中华地方病学杂志
中華地方病學雜誌
중화지방병학잡지
Chinese Journal of Endemiology
2014年
2期
191-194
,共4页
碘%缺乏症%甲状腺肿,地方性%尿%盐类
碘%缺乏癥%甲狀腺腫,地方性%尿%鹽類
전%결핍증%갑상선종,지방성%뇨%염류
Iodine%Deficiency diseases%Goiter,endemic%Urine%Salts
目的 调查2008-2010年天津市碘缺乏病高危地区儿童和育龄妇女的碘营养状况,为科学补碘提供依据.方法 2008-2010年选取汉沽区,2010年增加大港区和静海县作为调查点.将汉沽区划分为5个片区,每个片区抽取1个非高碘乡(镇),每个乡(镇)抽取4个非高碘行政村,每个行政村抽检15户居民盐样,进行碘盐半定量检测.大港区和静海县分别选取3个乡(镇),每个乡(镇)抽取2个行政村,每个行政村对20户家中盐样进行盐碘测定.2009年在汉沽区进行碘盐监测的5个乡(镇),每个乡(镇)选取1所小学,每所小学抽取40名8～ 10岁儿童,进行甲状腺容积检查,同时选取其中20名学生进行尿碘监测.2010年每个调查 区(县)选取3个乡(镇),每个乡(镇)抽取2所小学,每所小学抽取40名8～ 10岁儿童,进行甲状腺容积检测和尿碘检测.2008-2010年在汉沽区进行碘盐监测的居民户中分别选取150、50和60名育龄妇女,2010年在大港区和静海县进行碘盐监测的居民户中分别选取60名育龄妇女,采集尿样,进行尿碘检测.盐碘采用半定量试剂盒检测,甲状腺容积采用B超法检查,诊断采用《地方性甲状腺肿诊断标准》(WS 276-2007),按《砷铈催化分光光度测定》(WS/T 107-2006)进行尿碘检测.结果 2008-2010年汉沽区碘盐覆盖率分别为65.0％(195/300)、70.3％ (211/300)和91.3％(274/300),2010年大港区碘盐覆盖率为40.0％ (48/120),静海县为38.3％(46/120).2009年汉沽区共采集106名8～ 10岁儿童尿样,尿碘中位数为205.4 μg/L,2010年3个调查点共采集249、250和239份儿童尿样,尿碘中位数分别为193.0、293.1和216.8μg/L.2年汉沽区8～ 10岁儿童甲状腺肿大率分别为4.24％(9/212)和3.59％ (9/251),大港区为3.60％ (9/250),静海县为5.44％ (13/239).2008-2010年汉沽区育龄妇女尿碘中位数分别为134.9、196.1、229.5 μg/L,大港区为316.9 μg/L,静海县为190.9μg/L.结论 天津市碘缺乏病高危地区人群的碘营养水平,好于国家强化补碘要求的限值,个别地区由于存在水碘较高问题,致使部分人群疑存碘过量问题,应引起重视.
目的 調查2008-2010年天津市碘缺乏病高危地區兒童和育齡婦女的碘營養狀況,為科學補碘提供依據.方法 2008-2010年選取漢沽區,2010年增加大港區和靜海縣作為調查點.將漢沽區劃分為5箇片區,每箇片區抽取1箇非高碘鄉(鎮),每箇鄉(鎮)抽取4箇非高碘行政村,每箇行政村抽檢15戶居民鹽樣,進行碘鹽半定量檢測.大港區和靜海縣分彆選取3箇鄉(鎮),每箇鄉(鎮)抽取2箇行政村,每箇行政村對20戶傢中鹽樣進行鹽碘測定.2009年在漢沽區進行碘鹽鑑測的5箇鄉(鎮),每箇鄉(鎮)選取1所小學,每所小學抽取40名8～ 10歲兒童,進行甲狀腺容積檢查,同時選取其中20名學生進行尿碘鑑測.2010年每箇調查 區(縣)選取3箇鄉(鎮),每箇鄉(鎮)抽取2所小學,每所小學抽取40名8～ 10歲兒童,進行甲狀腺容積檢測和尿碘檢測.2008-2010年在漢沽區進行碘鹽鑑測的居民戶中分彆選取150、50和60名育齡婦女,2010年在大港區和靜海縣進行碘鹽鑑測的居民戶中分彆選取60名育齡婦女,採集尿樣,進行尿碘檢測.鹽碘採用半定量試劑盒檢測,甲狀腺容積採用B超法檢查,診斷採用《地方性甲狀腺腫診斷標準》(WS 276-2007),按《砷鈰催化分光光度測定》(WS/T 107-2006)進行尿碘檢測.結果 2008-2010年漢沽區碘鹽覆蓋率分彆為65.0％(195/300)、70.3％ (211/300)和91.3％(274/300),2010年大港區碘鹽覆蓋率為40.0％ (48/120),靜海縣為38.3％(46/120).2009年漢沽區共採集106名8～ 10歲兒童尿樣,尿碘中位數為205.4 μg/L,2010年3箇調查點共採集249、250和239份兒童尿樣,尿碘中位數分彆為193.0、293.1和216.8μg/L.2年漢沽區8～ 10歲兒童甲狀腺腫大率分彆為4.24％(9/212)和3.59％ (9/251),大港區為3.60％ (9/250),靜海縣為5.44％ (13/239).2008-2010年漢沽區育齡婦女尿碘中位數分彆為134.9、196.1、229.5 μg/L,大港區為316.9 μg/L,靜海縣為190.9μg/L.結論 天津市碘缺乏病高危地區人群的碘營養水平,好于國傢彊化補碘要求的限值,箇彆地區由于存在水碘較高問題,緻使部分人群疑存碘過量問題,應引起重視.
