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目的动态观察福建省监测试点人群碘营养水平,探索改进碘缺乏病监测模式与方法。方法按照《2014年福建省重点人群碘营养及相关健康状况调查方案》的要求进行。结果沿海城市厦门市和山区城市南平市的生活饮用水水碘含量分别为1.40μg/L和5.55μg/L;两市大部份居民日人均食盐摄入量在10g以下;南平市和厦门市学生尿碘中位数分别为190.1μg/L和181.6μg/L;南平市和厦门市孕妇尿碘中位数分别为131.7μg/L和136.6μg/L;南平市和厦门市儿童的肿大率分别为1.3%和2.7%。结论不论是山区城市南平还是沿海城市厦门自然环境仍属于碘缺乏状态;南平和厦门的8~10岁儿童的碘营养水平总体都处于适宜状态,孕妇的碘营养水平都处于不足的状态;目前的碘缺乏病监测不能满足人群的评价指标要求,应该改进碘缺乏病监测模式与方法。
Objective To observe the level of iodine nutrition in pilot population in Fujian Province and to explore the methods and methods of monitoring iodine deficiency disorders. Methods According to “2014 Fujian Province key population iodine nutrition and related health survey program” requirements. Results The iodine content of drinking water in coastal cities of Xiamen City and Nanping City was 1.40μg / L and 5.55μg / L, respectively. Most of the residents in the two cities had per capita salt intake less than 10g. Nanping City and Xiamen City The urinary iodine median of students was 190.1μg / L and 181.6μg / L, respectively. The median urinary iodine of pregnant women in Nanping and Xiamen was 131.7μg / L and 136.6μg / L, respectively. The swelling of children in Nanping and Xiamen Rates were 1.3% and 2.7% respectively. Conclusion The natural environment in the mountainous cities Nanping and the coastal cities of Xiamen still belongs to the iodine deficiency state. The iodine nutrition of children aged 8-10 in Nanping and Xiamen is generally in an appropriate state, and the iodine nutrition of pregnant women is in a deficient state. At present, Monitoring of iodine deficiency disorders can not meet the evaluation criteria of the population, iodine deficiency disorders monitoring methods and methods should be improved.