首页|2018-2023年邹城市重点人群碘营养水平及影响因素分析

2018-2023年邹城市重点人群碘营养水平及影响因素分析

Analysis of iodine nutrition levels and influencing factors among key populations in Zoucheng City from 2018 to 2023

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目的 掌握实现消除碘缺乏病后邹城市重点人群碘营养状况及病情消长趋势,为采取针对性防治措施和合理补碘提供科学依据.方法 根据《全国碘缺乏病监测方案》(2016版)要求,在全市按东、西、南、北、中划分5个抽样片区,在每个片区各随机抽取1个镇街,每个镇街各抽取1所中心小学校,每所小学抽取8~10岁非寄宿学龄儿童40人;同时,每个镇街抽取20名孕妇.采集学生和和孕妇家中食盐盐样及其随意1次尿样,进行盐碘含量和尿碘水平检测,B超法检测儿童甲状腺容积并计算甲状腺肿大率.结果 2018-2023年,共采集盐样1 803份,合格碘盐1 650份,盐碘中位数为23.02 mg/kg,合格碘盐食用率为91.51%(1 650/1 803),各年度之间合格碘盐食用率差异有统计学意义(x2=15.03,P<0.05).共检测8~10岁学龄儿童尿样1 203份,尿碘中位数为155.89μg/L;共检测孕妇尿样600份,尿碘中位数为177.98 µg/L;共检查8~10岁学龄儿童1 203人,其中甲状腺肿大6人,甲状腺肿大率为0.5%(6/1 203).结论 邹城市重点人群碘营养能够满足人体的生理需求,应继续加强监测,及时掌握重点人群碘营养水平变化情况,重点人群碘缺乏病干预力度有待提升.
Objective To grasp the iodine nutritional status and the disease trend of key populations in Zoucheng City after achieving the elimination of iodine deficiency disorders,so as to provide scientific basis for timely adoption of targeted prevention and reasonable iodine supplementation.Methods According to the requirements of"National Iodine Deficiency Disorders Surveillance Program"(2016 edition),the sampling areas were divided into east,west,south,north and middle regions within a city,and one town/street was selected from each region,one primary school was selected in each town/street,and 40 non-boarding students aged 8 to 10 years were selected in each primary school;at the same time,20 pregnant women were selected in each town/street.Salt samples and random urine samples were collected from students and pregnant women to test the content of salt iodine and urinary iodine.Thyroid volume of students was determined by B-ultrasound,and the rate of goiter was calculated.Results From 2018 to 2023,a total of 1 803 salt samples were tested,and 1 650 were qualified iodized salts,the average levels of salt iodine was 23.02 mg/kg,the consumption rate of qualified iodized salt was 91.51%(1 650/1 803).There were statistically significant difference in the consumption rate of qualified iodized salt among different years(x2=15.03,P<0.05).Totally 1 203 urine samples of school-age children aged 8 to 10 years were tested,and the median of urinary iodine was 155.89 μg/L;600 urine samples of pregnant women were tested,and the median of urinary iodine was 177.98 µg/L.A total of 1 203 school-age children aged 8 to 10 years were examined,and 6 with goiter.And the goiter rate was 0.5%(6/1 203).Conclusion The iodine nutrition level of the key populations in Zoucheng City is appropriate.It should continue to strengthen monitoring and timely grasp the changes in iodine nutrition levels of the key populations,and intervention of iodine deficiency disorders in key populations still needs to be improved.

SaltUrineSchool-age childrenPregnant women

齐振标、张俊琳

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山东省邹城市疾病预防控制中心,山东 273500

尿 学龄儿童 孕妇

2024

中国地方病防治杂志
中华预防医学会,吉林省地方病第二防治研究所,吉林省地方病第一防治研究所

中国地方病防治杂志

影响因子:1.289
ISSN:1001-1889
年,卷(期):2024.39(2)
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