CAJ | 학술논문

目的了解碘缺乏病综合干预对学龄儿童碘缺乏性甲状腺肿大率(甲肿率)的影响.方法采取食用碘盐、服用碘油丸、多部门协作、开设甲状腺门诊、系统化管理碘缺乏病、开展监测与流行病学调查、重点干预、广泛开展健康教育等综合干预措施.通过历年来学龄儿童甲肿率变化情况,来评价综合干预的效果.结果1993年未采取特殊干预前学龄儿童甲肿率为23.40%,高于国家标准;补碘干预后,1997年甲肿率逐渐下降至5.01%,接近国家标准;采取综合干预后,甲肿率自1998年至2011年始终控制在5%以内.采取综合干预后与干预前及干预初甲肿率比较,差异有统计学意义(Ρ<0.001).结论易县所采取的碘缺乏病综合干预措施降低了甲肿率,实现了消除碘缺乏病目标.
목적료해전결핍병종합간예대학령인동전결핍성갑상선종대솔(갑종솔)적영향.방법채취식용전염、복용전유환、다부문협작、개설갑상선문진、계통화관리전결핍병、개전감측여류행병학조사、중점간예、엄범개전건강교육등종합간예조시.통과력년래학령인동갑종솔변화정황,래평개종합간예적효과.결과1993년미채취특수간예전학령인동갑종솔위23.40%,고우국가표준;보전간예후,1997년갑종솔축점하강지5.01%,접근국가표준;채취종합간예후,갑종솔자1998년지2011년시종공제재5%이내.채취종합간예후여간예전급간예초갑종솔비교,차이유통계학의의(Ρ<0.001).결론역현소채취적전결핍병종합간예조시강저료갑종솔,실현료소제전결핍병목표.
Objective To know the impact of comprehensive intervention in iodine deficiency disorders in school-age children. Methods Taking the consumption of iodized salt, oral iodized oil pills, multisectoral collaboration, start-up of thyroid clinics, systematic management of iodine deficiency disorders, surveillance and epidemiological investigation, focusing on intervention, extensive health education etc method of comprehensive interventions to investigate the goiter prevalence changes. Results The goiter rate of the school-age children who had not the special intervention was 23.40%in 1993, which was higher than the national standard. After iodine intervention, the goiter rate gradually decreased to 5.01% in 1997, which was close to the national standards. After comprehensive intervention, the goiter rate was always controlled within 5% from 1998 to 2011. Comparing the goiter rate after comprehensive intervention and before intervention, as well as the goiter rate after comprehensive intervention and after intervention, the differences were both statistically significant (Ρ<0.001). Conclusion Iodine deficiency disorders interventions can reduce the goiter prevalence in Yixian, achieving the goal of eliminating iodine deficiency.