【摘要】 对贵阳市３００例新生儿进行了ＴＳＨ筛查，同时对９６４名８～１０岁儿童进行甲状腺肿大率检查，２１６名８～１０岁儿童作了尿碘测定，２４０户居民家的碘盐进行了监测。结果表明：１．ＴＳＨ值＞５ｍＩＵ／Ｌ者占３３．３％，其中＞１０ｍＩＵ／Ｌ者占１６．７％，＞２０ｍＩＵ／Ｌ者占４．３％，＞３０ｍＩＵ／Ｌ者占１．７％，表现向高值方向偏移。２．甲状腺肿大率平均为１１．４％。３．尿碘中位数值虽均大于１００μｇ／Ｌ，但仍有１．７％～２５．８％儿童尿碘达不到１００μｇ／Ｌ。４．碘盐浓度＞２０ｍＩＵ／Ｌ只占７０．４％。该结果提示贵阳市居民仍有碘摄入不足。以新生儿ＴＳＨ水平为判定人群碘营养状态指标最为敏感、可靠更多还原

【Abstract】 We screened 964 neonatal TSH levels, examined the thyroid enlargement rate of 964 children aged 8～10 year, measured the urinary iodine values of 216 children aged 8～10 year and the iodine content in salt of 240 inhabitants The results showed:1 The percentage of TSH levels greater than 5 mIU/L was 33 3%, greater than 10 mIU/L 16 7%, greater than 20 mIU/L 4 3% and greater than 30 mIU/L 1 7% These indicated that the TSH levels drifted toward higher level 2 The mean thyroid enlargement rate was 11 4% 3 Although the medium of urinary iodine values was greater than 100 μg/L, there were still 1 7%～25 8% of children whose urinary iodine values can not reach 100 μg/L 4 The percentage of iodine content in salt greater than 20 mg/kg was only 70 4% The results demonstrate that the inhabitants of Guiyang also can not intake enough iodine The neonatal TSH level for monitoring population nutrition status is the most sensitive and reliable index更多还原