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目的开展碘缺乏病病情监测,对消除碘缺乏病防治效果进行评价。方法抽取平顶山市汝州、郏县,采用人口比例慨率抽样法(PPS),在两县各抽取40名8～10岁学生作为调查对象,B超法检测学生甲状腺肿大情况,同时进行智商检测,并测定其尿碘;采集其家中食用盐样测定含碘量及食盐摄入量情况,检测水碘含量;采用问卷对学生和妇女进行健康教育调查。结果共检测80名8～10岁学生甲状腺,肿大率为3.75%(3/80);共检测80份盐样,其中居民户碘盐覆盖率、碘盐合格率、合格碘盐食用率分别为100%(80/80)、95%(76/80)、95%(76/80);检测尿样80份,尿碘中位数为139.4μg/L;80名学生智商为111.7±13.7;水碘监测4份,水碘中位数为7.2μg/L;60名学生及60名孕妇和哺乳期妇女健康教育知晓率分别为31.7%(57/180)和28.3%(51/180)。结论平顶山市碘缺乏病防治工作取得了明显成效,但似需加大健康教育宣传力度。
Objective To monitor the condition of iodine deficiency disorders and evaluate the prevention and control of iodine deficiency disorders. Methods Pupu was sampled from Ruzhou and Juxian in Pingdingshan City. Pupils from 8 to 10 years old were collected from two counties. The results of B-mode ultrasonography were used to detect goiter, Detect and measure urinary iodine; collect salt samples from their families to determine iodine content and salt intake, detect water iodine content; use questionnaires to conduct health education survey for students and women. Results A total of 80 thyroid gland samples from 8 to 10 years old were detected. The rate of enlargement was 3.75% (3/80). A total of 80 salt samples were tested. Among them, the iodized salt coverage rate, the qualified rate of iodized salt and the qualified iodized salt rate (80/80), 95% (76/80) and 95% (76/80) respectively. 80 urine samples were detected with a median urinary iodine of 139.4 μg / L; 80 students’ IQ was 111.7 ± 13.7 ; Water iodine monitoring 4, water iodine median 7.2μg / L; 60 students and 60 pregnant women and lactating women health education awareness rates were 31.7% (57/180) and 28.3% (51/180) . Conclusion The prevention and cure of iodine deficiency disorders in Pingdingshan has achieved remarkable results, but it may be necessary to intensify the promotion of health education.