CAJ | 학술논문

目的分析江西省碘缺乏病病情监测结果.方法 2011年,按人口比例概率抽样方法(PPS)在江西省抽取30个县(市、区),每个县(市、区)抽取1所小学,每所小学采用超声法检查40名8～10岁学生甲状腺容积,同时对其家中食盐进行盐碘全定量分析;在上述每所小学抽取12名8～10岁学生,采集尿样,并在学校周边的3个乡(镇)分别采集孕妇和哺乳妇女尿样各15份,采用砷铈催化分光光度法检测尿碘;对检测尿样的学生家庭采用3日称量法进行人均日盐摄入量调查;在每所学校所在村,采集饮用水水样,进行水碘检测.结果全省8～10岁学生甲状腺肿大率为1.25％(15/1 200);盐碘中位数为30.80 mg/kg,居民合格碘盐食用率为96.92％;学生、孕妇和哺乳妇女尿碘中位数分别为308.73、206.95、206.75 μg/L,其中学生尿碘≥300μg/L的占52.25％(186/356),而孕妇尿碘＜150 μg/L的占34.81％(157/451);共检测水样117份,水碘中位数为4.62μg/L;全省人均日盐摄入量为13.20 g.结论江西省人群碘缺乏状况已得到显著改善,根据监测结果,有必要对江西省食盐加碘浓度标准进行适当调整.
목적 분석강서성전결핍병병정감측결과.방법 2011년,안인구비례개솔추양방법(PPS)재강서성추취30개현(시、구),매개현(시、구)추취1소소학,매소소학채용초성법검사40명8～10세학생갑상선용적,동시대기가중식염진행염전전정량분석;재상술매소소학추취12명8～10세학생,채집뇨양,병재학교주변적3개향(진)분별채집잉부화포유부녀뇨양각15빈,채용신시최화분광광도법검측뇨전;대검측뇨양적학생가정채용3일칭량법진행인균일염섭입량조사;재매소학교소재촌,채집음용수수양,진행수전검측.결과 전성8～10세학생갑상선종대솔위1.25％(15/1 200);염전중위수위30.80 mg/kg,거민합격전염식용솔위96.92％;학생、잉부화포유부녀뇨전중위수분별위308.73、206.95、206.75 μg/L,기중학생뇨전≥300μg/L적점52.25％(186/356),이잉부뇨전＜150 μg/L적점34.81％(157/451);공검측수양117빈,수전중위수위4.62μg/L;전성인균일염섭입량위13.20 g.결론 강서성인군전결핍상황이득도현저개선,근거감측결과,유필요대강서성식염가전농도표준진행괄당조정.
Objective To analyze the monitoring data of iodine deficiency disorders in Jiangxi Province and to provide a basis for adjusting iodized salt concentration.Methods Thirty primary schools were selected in 30 counties and 40 pupils' goiters were examined with B ultrasound in every school.At the same time,salt iodine level was tested at their home.Twelve pupils urinary iodine in selected schools,15 pregnant urinary samples,15 lactating women urinary samples in 3 towns around the schools and water samples in the counties with the schools were collected.Results The goiter rate of children aged 8 to 10 was 1.25％ (15/1 200); the median salt iodine was 30.80 mg/kg and the consumption rate of qualified iodized salt was 96.92％ ; the median urinary iodine level of children,pregnant and lactating women was 308.73,206.95 and 206.75 μg/L,respectively.The proportion of urinary iodine level of children above 300 μg/L was 52.25％(186/356),while the proportion of urinary iodine level of pregnant women below 150 μg/L was 34.81％(157/451).The water iodine median was 4.62 μg/L and the per capita daily salt intake was 13.20 g in Jiangxi Province.Conclusions The status of iodine deficiency in Jiangxi has been significantly improved.According to the monitoring results,it's necessary to adjust salt iodization standards appropriately.