CAJ | 학술논문

目的掌握全国碘盐普及状况及重点地区的非碘盐冲销情况,为完善碘缺乏病防治策略提供可靠依据.方法 2010年,按照《全国碘缺乏病监测方案(试行)》(以下简称《方案》)的要求,在全国31个省份以县为单位、新疆生产建设兵团以师为单位进行碘盐监测.所辖有9个以上乡(镇、街道办事处)的县(市、区、旗),按东、西、南、北、中划分5个片区,采用单纯随机抽样的方法抽取9个乡(镇、街道办事处),在每个乡(镇、街道办事处)抽取4个行政村(居委会),在每个行政村(居委会)抽8户居民.所辖有9个或不足9个乡(镇、街道办事处)的县(市、区、旗),按东、西、南、北、中划分5个抽样片区,在每个片区各抽取1个乡(镇、街道办事处),在每个乡(镇、街道办事处)抽取4个行政村(居委会),在每个行政村(居委会)抽15户居民.采集居民家中食用盐样,先进行现场半定量检测,再进行实验室定量测定.计算和分析各省居民碘盐覆盖率、碘盐合格率、和合格碘盐食用率.碘盐检测采用直接滴定法,川盐、强化盐和不确定的非碘盐采用仲裁法定量测定(GB/T13025.7-1999).合格碘盐判定标准为:盐含碘量在(35±15)mg/kg(20 ～ 50mg/kg);非碘盐判定标准:盐含碘量＜5 mg/kg.结果 2010年全国共有2862个县(区、市、旗)及新疆生产建设兵团的14个师上报了监测结果,监测覆盖率为99.79％(2876/2882).共监测826 696户居民家中食用盐,经人口加权,全国居民碘盐覆盖率为98.63％,碘盐合格率为97.95％,合格碘盐食用率为96.63％.在省级水平,只有西藏的碘盐覆盖率＜90％；合格碘盐食用率＜90％的有西藏和上海2个省(区).在县级水平,全国共有2755个县级单位(包括新疆生产建设兵团师)的碘盐覆盖率≥90％,有33个县碘盐覆盖率＜80％,合格碘盐食用率达到90％以上的县占全国总县数的96.63％(2785/2882).结论非碘盐率＞20％的县(区、市、旗)主要分布在我国的西部、沿海以及与高碘地区相邻的区域.政府部门应给予政策和资金的支持,减少这些地区与全国水平的差距. 目的掌握全國碘鹽普及狀況及重點地區的非碘鹽遲銷情況,為完善碘缺乏病防治策略提供可靠依據.方法 2010年,按照《全國碘缺乏病鑑測方案(試行)》(以下簡稱《方案》)的要求,在全國31箇省份以縣為單位、新疆生產建設兵糰以師為單位進行碘鹽鑑測.所轄有9箇以上鄉(鎮、街道辦事處)的縣(市、區、旂),按東、西、南、北、中劃分5箇片區,採用單純隨機抽樣的方法抽取9箇鄉(鎮、街道辦事處),在每箇鄉(鎮、街道辦事處)抽取4箇行政村(居委會),在每箇行政村(居委會)抽8戶居民.所轄有9箇或不足9箇鄉(鎮、街道辦事處)的縣(市、區、旂),按東、西、南、北、中劃分5箇抽樣片區,在每箇片區各抽取1箇鄉(鎮、街道辦事處),在每箇鄉(鎮、街道辦事處)抽取4箇行政村(居委會),在每箇行政村(居委會)抽15戶居民.採集居民傢中食用鹽樣,先進行現場半定量檢測,再進行實驗室定量測定.計算和分析各省居民碘鹽覆蓋率、碘鹽閤格率、和閤格碘鹽食用率.碘鹽檢測採用直接滴定法,川鹽、彊化鹽和不確定的非碘鹽採用仲裁法定量測定(GB/T13025.7-1999).閤格碘鹽判定標準為:鹽含碘量在(35±15)mg/kg(20 ～ 50mg/kg);非碘鹽判定標準:鹽含碘量＜5 mg/kg.結果 2010年全國共有2862箇縣(區、市、旂)及新疆生產建設兵糰的14箇師上報瞭鑑測結果,鑑測覆蓋率為99.79％(2876/2882).共鑑測826 696戶居民傢中食用鹽,經人口加權,全國居民碘鹽覆蓋率為98.63％,碘鹽閤格率為97.95％,閤格碘鹽食用率為96.63％.在省級水平,隻有西藏的碘鹽覆蓋率＜90％；閤格碘鹽食用率＜90％的有西藏和上海2箇省(區).在縣級水平,全國共有2755箇縣級單位(包括新疆生產建設兵糰師)的碘鹽覆蓋率≥90％,有33箇縣碘鹽覆蓋率＜80％,閤格碘鹽食用率達到90％以上的縣佔全國總縣數的96.63％(2785/2882).結論非碘鹽率＞20％的縣(區、市、旂)主要分佈在我國的西部、沿海以及與高碘地區相鄰的區域.政府部門應給予政策和資金的支持,減少這些地區與全國水平的差距.
