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目的了解云霄县碘缺乏病情况,评价防治措施效果。方法 2005、2007、2009年用PPS法在我县境内按东、西、南、北、中随机抽取5个乡镇30所小学8~10岁在校学生,查甲状腺肿大和尿碘;2005、2006、2007、2008、2009年用PPS法抽查我县5个乡镇20个行政村居民食用盐查合格碘盐食用率。结果实施全民加碘干预措施后,2005、2007、2009年甲状腺肿大率分别为10.75%、5.67%、5.5%,且呈下降趋势;2005、2007、2009年尿碘中位数指标分别为115.67、124.19、132.0μg/L,均达到国家消除碘缺乏病阶段目标的标准[1];2005年居民合格碘盐食用率为86.67%未能达标,2006、2007、2008、2009年居民合格碘盐食用率分别为98.6%、95%、97.67%、96%,均达标。结论碘缺乏病是一种严重危害人民健康的地方病,云霄县通过持续多方面开展防治工作,达到良好的效果,但消除碘缺乏病是一项长期、系统工程,需要巩固和加强。
Objective To understand the situation of iodine deficiency disorders in Yunxiao County and evaluate the effect of prevention and cure measures. Methods In 2005, 2007 and 2009, PPS method was used to randomly select 5 villages and towns in the county from 30 primary schools and 8 to 10-year-old schoolchildren in the east, west, south, north and south of China to investigate goiter and urinary iodine; 2005,2006 In 2007, 2008 and 2009, the PPS method was used to check the edible salt consumption rate of salt consumption of 20 administrative villages in 5 townships of our county. Results After universal intervention with iodine, the rates of goiter in 2005, 2007 and 2009 were 10.75%, 5.67% and 5.5%, respectively, and showed a decreasing trend. The median urinary iodine in 2005, 2007 and 2009 were 115.67 , 124.19,132.0μg / L, all reached the national goal of eliminating iodine deficiency deficiency stage of the standard [1]; in 2005 residents qualified iodized salt consumption rate of 86.67% failed to meet the standards of 2006, 2007, 2008, 2009 qualified iodized salt The consumption rate was 98.6%, 95%, 97.67%, 96% respectively, reaching the standard. Conclusion Iodine deficiency disease is a endemic disease that seriously endangers people’s health. Yunxiao County achieved good results by continuing prevention and treatment in various aspects. However, eliminating iodine deficiency disorders is a long-term and systematic project and needs to be consolidated and strengthened.