【摘要】 目的　连续观察集贤村的碘缺乏病防治措施落实情况及病情现状 ,为防治碘缺乏病提供依据和策略。方法　以该村在校小学生为监测对象 ,测量其身高、体重、甲状腺容积及甲肿类型 ,测定 8～ 12岁儿童的尿碘含量 ;用B超对 2 0 0 2年普查时发现的成年甲肿病人及疑似病例进行确诊 ;随机抽取 3 0户居民的家庭食用盐 ,检测其碘含量。结果　该村合格碘盐食用率为 93 .3 %;儿童甲状腺肿大率为 7.8%,儿童尿碘中位数为 3 95 .8μg L ;成年村民尿碘中位数为 3 70 .8μg L ;村民甲肿疑似病例中甲肿检出率仅为 2 7.2 %,且病人年龄大多在 5 0岁以上。 结论　以碘盐为主的碘缺乏病防治措施在集贤村落实得很好 ,但该村居民处于碘过量状态 ,建议尽快制定、落实适宜浓度的碘盐 ,科学地防治碘缺乏病更多还原

【Abstract】 Objective To investigate the IDD status and the implementation of IDD prevention and control projects in Jixian village,so that providing the basis and tactics for preventing and controlling IDD.Methods The primary school purpils of Jixian village were all selected to examine their heights,weights,thyroids volumes,the types of goiters with palpation and B ultrasonography and 8 to 12 years of pupils were selected to collect their urine.Using B ultrasonography to diagnose the situations of the goiter patients who were checked out in the 2002’s survey.Thirty households were selected randomly to collect their edible salt for determining the salt iodine concentration.Results The rate of consuming qualified iodized salt is 93.3%,the goiter prevalence of children is 7.8%,the median urinary iodine(MUI)of children is 395.8μg/L,the MUI of residents is 370.8 μg/L,the detectable tate of suspicious goiter cases is only 27.7% and the patients’ages are most over 50 years old.Conclusions In Jixian village,the project of eating iodized salt to prevent and control IDD is implemented very well,but the residents are living in the condition of excessive iodine.In order to prevent and control IDD scientifically,we should draw up and implement a new project of iodized salt with an appropriate iodine concentration as soon as possible.更多还原