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目的掌握连云港市赣榆区碘缺乏病防治效果及碘营养状况,为进一步加强碘缺乏病防治工作提供科学依据。方法根据监测方案,每年随机抽取5个镇、每镇4个村、每村15户居民食盐,检测食盐碘含量;监测8~10岁组儿童尿碘水平和甲状腺肿大率;检测育龄妇女尿碘水平及其家中盐碘含量。结果 2011-2015年共计采样检测1 500份居民食盐,检出非碘盐14份,不合格碘盐26份,碘盐覆盖率99.07%。8~12岁组儿童尿碘416份,尿碘水平低于50μg/L的比例为1.68%。2013年和2015年共监测250名儿童甲状腺肿大情况,甲状腺肿大率0.00%。共检测育龄妇女尿样314份,尿碘水平低于50μg/L的比例为1.59%。结论连云港市赣榆区碘缺乏病防治效果显著,应继续实施健康教育和健康促进等综合干预措施,提高目标人群和行为人的健康意识。
Objective To master the prevention and treatment of iodine deficiency disorders and the status of iodine nutrition in Ganyu district, Lianyungang city, so as to provide a scientific basis for further strengthening the prevention and control of iodine deficiency disorders. Methods According to the monitoring plan, 5 towns, 4 villages in each town and 15 households in each village were selected randomly to measure salt iodine content. Urinary iodine level and goiter rate in children aged 8 to 10 were monitored. Iodine levels and salt iodine content in their homes. Results From 2011 to 2015, a total of 1 500 residents were sampled and tested for salt. 14 non-iodized salts, 26 unqualified iodized salts and 99.07% iodized salt were detected. There were 416 urinary iodine in children aged 8 to 12 years, and urinary iodine level was lower than 50μg / L in 1.68%. A total of 250 children with thyroid enlargement were monitored in 2013 and 2015 with a goiter rate of 0.00%. A total of 314 urine samples were collected from women of childbearing age. The ratio of urinary iodine levels below 50 μg / L was 1.59%. Conclusion The prevention and treatment of Iodine Deficiency Disorders in Ganyu District of Lianyungang City is significant. Comprehensive interventions such as health education and health promotion should be continued to improve the health awareness of target population and perpetrator.