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目的了解和掌握新疆拜城县碘营养状况,客观地评价碘盐干预措施的效果,为合理补碘提供科学资料。方法按照《全国碘缺乏病防治监测方案》、《2008年中央补助地方公共卫生项目资金新疆维吾尔自治区地方病防治项目》的要求,开展现场流行病学调查。结果触诊检查8～10岁儿童甲状腺肿大率为15.83%,尿碘中位数为193.3μg/L,尿碘含量低于100μg/L的儿童69人(28.75%)。儿童碘营养在标准范围内,男女甲状腺肿大性别比约为2.45:1,这种现象可能与女生生理发育特点相关联。结论拜城县儿童的碘营养水平较低,尿碘过高和过低占一定比例。儿童甲状腺肿大率未降至国家规定的5%以下,拜城县相关部门应加大投入力度,使居民碘营养水平进一步提高。
Objective To understand and master the status of iodine nutrition in Baicheng County, Xinjiang, objectively evaluate the effects of iodized salt interventions and provide scientific information for rational iodine supplementation. Methods The epidemiological investigation was carried out in accordance with the requirements of “National Monitoring Program for Prevention and Control of Iodine Deficiency Disorders” and “Local endemic disease prevention and treatment project funded by the Central Subsidies for Local Public Health Project in 2008 in Xinjiang Uygur Autonomous Region.” Results The palpation rate of goiter in children aged 8-10 years was 15.83%, the median urinary iodine was 193.3μg / L, and the number of children with urinary iodine less than 100μg / L was 69 (28.75%). Children iodine nutrition within the standard range, male and female goiter at sex ratio of about 2.45: 1, this phenomenon may be related to the physiological characteristics of girls. Conclusion Children in Baicheng County have lower level of iodine nutrition, and the proportion of urinary iodine is too high and too low. Children goiter rate did not fall below 5% of the state regulations, the relevant departments of Baicheng County should increase its input so that residents of iodized nutrition to further improve.