목적 장악전국전염보급상황급중점지구적비전염충소정황,위완선전결핍병방치책략제공가고의거.방법 2010년,안조《전국전결핍병감측방안(시행)》(이하간칭《방안》)적요구,재전국31개성빈이현위단위、신강생산건설병단이사위단위진행전염감측.소할유9개이상향(진、가도판사처)적현(시、구、기),안동、서、남、북、중화분5개편구,채용단순수궤추양적방법추취9개향(진、가도판사처),재매개향(진、가도판사처)추취4개행정촌(거위회),재매개행정촌(거위회)추8호거민.소할유9개혹불족9개향(진、가도판사처)적현(시、구、기),안동、서、남、북、중화분5개추양편구,재매개편구각추취1개향(진、가도판사처),재매개향(진、가도판사처)추취4개행정촌(거위회),재매개행정촌(거위회)추15호거민.채집거민가중식용염양,선진행현장반정량검측,재진행실험실정량측정.계산화분석각성거민전염복개솔、전염합격솔、화합격전염식용솔.전염검측채용직접적정법,천염、강화염화불학정적비전염채용중재법정량측정(GB/T13025.7-1999).합격전염판정표준위:염함전량재(35±15)mg/kg(20 ～ 50mg/kg);비전염판정표준:염함전량＜5 mg/kg.결과 2010년전국공유2862개현(구、시、기)급신강생산건설병단적14개사상보료감측결과,감측복개솔위99.79％(2876/2882).공감측826 696호거민가중식용염,경인구가권,전국거민전염복개솔위98.63％,전염합격솔위97.95％,합격전염식용솔위96.63％.재성급수평,지유서장적전염복개솔＜90％；합격전염식용솔＜90％적유서장화상해2개성(구).재현급수평,전국공유2755개현급단위(포괄신강생산건설병단사)적전염복개솔≥90％,유33개현전염복개솔＜80％,합격전염식용솔체도90％이상적현점전국총현수적96.63％(2785/2882).결론 비전염솔＞20％적현(구、시、기)주요분포재아국적서부、연해이급여고전지구상린적구역.정부부문응급여정책화자금적지지,감소저사지구여전국수평적차거.
Objective To understand the situation of iodized salt consumption at the household level and non-iodized salt distribution in those areas with low iodized salt coverage.Methods In 2010,iodized salt was monitored in 31 provinces and Xinjiang Production and Construction Corps in accordance with the "Monitoring Program of the National Iodine Deficiency Disorders (Trial)" (hereinafter referred to as the "Program") requirements.Under the jurisdiction of counties (cities,districts,banners) with more than 9 townships (towns,street offices),based on the location of east,west,south,north and center,9 townships (town,district offices) were selected using simple random sampling method; 4 administrative villages (neighborhoods) were selected in each township (town,district office); and 8 residents in each administrative village (neighborhood) were selected.Under the jurisdiction of counties (cities,districts,banners) with less than 9 townships (towns,street offices),based on the location of east,west,south,north and center,1 township(town,district office) was selected using simple random sampling method; 4 administrative villages(neighborhoods) were selected in each township(town,district office);and 15 residents in each administrative village(neighborhood) were selected.Iodized salt coverage rate,qualification rate of iodized salt and consumption rate of qualified iodized salt were calculated in various provinces.The salt samples were tested by semi-quantitative method on the spot and then tested with quantitative method in laboratories.The standard of qualified iodized salt was set as 20-50 mg/kg and that of non-iodized salt was set as ＜ 5 mg/kg (GB/T 13025.7-1999).Results In 2010,a total of 2862 counties(districts,cities and banners) and 14 divisions of Xinjiang Production and Construction Corps,reported the monitoring results,and the monitoring coverage rate was 99.79％(2876/2882).A total of 826 696 copies of edible salt samples were tested,the coverage rate of iodized salt was 98.63％,the consumption rate of qualified iodized salt was 97.95％,and the coverage rate of qualified iodized salt was 96.63％.At province level,only in Tibet iodized salt coverage rate was ＜ 90％.At county level,2755 counties qualified iodized salt coverage rate was ≥90％,and 33 counties iodized salt coverage rate was ＜ 80％.The counties with qualified iodized salt coverage rate of 90％ or more accounted for 96.63％(2785/2882) of the total counties.Conclusions The counties where non-iodized salt coverage is higher than 20％ mainly distributed in the western or coastal areas and adjacent areas with higher iodine.These areas need policy and funding support from governments at all levels to reducc the gap between these areas and other areas.