CAJ | 학술논문

目的了解福建省龙岩市实现消除碘缺乏病阶段目标10年后的病情现状,评价防治措施效果,为制订防治策略提供依据.方法按照<福建省实现消除碘缺乏病目标县级考核评估实施细则>的要求,2009年在龙岩市7个县开展组织领导、碘盐管理、监测与防治、健康教育(简称四项管理指标)的检查,以县为单位,每个县按东、西、南、北、中各抽取1个乡,每个乡各抽取1所小学,每所学校抽取8～10岁学生40名,进行甲状腺检查,其中抽取20名学生尿样,进行尿碘测定;以市为单位,在全市的7个县抽取9个乡,每个乡抽取4个行政村,每个行政村抽检8户居民食用盐,进行盐碘检测.儿童甲状腺检查使用触诊法,尿碘测定采用砷铈分光光度法,盐碘测定采用直接滴定法.结果全市四项管理指标平均得分为94.1分;8～10岁儿童校正甲状腺肿大率为1.9%;尿碘中位数为278.6μg/L,其中＜100μg/L者占4.57%(32/700),100～＜200 μg/L者占24.00%(168/700),200～＜300μg/L者占25.29%(177/700),≥300μg/L者占46.14%(323/700);居民合格碘盐食用率为98.86%,碘盐覆盖率为99.50%,碘盐合格率为99.35%,非碘盐率为0.50%,各项指标均达到国家消除碘缺乏病标准.结论龙岩市实现消除碘缺乏病阶段目标之后,居民病情稳定,防治成果显著;但人群的碘营养水平有超过适宜量趋势,建议适当下调食盐加碘量.
목적 료해복건성룡암시실현소제전결핍병계단목표10년후적병정현상,평개방치조시효과,위제정방치책략제공의거.방법 안조<복건성실현소제전결핍병목표현급고핵평고실시세칙>적요구,2009년재룡암시7개현개전조직령도、전염관리、감측여방치、건강교육(간칭사항관리지표)적검사,이현위단위,매개현안동、서、남、북、중각추취1개향,매개향각추취1소소학,매소학교추취8～10세학생40명,진행갑상선검사,기중추취20명학생뇨양,진행뇨전측정;이시위단위,재전시적7개현추취9개향,매개향추취4개행정촌,매개행정촌추검8호거민식용염,진행염전검측.인동갑상선검사사용촉진법,뇨전측정채용신시분광광도법,염전측정채용직접적정법.결과 전시사항관리지표평균득분위94.1분;8～10세인동교정갑상선종대솔위1.9%;뇨전중위수위278.6μg/L,기중＜100μg/L자점4.57%(32/700),100～＜200 μg/L자점24.00%(168/700),200～＜300μg/L자점25.29%(177/700),≥300μg/L자점46.14%(323/700);거민합격전염식용솔위98.86%,전염복개솔위99.50%,전염합격솔위99.35%,비전염솔위0.50%,각항지표균체도국가소제전결핍병표준.결론 룡암시실현소제전결핍병계단목표지후,거민병정은정,방치성과현저;단인군적전영양수평유초과괄의량추세,건의괄당하조식염가전량.
Objective To understand the current situation of iodine deficient disorder(IDD) 10 years after achieving the stage goal of eliminating IDD in Longyan city and to evaluate the effect of prevention and treatment measures, and to provide the basis for the development of control strategies. Methods There were 7 counties in the city, and each county(city, district) was as a unit to carry out the inspection for organization and leadership,iodine salt management, monitoring and control, health education (referred to as the four management indicators)according to "The County-Level Assessment and Evaluation Implementation Detailed Rules of Realizing the Goal to Eliminate IDD in Fujian Province". According to the east, west, south, north and middle positions in each county,a village and a primary school were selected. Forty 8 to 10 year-old students in each school were randomly selected to check thyroid and among them 20 students were collected urine samples to determine urinary iodine. Nine townships were selected in the 7 counties of the city and among which 4 administrative villages were selected in each township. Eight edible salt samples from each household in each administrative village were collected to test salt iodine. Goiter was examined by palpation, the level of urinary iodine was examined by arsenic and cerium spectrophotometry, salt iodine was detected by direct titration. Results The average score of the four management indicators was 94.1 in Longyan city. The adjusted goiter rate of children aged 8 - 10 years old was 1.9%. The median of urinary iodine was 278.6 μg/L, among which less than 100 μg/L accounted for 4.57%(32/700), 100 -＜ 200 μg/L accounted for 24.00%(168/700), 200 - ＜ 300 μg/L accounted for 25.29%(177/700), and higher than 300 μg/L accounted for 46.14%(323/700). The using rate of qualified iodized salt was 98.86%. The coverage rate of iodized salt was 99.50%, the qualified rate of iodized salt was 99.35%, and the rate of non-iodized salt was 0.50%. All the indicators had reached the national standard to eliminate IDD. Conclusions After achieving the stage goal of eliminating IDD, the disease is stable and the effect of control measures are significantly. But the iodine provided has a trend of more than suitable. Therefore, it is reasonable to reduce the current salt iodine content.