 villages 288 households salt consumption. Results The prevalence of goiter was 4.73%, the median urinary iodine was 255.6μg / L in children aged 8 ~ 10 years in Yuzhou, the rate of <50μg / L was 1%, the coverage of iodized salt was 99.31% The pass rate of 98.96%, qualified iodized salt consumption rate of 98.26%. Conclusion Yuzhou City in 2000 to achieve the stage of eliminating iodine deficiency disorders in the target, the continued elimination of iodine deficiency deficiency stage. Adhere to the long-term consumption of qualified iodized salt is the fundamental way to continue the elimination of iodine deficiency disorders.