【摘要】 目的探讨广西碘缺乏病防治效果。方法采用PPS法对30个县 (市 )进行调查 ,用触诊法和B超法检查甲状腺大小 ,用砷—铈接触法测定尿碘 ,盐碘用直接滴定法测定 ,ELISA测定TSH。结果儿童甲状腺肿大率触诊法为6.9 % ,B超法为9.5 % ,;碘盐加工、批发、零售、用户合格率分别为84.06 %、83.44 %、94.20 %、93.53 % ;学生家用碘盐合格率为94.26 % ,中位数46.6mg/kg;尿碘中位数为367.6μg/L,≥100μg/L的占90.63 % ;新生儿脐带血TSH中位数为1.90mU/L ,>5.0mU/L占检查人数8.50 %。结论广西以食用合格碘盐为主的防治措施是行之有效的 ,2000年已达到消除碘缺乏病的阶段目标。更多还原

【Abstract】 Objective To evaluate the prevention and control effect of iodine deficiency disorˉders(IDD)in Guangxi.Methods Investigating1233pupils in30counties by probability proportionˉate to size(PPS),determining thyroid size by palpation and ultrasonography,measuring urinary ioˉdine level by ceric ammonium sulfate assay,iodine levels in salt by standard titration method and thyroid-stimulating hormone(TSH)by the enzyme_linked immunosorbant assay(ELISA)respectiveˉly.Results The prevalence of thyroid enlargement in children aged8～10years is6.9%by palpaˉtion and9.5%by ultrasonography.Proportions of effectively iodine salt at factory,wholesale,retail,household and school level are84.06%,83.44%,94.20%,93.53%and94.26%,respectively.Median of urinary iodine level among360pupils is367.6μg/L,of90.63%above100μg/L.Median of TSH among541neonates is1.90mU/L,of8.50%above5.0mU/L.Conclusion The phase target for elimination IDD has been achieved in Guangxi by the year of2000after universal salt iodization for33years.更多还原