목적 조사2008-2010년천진시전결핍병고위지구인동화육령부녀적전영양상황,위과학보전제공의거.방법 2008-2010년선취한고구,2010년증가대항구화정해현작위조사점.장한고구화분위5개편구,매개편구추취1개비고전향(진),매개향(진)추취4개비고전행정촌,매개행정촌추검15호거민염양,진행전염반정량검측.대항구화정해현분별선취3개향(진),매개향(진)추취2개행정촌,매개행정촌대20호가중염양진행염전측정.2009년재한고구진행전염감측적5개향(진),매개향(진)선취1소소학,매소소학추취40명8～ 10세인동,진행갑상선용적검사,동시선취기중20명학생진행뇨전감측.2010년매개조사 구(현)선취3개향(진),매개향(진)추취2소소학,매소소학추취40명8～ 10세인동,진행갑상선용적검측화뇨전검측.2008-2010년재한고구진행전염감측적거민호중분별선취150、50화60명육령부녀,2010년재대항구화정해현진행전염감측적거민호중분별선취60명육령부녀,채집뇨양,진행뇨전검측.염전채용반정량시제합검측,갑상선용적채용B초법검사,진단채용《지방성갑상선종진단표준》(WS 276-2007),안《신시최화분광광도측정》(WS/T 107-2006)진행뇨전검측.결과 2008-2010년한고구전염복개솔분별위65.0％(195/300)、70.3％ (211/300)화91.3％(274/300),2010년대항구전염복개솔위40.0％ (48/120),정해현위38.3％(46/120).2009년한고구공채집106명8～ 10세인동뇨양,뇨전중위수위205.4 μg/L,2010년3개조사점공채집249、250화239빈인동뇨양,뇨전중위수분별위193.0、293.1화216.8μg/L.2년한고구8～ 10세인동갑상선종대솔분별위4.24％(9/212)화3.59％ (9/251),대항구위3.60％ (9/250),정해현위5.44％ (13/239).2008-2010년한고구육령부녀뇨전중위수분별위134.9、196.1、229.5 μg/L,대항구위316.9 μg/L,정해현위190.9μg/L.결론 천진시전결핍병고위지구인군적전영양수평,호우국가강화보전요구적한치,개별지구유우존재수전교고문제,치사부분인군의존전과량문제,응인기중시.
Objective To investigate the nutritional status of children and women of childbearing age in high-risk areas of iodine deficiency disorders in Tianjin in 2008-2010 and to provide a scientific basis for iodine supplementation.Methods Hangu District was selected as survey point from 2008 to 2010,Dagang District and Jingan County were increased in 2010.Hangu District was divided into five areas,one township(town) that was not high iodine was selected from each area,four administrative villages were selected from each township(town),and 15 households were selected from each administrative village.Three township(town) were selected from Dagang and Jingan County,respectively.Two administrative villages were selected from each township(town),and 20 households were selected from each administrative village.Iodine level of salt samples from each household was determined.In 2009,one primary school was selected from each survey township(town),thyroid volume of 40 8-10-year-old students was examined,and urine iodine of 20 students was tested.In 2010,three township(town) were selected from each survey point,two primary school were selected from each survey township(town),40 8-l0-year-old students were selected from each primary school,urine iodine and thyroid volume of the students were determined.150,50 and 60 women of childbearing age from Hangu District were selected from 2008 to 2010,and 60 were selected from Dagang District and Jingan County,respectively.Urine iodine of the women was tested.Iodine content of salt was tested by a semi-quantitative test kit; diagnosis of endemic goiter was based on the "Diagnostic Criteria of Endemic Goiter" (WS 276-2007); urinary iodine test was based on the "Arsenic Cerium Catalytic Spectrophotometry" (WS/T 107-2006).Results Coverage rates of iodized salt in Hangu District in the 3 years were 65.0％ (195/300),70.3％ (211/300) and 90.8％ (274/300),respectively.Coverage rates of iodized salt in Dagang District and Jinghai County were 40.0％(48/120) and 38.3％(46/120).In 2009,the median urinary iodine of children aged 8-10 in Hangu District was 205.4 μg/L and in 2010,the medians urinary iodine of children aged 8-10 of the three survey point were 193.0,293.1 and 216.8 μg/L.Goiter rates of children aged 8-10 in Hangu District were 4.24％(9/212) and 3.59％ (9/251),and in Dagang District and Jinghai County were 3.60％ (9/250) and 5.44％(13/239).The medians urinary iodine in women of childbearing age in Hangu District in the 3 years were 134.9,196.1 and 229.5 μg/L,respectively.The medians urinary iodine in women of childbearing age in Dagang District and Jinghai County were 316.9 and 190.9 μg/L.Conclusions The nutritional status of high-risk areas of iodine deficiency disorders in Tianjin are better than the national limit of enhanced iodine requirements.Due to higher water iodine in the same areas,some people are iodine excess,to which we should pay more attention.
