首页|2018-2022年重庆市渝中区碘缺乏病监测结果分析及对策

2018-2022年重庆市渝中区碘缺乏病监测结果分析及对策

Analysis and counter measures of iodine deficiency disorders in Yuzhong District of Chongqing from 2018 to 2022

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目的 对重庆市渝中区2018-2022年碘缺乏病监测结果进行分析,为实施长期科学补碘策略提供依据.方法 按照《全国碘缺乏病监测方案(2016版)》要求,2018-2022年间,每年按东、西、南、北、中5个方位各选择1个街道,每个街道抽取至少40名8~10岁儿童和20名孕妇进行监测,5年共抽取儿童1 090名和孕妇500名,儿童检测家中盐碘、尿碘含量和甲状腺容积,孕妇检测家中盐碘和尿碘含量.结果 2018-2022年,盐碘中位数分别为25.90、26.20、24.19、25.00、28.11 mg/kg,年度差异有统计学意义(P<0.01),合格碘盐食用率分别为93.46%、94.06%、97.52%、98.10%和95.83%,年度差异有统计学意义(P<0.05).5年内儿童尿碘中位数分别为239.47、360.00、213.39、254.00和266.55 μg/L,除2019年为碘过量水平,其余年份均为碘适宜水平;5年孕妇尿碘中位数分别为178.50、158.00、168.23、192.50、173.00 μg/L,均为碘适宜水平.2018、2019、2021年儿童甲状腺肿大率分别为3.17%、2.73%、0.93%,差异无统计学意义(P>0.05).结论 重庆市渝中区碘缺乏病防治各项指标连续5年均达到碘缺乏病消除标准,但是仍需加强碘盐市场监管和碘缺乏病防治宣教工作,特别是儿童科学补碘的健康促进工作.
Objective To analyse the results of iodine deficiency disorders(IDD)monitoring in Yuzhong District,Chongqing from 2018 to 2022,so as to provide evidence for the implementation of long-term scientific iodine supplementation strategy.Methods In accordance with the requirements of the"National Iodine Deficiency Disease Monitoring Programme(2016 edition)",at least 40 children aged 8-10 years old and 20 pregnant women were selected from each street according to the five directions of east,west,south,north and centre every year.From 2018 to 2022,a total of 1 090 children and 500 pregnant women were selected.Salt iodine content,urine iodine content and thyroid volume in children were detected,and salt iodine content and urine iodine content in pregnant women were detected.Results From 2018 to 2022,the medians of salt iodine were 25.90,26.20,24.19,25.00 and 28.11 mg/kg,respectively,with statistically significant difference(P<0.01),and the consumption rates of qualified iodized salt were 93.46%,94.06%,97.52%,98.10% and 95.83%,respectively,with statistically significant difference(P<0.05).The medians of urine iodine in 5 years of children were 239.47,360.00,213.39,254.00 and 266.55 μg/L,respectively,all higher than the appropriate level of iodine;the medians of urine iodine of pregnant women were 178.50,158.00,168.23,192.50,173 µg/L,respectively,all at the appropriate level,the goiter rates of children in 2018,2019 and 2021 were 3.17%,2.73%,0.93%,respectively,with no statistically significant difference(P>0.05).Conclusion All indicators of IDD prevention and control in Yuzhong District of Chongqing have reached the standard of eliminating IDD for 5 consecutive years.However,it is still necessary to strengthen the supervision of iodized salt market and the publicity and education of IDD prevention and control,especially for the health promotion of children's scientific iodine supplement.

Pregnant womenChildrenIodine nutritionSalt iodineUrinary iodineGoiter

王悦琳、刘淼、刘飞、雷情、孙威、汤洪秀

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重庆市渝中区疾病预防控制中心,重庆 400010

重庆市渝中区七星岗街道社区卫生服务中心

重庆市渝中区朝天门街道社区卫生服务中心

孕妇 儿童 碘营养 盐碘 尿碘 甲状腺肿

2018-2020中央转移支付项目2021-2022重庆市基本公共卫生服务项目2021-2022重庆市基本公共卫生服务项目

渝卫发[2021]39号渝卫发[2022]35号

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(4)
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