2011年广州市碘缺乏病监测结果分析

目的:分析广州市碘缺乏病(IDD)监测结果,了解碘缺乏病流行现状,评价防治效果,为制定策略提供依据。方法:采用现况流行病学调查方法,随机抽取广州市十二个区(县)8岁～10岁在校儿童进行调查。分别采用直接滴定法、分光光度法检测盐碘和尿碘含量,B超法检测甲状腺大小。结果:1188名儿童家庭食用盐碘合格率为96.7%,盐碘的中位数为31.5 mg/kg;1146名儿童尿碘的中位数为198μg/L;120名儿童B超诊断甲状腺肿大率为3.3%。结论:广州市盐碘合格率较高,尿碘含量合格,儿童甲状腺肿大率偏低,通过食盐加碘为主导的综合性措施,使碘缺乏病防治工作取得了显著效果。

Analysis of iodine deficiency disorders surveillance in Guangzhou city in 2011

Objective:To analyse iodine deficiency disorders(IDD) surveillance results in Guangzhou,so as to study IDD popular present situation,evaluate control effect and provide evidence for strategy.Methods: According to the current epidemiological survey methods,8~10 years children from 12 districts(counties) of Guangzhou City were randomly investigated.Salt iodine were detected with direct titration method,urinary iodine were detected with spectrophotometry,and the thyroid were detected with B ultrasonic method.Results: Qualified rate of salt iodine in 1188 children′s family was 96.7%,and the median of salt iodine was 31.5 mg/kg;the median of 1146 children urinary iodine was 198 μg/L;goiter rate of 120 children was 3.3%.Conclusion: Qualified rate of iodine salt in Guangzhou was higher,urine iodine content was qualified,and children strumous rate was low.Iodized salt was taken salt as the leading comprehensive measure to make IDD prevention and control work have significant effect.