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为了解新疆地区食用盐碘含量新标准实施后人群碘营养状况,评价干预措施落实情况及效果,按照《碘缺乏病病情监测方案》,分别于2011年和2014年开展全区碘缺乏病病情监测工作,并对两次监测数据进行分析比较。结果显示,2014年新疆碘缺乏病病情监测区碘盐覆盖率为99.87%(1 525/1 527),与2011年的99.67%(1 209/1 213)基本一致;合格碘盐食用率由2011年的97.60%(1 430/1 525)下降到2014年的93.58%(1 180/1 209),盐碘均值由30.46 mg/kg下降到26.67 mg/kg;8~10岁儿童甲状腺肿大率由2.40%(29/1 211)显著下降到1.57%(24/1 528),尿碘中位数由185.55μg/L下降到178.49μg/L,儿童碘营养均达到适宜水平;孕妇尿碘中位数由193.90μg/L显著下降到161.30μg/L,接近WHO推荐的下限。提示该地区碘缺乏病防治重点人群碘营养总体处于适宜水平,目前实行的盐碘新标准适合我区人群的碘营养状况。但对孕妇需加强日常监测,增加碘的摄入,以供应其特殊生理时期的碘需求。
In order to understand the iodine nutrition status of the population after the implementation of the new standard of iodine content in edible salt in Xinjiang and to evaluate the implementation and effect of intervention measures, the iodine deficiency disorders surveillance in the whole region was conducted in 2011 and 2014 respectively according to the “iodine deficiency disease condition monitoring program” Work, and the two monitoring data analysis and comparison. The results showed that coverage of iodized salt in Xinjiang iodine deficiency disorders surveillance area was 99.87% (1 525/1 527) in 2014, which was basically consistent with 99.67% (1 209/1 213) in 2011. The consumption of qualified iodized salt was increased from 2011 The average salt iodine decreased from 30.46 mg / kg to 26.67 mg / kg in 97.60% (1 430/1 525) in 2014 and 93.58% (1 180/1 209) in 2014 respectively. The goiter rate in children aged 8-10 years From 2.40% (29/1 211) decreased significantly to 1.57% (24/1 528), the median urinary iodine decreased from 185.55μg / L to 178.49μg / L, children reached the appropriate level of iodine nutrition; urinary iodine in pregnant women The number of digits decreased significantly from 193.90μg / L to 161.30μg / L, close to the lower limit recommended by the WHO. Prompt iodine deficiency disease prevention and treatment in key areas of the population of iodine nutrition in general at the appropriate level, the current implementation of a new standard of salt and iodine for my area population iodine nutrition status. However, pregnant women need to strengthen routine monitoring, increase the intake of iodine to supply their special physiological needs of iodine.