论文部分内容阅读
目的了解德州市近年来居民碘营养状况,为制定防治碘缺乏病措施和科学调整干预策略提供科学依据。方法对2012-2013年德州市碘营养缺乏病病情监测中的3 400名8~10岁学龄儿童尿碘进行监测分析,并对其中500名儿童进行B超测定甲状腺容积。结果德州市3 400名8~10岁学龄儿童尿碘中位数为323.87μg/L。高碘地区8~10岁学龄儿童尿碘中位数为325.91μg/L,非高碘地区为308.12μg/L,差异无统计学意义(U=1.32,P>0.05)。500名8~10岁学龄儿童甲状腺肿大率为5.80%,其中男5.00%、女6.54%,性别差异无统计学意义(χ2=0.54,P>0.05);高碘地区甲状腺肿大率为12.50%、非高碘地区为1.33%,差异有统计学意义(χ2=27.39,P<0.01)。结论德州市人群碘摄入量充足,存在部分区域人群碘摄入量偏高现象,应按照“因地制宜、分类指导、科学补碘”的原则采取相应干预措施。要特别注意改用黄河水源水并停用高碘地下水实现城乡供水一体化后,加强对居民碘营养状况影响的及时监测与干预。
Objective To understand the iodine nutrition status of residents in Dezhou in recent years and provide a scientific basis for the formulation of measures to prevent iodine deficiency disorders and the scientific adjustment of intervention strategies. Methods To monitor the urinary iodine of 3 400 school-age children aged 8 to 10 in the monitoring of iodine deficiency disorders in Dezhou City from 2012 to 2013, and the thyroid volume of 500 children was measured by B ultrasound. Results The median urinary iodine of 3 400 school-age children aged 8-10 in Dezhou was 323.87 μg / L. The median urinary iodine of school-age children aged 8-10 years old in high iodine range was 325.91μg / L, and the non-iodine region was 308.12μg / L, the difference was not statistically significant (U = 1.32, P> 0.05). The prevalence of goiter in 500 school-aged children aged from 8 to 10 years was 5.80%, with 5.00% in male and 6.54% in female, with no significant difference in sex (χ2 = 0.54, P> 0.05); goiter in high iodine area was 12.50 %, Non-iodine area was 1.33%, the difference was statistically significant (χ2 = 27.39, P <0.01). Conclusions Adequate intake of iodine in the population of Dezhou City exists in high iodine intake in some areas. Corresponding intervention measures should be taken according to the principles of “according to local conditions, classified guidance and scientific supplement of iodine”. Special attention should be paid to the timely monitoring and intervention on the iodine nutrition status of residents after switching to Yellow River source water and stopping the use of high-iodine groundwater for urban-rural water supply integration.