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目的通过了解和掌握信阳市碘缺乏病现状,综合评价预防控制措施落实效果。方法采用人口容量比例概率抽样方法(PPS)抽取30个县(区)的8～10岁儿童、五年级学生、孕妇和哺乳期妇女进行调查和检测。结果通过触诊法和B超法检查120名8～10岁儿童,甲状腺肿大率为6.7%;监测8～10岁儿童尿样36份,尿碘中位数213.6μg/L;检测居民户食用盐样120份,盐碘中位数为28.8 mg/kg;居民每日摄入盐碘量高于卫生部推荐的150μg/(人.d)的适宜量;监测孕妇和哺乳期妇女尿样90份,尿碘中位数292.8μg/L;121名8～10岁儿童智商为103.7±20.1,智力低下比例占5.0%;共采集水样12份,水碘中位数分别为6.3μg/L;学生碘缺乏病知识健康教育问卷及格率为94.5%,家庭主妇碘缺乏病知识健康教育问卷及格率为73.3%。结论信阳市人群碘营养状况不断得到改善和提高,防治碘缺乏病效果显著,成绩稳固。
Objective To understand and grasp the status quo of iodine deficiency disorders in Xinyang City and evaluate the implementation effect of prevention and control measures comprehensively. Methods A total of 8 to 10-year-olds, fifth graders, pregnant women and lactating women in 30 counties (districts) were sampled and surveyed by PPS (Population Probability Probability Sampling Method). Results Totally 120 children aged 8-10 years were examined by palpation and B-ultrasonography. The rate of goiter was 6.7%. 36 urine samples from 8 to 10 years old were monitored, and the urinary iodine median was 213.6 μg / L. The salt intake was 120 mg / kg, and the median salt iodine was 28.8 mg / kg. The residents daily intake of salt iodine is higher than the 150 μg / (person · d) recommended by the Ministry of Health. Monitoring urine samples from pregnant and lactating women 90, urinary iodine median 292.8μg / L; 121 children aged 8 to 10 IQ was 103.7 ± 20.1, the proportion of mental retardation accounted for 5.0%; a total of 12 water samples were collected, the median water iodine were 6.3μg / L. The passing rate of the questionnaire on health education of students with iodine deficiency disorders was 94.5%, and the passing rate of knowledge-based health education questionnaire on iodine deficiency disorders was 73.3%. Conclusion The iodine nutrition status of Xinyang people is continuously improved and improved, and the effect of prevention and treatment of iodine deficiency disorders is remarkable with a solid performance.