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张纪霖, 康希平, 傅永春, 刘庆文. 山东沂蒙山区阶段性消除碘缺乏病研究[J]. 中国公共卫生, 2001, 17(10): 884-886. DOI: 10.11847/zgggws2001-17-10-16
引用本文: 张纪霖, 康希平, 傅永春, 刘庆文. 山东沂蒙山区阶段性消除碘缺乏病研究[J]. 中国公共卫生, 2001, 17(10): 884-886. DOI: 10.11847/zgggws2001-17-10-16
ZHANG Ji-lin, . Study on Stage Eliminating IDD in Yimeng Mountainous Area[J]. Chinese Journal of Public Health, 2001, 17(10): 884-886. DOI: 10.11847/zgggws2001-17-10-16
Citation: ZHANG Ji-lin, . Study on Stage Eliminating IDD in Yimeng Mountainous Area[J]. Chinese Journal of Public Health, 2001, 17(10): 884-886. DOI: 10.11847/zgggws2001-17-10-16

山东沂蒙山区阶段性消除碘缺乏病研究

Study on Stage Eliminating IDD in Yimeng Mountainous Area

  • 摘要: 目的 对临沂市阶段性消除碘缺乏病进行了研究.方法 统计分析历年流调与防治资料,探索阶段性消除碘缺乏病的有效措施.结果 防治前临沂市人群甲肿平均患病率1094%,7~14岁儿童甲状腺肿大率54.98%,居民尿碘值在23.9~32.2μg/gCr之间,水源碘含量0~6.96μg/L,乡镇人群患病率与饮水碘含量呈负相关r=-0.7128,P<0.05;1980年全民食用碘盐防治后至1999年碘盐合格率由72.72%上升至90.85%,8~10岁儿童甲肿率由37.70%降至6.12%,尿碘均值由35.23μg/gCr上升至249.35μg/L;1994~1996年重点人群累计补服碘油丸4212374人次,平均补服率84.1%;1996~1999年采集新生儿脐带血426份,TSH均值为386mU/L,标准差为2.26,大于5mU/L的份数为4.23%;各类人群IDD防治常识知晓率由1985年的70.14%至1998年升至9149%.结论 落实综合性防治措施,建立可持续进行的碘缺乏病防治工作机制,在一个较大的地区长期保持消除碘缺乏病状态是可以操作的.

     

    Abstract: Objective To study stage eliminating IDD in Yimeng Mountainous Area.Methods A nalysing all epidemic investigating and prevention datum,hunting the effective measure to stage eliminating IDD.Results The average rate of goitre is 101 94% before prevention and cure in Linyi city.The aver age rate of goitre is 54.98% in infants aged 7-14,the chroma of urine iodin is among 23.9-32.2μg/g Cr in denizen,fountain content iodin is 0-6.96μg/L,the siken rate and fountain content iodin is bear cor relation r=0.712 8,P<0.05;The rate of eligibility iodized salt raise from 72.72% to 90.85%,children IDD falls from 37.70% to 6.12% and the chr oma of urine iodin raise from 35.23μg/g Cr to 249135μg/L since the whole civilian used iodized salt from 1980 to 1999,emphases confluence total take idized oil 4 212 374 person times from 1994 to 1996,average rate is 4.1%; 426 shares umbilical cord blood average TSH is 3.86%,standard deviation is 2.26,overrun 5mU/L occupies 4.23%;the rate of public know ing prenvention and cure common sense raise from 70.14% in 1985 to 91.49% in 1998.Conclusion Carrying out colligate prevention and cure step,based continuance mechanism of prevention and cure IDD is manipulable to keep eliminating IDD for long time in a biggish area.

     

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