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目的进一步掌握巴彦淖尔市高碘分布范围和流行特点,为我市高碘地区防治策略提供决策依据。方法采用水井抽样调查饮水碘含量、对8～10岁儿童进行病情抽样调查、采用甲状腺触诊和B超检查评价质量控制。结果杭锦后旗采水样273份,检出高碘水样60份,超标水样水碘含量范围在150.4～583.6ug/L之间;乌拉特前旗采水样325份,检出高碘水样31份,超标水样水碘含量范围在157.1～948.6ug/L。对12个高碘镇48所小学进行了病情调查,触诊检查8～10岁儿童学生3802名,查出甲状腺肿大463名,甲肿率为12.18%。B超检查学生996名,查出甲肿127名,甲肿率为12.75%。结论杭锦后旗和乌拉特前旗存在高碘,且病情严重。
Objective To further understand the distribution and epidemic characteristics of high iodine in Bayannaoer City and provide the basis for decision-making on prevention and control strategies for high iodine area in our city. Methods Wells were sampled to investigate the iodine content in drinking water. The children aged 8-10 years were sampled for disease detection. Thyroid palpation and B-ultrasound were used to evaluate the quality control. Results A total of 273 water samples were collected from Hangjinhou Banner, 60 water samples of high iodine were detected, the iodine content of water samples exceeded 150.4 ~ 583.6ug / L; 325 water samples were collected from Wulateqian Banner, 31, exceeding the water sample water iodine content range 157.1 ~ 948.6ug / L. A total of 3802 children aged 8-10 years were examined by palpation in 48 primary schools in 12 high iodine townships. 461 goiter cases were found, and the rate of goiter was 12.18%. B-ultrasound students 996, detected 127 cases of hypothyroidism, hypothyroidism rate was 12.75%. Conclusions Hangjinhou Banner and Wulateqian Banner have high iodine content and are in serious condition.