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[目的]了解滨州市实施全民食盐加碘(USI)措施后不同人群碘营养状况。[方法]2011年,对滨州市6县1区采用分层整群抽样的方法抽取1 240名一般人群、儿童、孕妇和哺乳期妇女进行尿碘检测,并抽取200名8～10岁儿童做甲状腺彩超诊断,按照全国《碘盐监测工作方案》的抽样方法进行盐碘检测。[结果]2011年共检测2 028户居民食用盐,合格碘盐1 827份,非碘盐140份,不合格碘盐61份,合格碘盐食用率90.08%,碘盐合格率为96.76%,碘盐覆盖率为93.09%。碘盐中位数为26.30mg/kg;一般人群尿碘含量为24.30～1 225.30μg/L,中位数为201.70μg/L;8～10岁儿童尿碘中位数为217.80μg/L,50μg/L以下的占3.59%,甲状腺肿大率2.00%;孕妇尿碘中位数181.80μg/L;哺乳期妇女尿碘中位数为173.20μg/L;滨州市一般人群、8～10岁儿童、孕妇及哺乳期妇女尿碘中位数均达到《碘缺乏病消除标准》100μg/L以上的标准,但孕妇、哺乳期妇女作为碘缺乏的敏感人群分别有27.50%和25.00%尿碘值低于《碘缺乏病考核评估标准》,有4.58%的孕妇、哺乳期妇女尿碘值低于50.00μg/L。[结论]建议将孕妇、哺乳期妇女的碘营养监测纳入到常规监测中,根据检测结果,及时进行补碘。
[Objective] To understand the nutritional status of iodine in different populations after the implementation of universal salt iodization (USI) measures in Binzhou. [Methods] In 2011, 12 240 general population, children, pregnant women and lactating women were sampled by stratified cluster sampling in 6 districts and 1 district of Binzhou to detect urinary iodine, and 200 children aged from 8 to 10 Thyroid ultrasound, in accordance with the national “iodized salt monitoring program of work,” the sampling method salt iodine detection. [Result] A total of 2 028 household salt, 1827 qualified iodized salt, 140 non-iodized salt, 61 unqualified iodized salt, 90.08% qualified iodized salt and 96.76% iodized salt were detected in 2011, Iodized salt coverage was 93.09%. The median iodine salt was 26.30mg / kg; the urinary iodine content of the general population was 24.30 ~ 1 225.30μg / L, the median was 201.70μg / L; the urinary iodine median of children aged 8-10 was 217.80μg / L, 50μg / L or less accounted for 3.59%, goiter rate 2.00%; pregnant women with a median urinary iodine 181.80μg / L; lactation women with a median urinary iodine 173.20μg / L; Binzhou general population, 8 to 10 years old The urinary iodine median of children, pregnant women and lactating women reached the standard of 100μg / L for iodine deficiency disorders elimination standard, but pregnant women and lactating women were 27.50% and 25.00% of urinary iodine value Below the “assessment criteria for iodine deficiency disorders,” 4.58% of pregnant women, lactating women urinary iodine value of less than 50.00μg / L. [Conclusion] Iodine nutrition monitoring of pregnant women and lactating women is suggested to be routinely monitored. According to the test results, the iodine nutrition should be promptly supplemented.