CAJ | 학술논문

目的分析福建省碘缺乏病病情监测结果,掌握福建省消除碘缺乏病进程和食用盐碘浓度调整前人群碘营养水平.方法 2011年采用按人口比例概率抽样法在全省抽取30个县(市、区),每个县(市、区)抽取1所小学,每所小学抽取40名8～ 10岁儿童,B超法检测甲状腺容积,直接滴定法测定儿童家庭食用盐碘.采集其中12名儿童尿样,砷铈催化分光光度法检测尿碘,并用三日称量法调查其家中居民日人均食盐摄入量.在抽中学校的所在村(居委会),按东、西、南、北、中各抽取1份饮用水水样,如为集中式供水地区,则采集2份末梢水样,砷铈催化分光光度法测定水碘.在抽中学校附近,选择3个乡(镇、街道办事处),每个乡(镇、街道办事处)抽取孕妇和哺乳妇女各5人,采集尿样,砷铈催化分光光度法检测尿碘.结果共检查1219名8～ 10岁儿童甲状腺,甲状腺肿大率为4.92％(60/1219);检测363份尿样,尿碘中位数为223.00μg/L,其中＜50 μg/L的占5.2％(19/363),＜100 μg/L的占14.6％(53/363);452名孕妇尿碘中位数为147.2 μg/L,其中＜150 μg/L的占52.0％(235/452);461名哺乳期妇女尿碘中位数为134.1 μg/L;1211份居民户合格碘盐食用率为94.4％(1143/1211);360户居民入均日食盐摄入量为6 g,81.4％(293/360)的居民入均日食盐摄入量在9 g以下；76份居民饮用水含碘量中位数为6.2 μg/L,＜10 μg/L的占89.5％(68/76).结论 2011年福建省各项指标继续达到“消除碘缺乏病标准”,但存在孕妇碘缺乏问题,对存在碘缺乏的孕妇应给予额外的碘补充.
목적 분석복건성전결핍병병정감측결과,장악복건성소제전결핍병진정화식용염전농도조정전인군전영양수평.방법 2011년채용안인구비례개솔추양법재전성추취30개현(시、구),매개현(시、구)추취1소소학,매소소학추취40명8～ 10세인동,B초법검측갑상선용적,직접적정법측정인동가정식용염전.채집기중12명인동뇨양,신시최화분광광도법검측뇨전,병용삼일칭량법조사기가중거민일인균식염섭입량.재추중학교적소재촌(거위회),안동、서、남、북、중각추취1빈음용수수양,여위집중식공수지구,칙채집2빈말소수양,신시최화분광광도법측정수전.재추중학교부근,선택3개향(진、가도판사처),매개향(진、가도판사처)추취잉부화포유부녀각5인,채집뇨양,신시최화분광광도법검측뇨전.결과 공검사1219명8～ 10세인동갑상선,갑상선종대솔위4.92％(60/1219);검측363빈뇨양,뇨전중위수위223.00μg/L,기중＜50 μg/L적점5.2％(19/363),＜100 μg/L적점14.6％(53/363);452명잉부뇨전중위수위147.2 μg/L,기중＜150 μg/L적점52.0％(235/452);461명포유기부녀뇨전중위수위134.1 μg/L;1211빈거민호합격전염식용솔위94.4％(1143/1211);360호거민입균일식염섭입량위6 g,81.4％(293/360)적거민입균일식염섭입량재9 g이하；76빈거민음용수함전량중위수위6.2 μg/L,＜10 μg/L적점89.5％(68/76).결론 2011년복건성각항지표계속체도“소제전결핍병표준”,단존재잉부전결핍문제,대존재전결핍적잉부응급여액외적전보충.
Objective To analyze the monitoring results of patients with iodine deficiency disorders,and to find out the eliminating process of iodine deficiency disorders and the iodine nutritional status of population before adjustment of iodine level in edible salt in Fujian Province.Methods Thirty counties(cities,districts) were sampled by population proportion probability sampling in the whole Province in 2011; one primary school was selected from each of those 30 counties(cities,districts) ; 40 children aged 8-10 were selected from each of those 30 primary schools; thyroid volume of these children was examined by type-B ultrasound and the iodine level in edible salt from those 40 households was tested by the method of direct titration.Twelve urine samples of those 40 children were collected randomly,and urinary iodine level was tested by arsenic cerium catalytic spectrophotometry.Resident's per capita salt intake was calculated by the three-day-weighing method.In the village(where the school was in),5 drinking water samples were collected in the north,the south,the east,the west and the center of the village.If the water supply was centralized in the village,then 2 tap water samples were collected.Water iodine level was determined by arsenic cerium catalytic spectrophotometry.Three townships(towns,street offices)were selected in the vicinity of those schools; 5 pregnant and 5 lactating women were selected in each of those 3 townships (towns,street offices).Their urinary iodine level was determined by arsenic cerium catalytic spectrophotometry.Results Totally 1219 children aged 8 to 10 were examined,and their goiter rate was 4.92％(60/1219).Three hundred and sixty three urine samples were tested,and the median urinary iodine level was 223 μg/L.Among them,urinary iodine ＜ 50 μg/L accounted for 5.2％ (19/363),and ＜ 100 μg/L accounted for 14.6％ (53/363).The median urinary iodine level of pregnant women was 147.2 μg/L,and 52.0％(235/452) of them were less than 150 μg/L.The median urinary iodine level of lactating women was 134.1 μg/L.The consumption rate of qualified iodized salt was 94.4％ (1143/1211).Per capita daily salt intake was 6 g,and 81.4％ (293/360) of the residents' intake was less than 9 g.The median iodine content of drinking water was 6.2 μg/L,and 89.5％ (68/76) of them was less than 10 μg/L.Conclusions All indicators have met the national standard of eliminating iodine deficiency disorders in Fujian Province in 2011.But there is an iodine deficiency problem in pregnant women,and these women should be given extra iodine supplement.