浙江省不同碘缺乏病地区碘营养状况调查

周金水; 黄学敏; 朱文明; 陈颖; 屠兴国; 姚顺荣

浙江省不同碘缺乏病地区碘营养状况调查

Investigation on iodine nutrition after using iodized salt in IDD area of Zhejiang province

摘要

摘要:
目的了解掌握实行全民食盐加碘后的病情动态及碘营养状况, 提出相应的防治对策.
方法按地理分布采用随机整群抽样方法, 分别抽取平原、山区、沿海不同地区的居民用户碘盐、尿样、新生儿脐带血样品, 分别测定碘含量和促甲状腺激素(TSH)水平, 检查8~10岁学龄儿童甲状腺肿大情况.
结果居民食用碘盐合格率为88.47%(192/217), 食盐碘含量为(28.60±867)mg/kg, 尿碘中位数为153.22μg/L; 0~2岁、学前儿童、8~10岁学龄儿童、孕妇尿碘水平分别在164.22, 141.69, 199.53, 155.26μg/L.TSH碘含量中位数为4.13mU/L, 均值为5.20mU/L, > 10.0mU/L占10.24%.8~10岁学龄儿童甲状腺肿大率为4.36%.
结论应加强孕妇和0~2岁婴幼儿等人群的碘营养监测.

Abstract:
Objective In order to master iodine nutrition situation through practicing iodized salt, corresponding preventive strategy could be proposed.
Methods According to the distribution of geography, cluster random sampling was used, residents using iodine salts content in different IDD area, urine iodine content of using iodine salt of different population, Neonate TSH examination and age pupils 8-10 goiter rate percentage were made.
Results 88147%(192/217)of resident salts iodine examined was(28.60±8.67)mg/kg.Pupils aged 8-10 goiter rate percentage was 4136%.The median of urine was 153.22Lg/L.T he median of urine aged 0-2, children before kindergarden, pupils aged 8-10, pregnant women were 164.22, 141.69, 199.53, 155.26 Lg/L, respectively.TSH median was 4.13 mU/L, mean value was 5.20 mU/L, > 10 mU/L among TSH was amount to 10124%.
Conclusion To consolidate IDD preventive achievement in Zhejiaxtg province.Emphasis should be put on iodine nutrition monitoring of women and babies.

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