摘要
目的评价丹棱县碘缺乏病防治效果,为进一步开展碘缺乏病防治工作提供依据。方法收集整理1982-2009年丹棱县碘缺乏病防治工作的相关数据资料,比较其中各项工作开展初期和终期评估阶段时在组织领导、碘盐管理、监测与防治、健康教育4项管理指标,以及盐碘含量、甲状腺肿大率、尿碘水平3类技术指标间的差异。结果丹棱县1982年开始摸底调查碘缺乏病,防治工作限于下发文件、健全机构、开展监测、对重点人群普服碘油丸胶囊。1990年开始推行食用碘盐。1994年全民食用碘盐,开始全民参与消除碘缺乏病的工作。在管理项目中,1994年得56分;2009年得96分。碘盐管理:2004年和2009年,碘盐覆盖率差异有统计学意义(!2=67.19,P<0.05),村民合格碘盐食用率差异有统计学意义(!2=33.90,P<0.05),零售点食用盐合格率差异有统计学意义(!2=5.38,P<0.05),居民户食用盐合格率差异有统计学意义(!2=33.90,P<0.05)。病情监测:7～14岁学生甲状腺肿大率和患病率1989年分别为32.19%、10.24%,1998年为16.00%、2.00%,甲状腺肿大率差异有统计学意义(!2=7.23,P<0.05)、患病率差异有统计学意义(!2=13.75,P<0.05);8～10岁学生尿碘水平逐渐上升,平均中位数1994年为40.63μg/L,2009年为187.37μg/L,1994年和2009年尿碘中位数正常率差异有统计学意义(!2=134.83,P<0.05)。结论丹棱县1982-2009年防治碘缺乏病管理指标得分上升,甲状腺肿大率逐渐下降,8～10岁学生尿碘水平逐渐上升,到2009年各项指标均达到国家消除碘缺乏病的要求,丹棱县碘缺乏病防治效果显著。
Objective To evaluate the effect of iodine deficiency disease（IDD） control,and provide the basis for further prevention and control work.Methods The data of IDD control in Danling county from 1982 to 2009 were collected and analyzed.Results The work of investigating IDD was started in 1982 and the work were limited to issuing documents,perfecting organization,monitoring and popularizing taking iodized oil capsule.In the management project,it was 56 points in 1994 and 96 in 2009.Iodized salt managements were as following,in 2004 and 2009,there was statistical difference in the coverage rate of iodized salt（X2=67.19,P0.05）,statistical difference in the qualified rate of edible salt in retail outlets（X2=5.38,P0.05）and statistical difference in the rate of qualified iodized salt of villagers（X2=33.90,P0.05）.Condition monitoring results were as following,the thyroid enlargement rate and prevalence rate were 32.19% and 10.24% respectively in1989,and 16.00%,2.00% in 1998,among the students from 7 to 14 years old.There was statistical difference in the thyroid enlargement rates（X2=7.23,P0.05）,and statistical significance in prevalence rates（X2=13.75,P0.05）.Urinary iodine level rose gradually in the students of 8-10 years old.The average median was 40.63 μg/L in 1994,and 187.37 μg/L in 2009.There was statistical difference among the rates of normal average median（X2=134.83,P0.05）.Conclusion All the indicators reached the national requirements for eliminating IDD by 2009.The effect of eliminating IDD was remarkable.
出处
《职业卫生与病伤》
2012年第5期271-274,共4页
Occupational Health and Damage
关键词
碘缺乏病
预防和控制
丹棱县
IDD
prevention and control
Danling county
