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目的全面了解新疆昌吉回族自治州(简称昌吉州)碘缺乏病病情,为采取针对性防治措施提供科学依据。方法按国家《实现消除碘缺乏病目标县级评估方案》和《碘缺乏病消除标准》规定的要求,采用整群抽样和随机抽样方法,监测居民户食用盐及学生和孕妇尿碘,比较2011─2015年昌吉州碘缺乏病各项指标的差异。结果 2011─2015年共监测昌吉州居民户食用盐10 422份,碘盐覆盖率99.68%,碘盐合格率97.64%,合格碘盐食用率97.32%;2011年检测8~10岁儿童尿样700份、尿碘中位数259.9μg/L,2015年检测1 406份、尿碘中位数193.3μg/L,2011年检测孕妇尿样30份、尿碘中位数184.7μg/L,2015年检测697份、尿碘中位数154.3μg/L;碘缺乏病防治知识知晓率,2011年8~10岁儿童、家庭主妇分别为82.87%和93.11%,2015年则分别为93.11%和91.11%。结论新疆昌吉州碘缺乏病防治已取得明显成效,但2015年8~10岁儿童及孕妇尿碘中位数均有所下降,孕妇碘营养水平仍然不足,应指导哺乳期妇女及孕妇等特殊人群合理补碘。
Objective To comprehensively understand the status of iodine deficiency disorders in Changji Hui Autonomous Prefecture of Xinjiang (referred to as Changji Prefecture) for providing scientific basis for taking targeted prevention and control measures. Methods According to the requirements of the state “to achieve the goal of eliminating iodine deficiency disorders county-level assessment program” and “iodine deficiency disorders elimination standards” requirements, using cluster sampling and random sampling method to monitor household consumption of salt and urine iodine of students and pregnant women, compared 2011 ─ Differences of Indicators of Iodine Deficiency Disorders in Changji Prefecture in. Results From 2011 to 2015, a total of 10 422 table salt samples of Changji household were monitored. The coverage of iodized salt was 99.68%, the pass rate of iodized salt was 97.64% and the eating rate of qualified iodized salt was 97.32%. In 2011, urine samples of children aged 8-10 The median of urinary iodine was 259.9 μg / L, and 1 406 in 2015 and the median of urinary iodine was 193.3 μg / L. In 2011, 30 urine samples for pregnant women and 184.7 μg / L urinary iodine were detected. In 2015 697 and urine iodine median of 154.3 μg / L respectively. The awareness rate of prevention and treatment of iodine deficiency disorders was 82.87% and 93.11% for children aged 8-10 in 2011, 93.11% and 91.11% respectively in 2015, . Conclusion The prevention and treatment of Iodine Deficiency Disorder in Changji prefecture of Xinjiang has achieved remarkable results. However, the median urinary iodine of children aged 8-10 years old and pregnant women in 2015 all decreased. The level of iodine nutrition in pregnant women was still insufficient. Special groups such as lactating women and pregnant women should be instructed Reasonable iodine.