全民食盐加碘前后不同地区儿童碘营养状况分析

• 作 者: 储小宏 汪延华 潘天荣
• 机 构: 安徽医科大学第一附属医院内分泌科!安徽合肥230022,安徽医科大学第一附属医院内分泌科!安徽合肥230022,安徽医科大学第一附属医院内分泌科!安徽合肥230022
• 出 处: 中国地方病学杂志
• 发表日期: 1999年05期
• 关键词: 碘营养状况 缺碘地区 尿碘中位数 儿童尿碘 补碘 全民食盐加碘 碘盐质量 碘缺乏病 尿碘检测 大别山区

目的　了解不同地区儿童碘营养状况在全民食盐加碘前后有何变化。方法　对安徽省大别山、巢湖缺碘地区及合肥市学龄儿童在全民食盐加碘前及全民食盐加碘一年后进行碘营养状况调查。结果　全民食盐加碘前已进行了长期碘盐防治碘缺乏病工作的大别山区儿童尿碘中位数由２６９．１μｇ／ Ｌ 升至全民食盐加碘后的３９２０μｇ／ Ｌ，甲肿率由２４％ 下降至１４４％ 。巢湖组儿童尿碘中位数由全民食盐加碘前１９２μｇ／ Ｌ 升至全民食盐加碘后的３８４０μｇ／ Ｌ，甲肿率由５４１％ 降至２０６％ 。合肥市儿童尿碘中位数由全民食盐加碘前７９２μｇ／ Ｌ 升至全民食盐加碘后的２６８８μｇ／ Ｌ，甲肿率由４０％ 升至７５％ 。全民食盐加碘一年后３个地区儿童尿碘超过１００μｇ／ Ｌ 者均占９５％ 以上。结论　全民食盐加碘后不同碘营养地区儿童均在一个碘充足的状态，补碘效果明显。

Objective To understand the iodine nutrition status of children in different regions before and after the change of salt in the world. Methods The status of iodine nutrition in Dabie Mountain of Anhui Province, iodine deficiency area of ​​Chaohu Lake, and school-age children in Hefei City was investigated one year after iodization of salt from the whole people and iodization of salt from the whole people. Results The median urinary iodine of children in the Dabie mountainous area, where long-term iodized salt was iodized before iodization, was raised from 269.1 μg / L to 3920 μg / L after salt iodization by the whole people. The rate of 24% down to 14  4%. The median urinary iodine of children in Chaohu group increased from 192 μg / L before national salt iodization to 3840 μg / L after national salt iodization, and the rate of goiter from 541% to 206%. The median urinary iodine of children in Hefei rose from 792 μg / L before the national salt plus iodine to 2688 μg / L after the national salt plus iodine, and the rate of goiter from 40% to 75%. One year after universal salt iodization children in three areas more than 100μg / L urinary iodine accounted for more than 95%. Conclusion All children in different regions of iodine nutrition after salt iodization are in an adequate iodine state, and iodine-supplementing effect is obvious.