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目的为及时了解和掌握武威市碘缺乏病(IDD)病情和防治措施落实情况,评价武威市碘缺乏病防治效果,为完善可持续消除IDD工作机制提供科学依据。方法按照《甘肃省开展全国第五次碘缺乏病监测工作实施方案》进行人群甲状腺肿大率调查、盐碘浓度、尿碘水平测定、儿童智商(IQ)测定和碘缺乏病知识问卷调查。结果武威市8～1O岁学生甲状腺肿大率11.49%(B超法),入户调查合格碘盐食用率86.02%,非碘盐7.12%,尿碘中位数156.00μg/L,其中<50μg/L的比率9.17%,重点人群尿碘尿碘中位数161.30μg/L,家庭主妇组碘缺乏病知识知晓率76.08%,小学生碘缺乏病知识知晓率82.67%,测定8～10岁儿童平均智商为97.2。结论各项评估指标均已接近或达到“基本消除碘缺乏病阶段目标”。突出问题主要是合格碘盐食用率有下降反弹趋势,同时IDD健康教育普及率仍然较低。
Objective To understand and grasp the status of iodine deficiency disorders (IDD) and the implementation of prevention and treatment measures in Wuwei City in time to evaluate the prevention and control effects of iodine deficiency disorders in Wuwei City and provide scientific basis for perfecting the work mechanism of eliminating IDD sustainably. Methods According to the Implementation Plan of the Fifth National Iodine Deficiency Disease Surveillance in Gansu Province, population goiter rate survey, salt iodine concentration, urine iodine level, IQ and iodine deficiency disorders questionnaire were investigated. Results The prevalence of goiter among children aged 8 ~ 10 years was 11.49% (B-ultrasound) in Wuwei city. The household consumption of qualified iodized salt was 86.02%, non-iodized salt was 7.12%, and the median urinary iodine was 156.00μg / L, of which <50μg / L ratio was 9.17%. The median urinary iodine-urinary iodine was 161.30μg / L in key population, 76.08% in housewife group, and 82.67% in primary school students. The mean age of children aged 8-10 was IQ is 97.2. Conclusion All the indexes of assessment have approached or reached the goal of “basically eliminating the stage of iodine deficiency deficiency”. Prominent problems are mainly due to the decline in the eligible rate of iodized salt rebound trend, while IDD health education penetration is still low.