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金昌市碘缺乏病防治干预措施的效果

Effect of the interfering measures on iodine deficiency in Jinchang City
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摘要 目的 为及时了解和掌握金昌市碘缺乏病 (IDD)病情和干预措施落实情况 ,评价防治效果及人群碘营养状况 ,推动实现消除IDD目标进程 ,确保干预措施得到长期有效落实 ,为政府决策提供科学依据。方法 采用“全国IDD防治监测方案”和国家“实现消除IDD阶段目标评估方案”对金昌地区 8~ 10岁儿童尿碘值、甲状腺肿大率等进行调查、监测。结果 经各级政府多年采取干预措施 ,金昌地区 8~ 10岁儿童甲状腺肿大率由 1996年的 13 5 8%下降到 2 0 0 2年的 7 19% ,尿碘中位数达到 187 74μg/L ,其中 <2 0 μg/L ,仅占 1 5 1% ,城市儿童的尿碘中位数明显高于农村 (P <0 .0 1) ,差异有非常显著性 ;金川区儿童的尿碘中位数高于永昌县 (P <0 .0 1) ,差异有非常显著性。结论 政府干预是消除IDD的可靠政治保证。 Objective]To learn the prevalence of IDD and the effect of interfering measures. To ensure the effective fulfillment of prevention work and to provide scientific basis for the governmental policies.[Methods]“National strategy for IDD Prevention and Control' and “Evaluation scheme for eliminating IDD”were adopted to investigate urinary iodine and the rate of thyroid enlargement among children between 8 to 10 years old.[Results]Thanks to the interfering measures by the governments of all levels, the total rate of thyroid enlargement decreased from 13.58% in 1996 to 7.19% in 2002 among those children in Jinchang area. The median of urinary iodine concentration was 187.74 μg/L, 1.51%of which was lower than 20μg/L. The median of urinary iodine concentration among children in urban areas is significantly higher than that of the rural areas (P<0.01). The median of urinary iodine concentration in Jinchuan District is higher than that of Yongchang county (P<0.01). The difference was significant.[Conclusion]Governmental interference is a reliable guarantee in eliminating IDD.
出处 《职业与健康》 CAS 2003年第8期3-6,共4页 Occupation and Health
基金 甘肃省金昌市科委立项科研课题 金科立 (2 0 0 2 ) 34号
关键词 碘缺乏病 干预措施 效果 调查分析 Iodine deficiency, Interfering measures, Effect, Analysis
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