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目的分析新津县2009年碘缺乏病监测资料,及时掌握居民合格碘盐食用情况、人群碘营养状况,为采取针对性防治措施和科学调整干预策略提供依据。方法碘盐监测:按随机抽样监测方法,抽检所辖9个乡(镇、街)36个村288份居民食用盐碘含量。病情监测:按东、西、南、北、中各随机抽取1个乡(镇)1所小学(中心小学)不少于80名8u0019|10岁儿童的甲状腺肿大情况;在抽取调查甲肿率的每所小学被检查甲状腺的学生中,随机抽检20名(男、女各半,总数100份)学生尿碘。健康教育:在抽取调查甲肿率的每所小学抽取30名5年级学生(共150名),在学校附近抽取15名育龄妇女进行防治碘缺乏病知晓率调查。结果新津县合格碘盐食用率为99.31%,碘盐合格率为99.31%,碘盐覆盖率为100%,中位数37.6mg/kg;甲状腺肿大率为1.16%,校正肿大率为0.83%;尿碘含量中位数为195μg/L。学生和育龄妇女健康教育知晓率分别为89.33%和90.67%。结论新津县通过普供碘盐和开展防治碘缺乏病健康教育,碘缺乏病防治效果显著,儿童甲状腺肿大率明显下降,儿童尿碘中位数处于较高水平,己实现消除碘缺乏病目标。
Objective To analyze the monitoring data of iodine deficiency disorders in Xinjin County in 2009, and to grasp the consumption of iodized salt and iodine nutrition of residents in time so as to provide the basis for taking targeted prevention and treatment measures and adjusting the intervention strategy scientifically. Methods Iodized salt monitoring: According to the random sampling monitoring method, the iodine content of edible salt in 288 residents of 36 villages in 9 towns (towns and streets) under the jurisdiction of sampling was sampled. Surveillance: According to the random sample of 1 rural (town) primary school (central primary school) in each of east, west, south, north and center, the number of thyroid enlargement of no less than 80 8 u0019 10-year- Thyroiditis rate in each primary school was checked thyroid students randomly selected 20 (male and female half, a total of 100) urine iodine. Health education: 30 grade 5 students (150 students) were enrolled in each primary school from which the survey was conducted to determine the prevalence of iodine deficiency deficiency among 15 fertile women aged 15 and over. Results The qualified iodized salt in Xinjin County was 99.31%, the qualified rate of iodized salt was 99.31%, the coverage of iodized salt was 100%, the median was 37.6mg / kg; the rate of goiter was 1.16% and the rate of correct swelling was 0.83 %; Median urinary iodine content of 195μg / L. The awareness rate of health education among students and women of childbearing age was 89.33% and 90.67% respectively. Conclusions Xinjin County, through universal iodized salt and health education on prevention and treatment of iodine deficiency disorders, has a significant effect of prevention and treatment of iodine deficiency disorders, goiter rate of children decreased significantly, urinary iodine median children at a high level, has achieved the goal of eliminating iodine deficiency disorders .