摘要
为了解浙江省儿童碘营养水平的现状 ,进一步掌握全省消除碘缺乏病的进展情况和防治效果 ,1999年我们按照《全国碘缺乏病防治监测方案》要求 ,采用 PPS抽样方法在全省范围内抽取 30个县 (市、区 )各一所中心小学的 40名 8~10岁儿童进行碘营养水平调查。结果表明 ,12 0 0份学生家中盐碘中位数 40 .3mg/ kg ,其中合格碘盐 10 13份 ,合格率为84.42 % ;12 0 0名 8~ 10岁儿童甲状腺肿大率 ,触诊为 6 .40 % ,B超为 7.17% ;36 0份尿碘中位数为 2 0 7.0μg/ L ,其中高于 10 0 μg/ L的有 2 91份占 80 .83% ( 2 91/ 36 0 ) ;816份新生儿脐带血 TSH水平中位数为 2 .78m IU/ L,其中低于 5 m IU/ L的有 6 82份占 83.5 8% ;碘缺乏病健康教育问卷 6 0 0份 ,5年级学生组及格率为 88.17% ,15 0份家庭主妇组及格率为10 0 %。 1999年各项监测指标较 1995年和 1997年均有明显变化 。
In order to estimate iodine nutritional status of children and evaluate the development and effect about IDD elimination in Zhejiang, according to the demand of 《The Scheme for Iodine Deficiency Disorders (IDD) Control of China》, 40 children aged 8~10 years old from each primary school in 30 counties were selected randomly by PPS method, and a survey on nutritional status of iodine in this 1 200 children was carried out in 1999. The results showed that 1 200 samples of salt were tested for content of iodine. Median salt iodine was 40.3mg/kg, and 1 013 samples were qualified, and qualified rate was 84.42% (1 013/1 200). The goiter rate detected by palpation and by B ultrasonograph was 6.40% and 7.17%, respectively. Median urinary iodine from 360 urinary samples was 207.0μg/L, among them, 80.83%(291/360) was 710.0μg/L. 816 neonatal umbilical cord whole blood TSH values were tested. And median TSH level was 2.78mIU/L, and among neonates, 83.58% (682/816) had the TSH level lower than 5mIU/L.The percent of pass about IDD health education in the grade five students and housewives was respectively 88.17%(529 /600) and 100%(150/150). All in all, various indicators in 1999 were obviously better than that in 1995 and 1997. The results indicated level of the iodine nutrition of children in Zhejiang was significantly improved.
出处
《地方病通报》
2001年第1期42-44,共3页
Endemic Diseases Bulletin