CAJ | 학술논문

目的：评价新疆生产建设兵团（简称兵团）碘缺乏病防治效果。方法按照国家统一要求，结合兵团实际情况，采用人口比例概率抽样方法（PPS）抽取30个团（场），每个团（场）抽取1所小学，每所小学抽取40名8~10岁学生（男女各半），采集家中盐样检测盐碘含量，并检测甲状腺肿大情况；在每所小学抽取的40名学生中再选择12名学生（男女各半），收集尿样检测尿碘含量；在每所小学抽取五年级学生20名，另在每所小学附近选取5名家庭主妇，进行碘缺乏病健康教育知识调查。盐碘检测采用直接滴定法（GB/T 13025.7-1999）；甲状腺肿大检测采用超声法（WS 276-2007）；尿碘检测采用砷铈催化分光光度测定法（WS/T 107-2006）。结果共检测盐样1195份，其中盐碘平均值为（30.91±6.99）mg/kg，碘盐覆盖率为97.49%（1165/1195），碘盐合格率为98.54%（1148/1165），合格碘盐食用率为96.07%（1148/1195）。共检测8~10岁儿童1220名，其中甲状腺肿大者42名，甲状腺肿大率为3.44%。共检测8~10岁儿童尿样407份，尿碘中位数为235.31μg/L。其中尿碘<50μg/L的6份，占1.47%；50~<100μg/L的27份，占6.63%。五年级学生、家庭主妇碘缺乏病健康教育知识知晓率分别为83.39%（1519/1800）、84.44%（380/450）。结论新疆生产建设兵团碘缺乏病防治工作达到国家消除碘缺乏病防治标准。
목적：평개신강생산건설병단（간칭병단）전결핍병방치효과。방법안조국가통일요구，결합병단실제정황，채용인구비례개솔추양방법（PPS）추취30개단（장），매개단（장）추취1소소학，매소소학추취40명8~10세학생（남녀각반），채집가중염양검측염전함량，병검측갑상선종대정황；재매소소학추취적40명학생중재선택12명학생（남녀각반），수집뇨양검측뇨전함량；재매소소학추취오년급학생20명，령재매소소학부근선취5명가정주부，진행전결핍병건강교육지식조사。염전검측채용직접적정법（GB/T 13025.7-1999）；갑상선종대검측채용초성법（WS 276-2007）；뇨전검측채용신시최화분광광도측정법（WS/T 107-2006）。결과공검측염양1195빈，기중염전평균치위（30.91±6.99）mg/kg，전염복개솔위97.49%（1165/1195），전염합격솔위98.54%（1148/1165），합격전염식용솔위96.07%（1148/1195）。공검측8~10세인동1220명，기중갑상선종대자42명，갑상선종대솔위3.44%。공검측8~10세인동뇨양407빈，뇨전중위수위235.31μg/L。기중뇨전<50μg/L적6빈，점1.47%；50~<100μg/L적27빈，점6.63%。오년급학생、가정주부전결핍병건강교육지식지효솔분별위83.39%（1519/1800）、84.44%（380/450）。결론신강생산건설병단전결핍병방치공작체도국가소제전결핍병방치표준。
Objective To evaluate the effectiveness of control and prevention of iodine deficiency disorders(IDD) in Xinjiang Production and Construction Corps. Methods According to the national requirement and the situation of Xinjiang Production and Construction Corps, thirty sampling units were selected by the“probability proportionate to size” method; one school was chosen in each sampling unit; forty children (half male half female) aged 8 - 10 years old were chosen in each school. Family salt samples were collected to detect salt iodine content, and the goiter was determined. Twelve children(half male half female) from the 40 children were selected; urine samples were collected to detect urinary iodine content. Twenty fifth-grade children in each school and five housewives around each school were selected, and the survey of health education knowledge was conducted. Salt iodine was measured using direct titration (GB/T 13025.7-1999);the volume of thyroid was detected by ultrasound ( WS 276-2007 ); urinary iodine was measured by arsenic Ce catalytic spectrophotometry method (WS/T 107-2006). Results A total of 1 195 household salt samples were tested. The mean of salt iodine was (30.91 ± 6.99)mg/kg;the coverage rate of iodized salt was 97.49%(1 165/ 1 195);the qualified rate of iodized salt was 98.54%(1 148/1 165); and the consumption rate of qualified iodized salt was 96.07%(1 148/1 195). Twelve hundred and twenty children aged 8-10 years old were examined;forty-two goiters were examined;and goiter rate was 3.44%. Four hundred and seven urine samples were tested, the median of urinary iodine was 235.31 μg/L;< 50 μg/L accounted for 1.47%(6/407); and 50 - < 100 μg/L accounted for 6.63%(27/407). The awareness rates of IDD health education knowledge of the fifth-grade students and housewives were 84.39%(1 519/1 800) and 84.44%(380/450), respectively. Conclusion The level of IDD control and prevention in Xinjiang Production and Construction Corps has been up to the national standard of eliminating IDD.