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目的了解甘肃省武山县碘缺乏病流行与终期考核评估结果状况。方法抽样调查以乡为单位,随机抽取部分在校小学生400名,采用统一的问卷调查表进行碘缺乏病知识调查。甲状腺采用触诊方法按国家卫生行业标准(WS276-2007)进行检查,尿碘测定采用酸消化法,碘盐检测采用直接滴定法。结果武山县甲状腺肿大率为1.0%,碘盐合格率为97.9%,儿童尿碘水平为223.1μg/L,小学生健康教育知识知晓率为40.0%。结论武山县儿童甲状腺肿大率、8～10岁学生尿碘和居民合格碘盐食用率等指标达到碘缺乏病县级考核评估要求。但应加强健康教育的宣传力度,强化盐业市场管理,提高人群营养水平。
Objective To understand the prevalence and assessment of iodine deficiency disorders in Wushan County, Gansu Province. Methods Sampling survey In rural areas, we randomly selected some 400 primary school pupils and conducted a survey on knowledge of iodine deficiency disorders using a unified questionnaire. Thyroid examination by palpation method according to the national health industry standards (WS276-2007) for the examination, urinary iodine determination by acid digestion, iodized salt detection by direct titration. Results The prevalence of goiter in Wushan County was 1.0%, the qualified rate of iodized salt was 97.9%, the level of urinary iodine in children was 223.1μg / L, and the awareness rate of primary health education was 40.0%. Conclusion The prevalence of goiter, the urinary iodine of 8 ~ 10 years old and the eligible rate of iodized salt of residents in Wushan County reach the county level assessment requirements for iodine deficiency disorders. However, we should step up publicity on health education, strengthen the management of the salt market and raise the population’s nutritional level.