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目的对西藏防治碘缺乏病实施“食盐加碘为主、投服碘油丸为辅”的综合措施以来的防治效果及存在问题做出分析和总结,为下一步采取防治措施提供科学依据。方法按容量比例概率抽样(PPS)抽取,对8~10岁儿童进行甲状腺触诊、B超检查,并采集尿样,采用砷铈催化分光光度测定方法采集家中用盐,直接滴定法测盐碘含量,并对学生和家庭主妇进行健康教育知识问卷调查。结果 8~10岁儿童甲状腺肿大率为11.5%,尿碘中位数从1997年的55.4μg/L上升至2005年的96.7μg/L;碘盐覆盖率从1997年的19.0%上升至2005年的33.2%。结论西藏自治区碘缺乏病综合防治措施已取得一定成效,但碘盐普及仍欠佳,健康教育工作有待提高。
Objective To analyze and summarize the prevention and control measures and existing problems since the implementation of comprehensive measures for the prevention and treatment of iodine deficiency disorders in Tibet, including “salt and iodine supplementation, supplemented with iodized oil pills”, to provide a scientific basis for further prevention and treatment measures . Methods According to the probability proportional sampling (PPS), children with 8 ~ 10 years old were examined by thyroid palpation and B ultrasound, and urine samples were collected. Arsenic and cerium catalytic spectrophotometry was used to collect salt in the home and titration salt iodine Content, and students and housewives health education knowledge questionnaire. Results The prevalence of goiter in children aged 8 to 10 years was 11.5%. The median urinary iodine increased from 55.4μg / L in 1997 to 96.7μg / L in 2005. The coverage of iodized salt increased from 19.0% in 1997 to 2005 33.2% of the year. Conclusion The comprehensive prevention and treatment measures for iodine deficiency disorders in Tibet Autonomous Region have achieved some success, but the popularity of iodized salt is still not good and health education needs to be improved.