摘要
目的了解山西省碘缺乏病病情和人群碘营养状况，评价干预措施落实情况及效果，为决策和下一步的防治工作提供依据。方法采用人口比例概率抽样法（PPS）在全省抽取30个县，每县随机抽取1所小学，每所小学抽取40名8～10岁儿童，采集其家中盐样检测盐碘，调查甲状腺肿大情况（触诊法和B超法），测试智商；在上述40名儿童中随机抽取12名，采集尿样检测尿碘；另外抽取5年级学生20名．学校所在村18～35岁妇女5名，调查健康教育状况。结果居民碘盐覆盖率为98．19％，合格碘盐食用率为93．17％：儿童尿碘中位数为245．4μg／L；儿童甲状腺肿大率触诊法为4．8％，B超法为3．6％；儿童智商为108．0±14．0；5年级学生健康教育得分43．9分，家庭主妇健康教育得分83．5分。结论山西省仍属实现碘缺乏病消除目标省份。
Objective To explore into the status of iodine deficiency disorders （IDD） prevalence and iodine nutrition in inhabitants, as well as to evaluate the effect of intervening countermeasure for future reference. Methods 30 counties in Shanxi Province were selected by adopting proportional probability sampling method. 40 children aged 8 to 10 years old were randomly selected in each primary school randomly chosen in each county, whose household salt was sampled and tested; goiter rate was detected by palpation B-ultrasound, and intelligence quotient （IQ） were investigated. In 12 children randomly sampled among the 40, their urinary samples were gathered and iodine content was tested. In addition, 20 students in the fifth grade in each school and 5 housewives aged 18 to 35 years old in village where the school located were selected. The student and housewife were quizzed for the knowledge of health education. Results The coverage rate of iodinated salt was 98.19%. The intake rate of qualified salt was 93.17%. The median urinary was 245.4 μg/L. The goiter rate was 4.8% by palpation and 3.6% by B-ultrasound. The average IQ was 108.0 ± 14.0. The average score of health education was 43.9 in the fifth grade students and was 83.5 in housewives. Conclusion Shanxi Province is in the process of eliminating iodine deficiency disorders.
出处
《中国地方病学杂志》
CAS
CSCD
北大核心
2007年第2期176-178,共3页
Chinese Jouranl of Endemiology
基金
卫生部疾病控制司委托项目（2005）志谢本次监测得到了忻州市疾病预防控制中心和30个监测县相关部门的大力支持.谨致谢意
关键词
碘
缺乏症
监测
Iodine
Deficiency diseases
Surveillance
