【摘要】 目的总结分析荆门市近50年碘缺乏病(IDD)防治措施及效果,为今后巩固消除IDD防治成果决策提供依据。方法收集整理IDD历年防治资料,按照抽样调查、普查普治、防治监测及效果评估等4个不同防治阶段统计数据,分析效果,找出问题。结果近50年来,采取以落实加碘盐为主的综合防治措施,居民甲状腺肿患病率已从1975年25.29%降至1985年1.6%,7~14岁儿童甲状腺肿率已从1990年32.5%降至1994年的15.47%,8~10儿童甲状腺肿率已从1996年26.17%降至2007年6.88%,有效的控制了IDD的危害,20年无新发克汀病患者;居民户盐碘值(M)已从1994年前14.8mg/kg升至2001年的35.88mg/kg,连续9年≥30mg/kg;居民户碘盐合格率、碘盐覆盖率及合格碘盐食用率,连续9年达到90%以上;儿童尿碘中位数,连续10年≥300μg/L。结论 5县(市、区)于2009年达到消除IDD的考评标准,取得了显著成绩。但8~10岁儿童尿碘值过高是由于居民户碘盐过高所致,建议尽快进一步下调盐碘浓度;5年级学生IDD知晓率不高,健康教育工作不容忽视。更多还原

【Abstract】 Objective To summarize and analyse the control effects and measures of iodine deficiency disorders(IDD)in Jingmen City for about 50 years, and provide evidence for the consolidation of achievements in prevention and control of IDD.Methods The data of the prevention and control of IDD were collected and filed,and statistical analysis and effectiveness analysis were made according to different stages of the prevention and control.Results The prevalence of goiter has decreased from 25.29% in 1975 to 1.6% in 1985.The goiter rate in children aged 7-14 has decreased from 32.5%in 1990 to 15.47%in 1994.The goiter rate in children aged 8-10 has decreased from 26.17% in 1996 to 6.88% in 2007,and there have been no current cretinism for 20 years.The median of salt iodine increased from 14.8mg/kg in 1994 to 35.88% in 2001.The qualified rate of iodized salt in households and the coverage rate of iodized salt and the eating rate of qualified iodized salt continued to reached 90%above for 9 years.The median of urinary iodine in children continued to reach 300μg/L for 10 years.Conclusions Jingmen City had reached the national elimination IDD standard by 2009,and had made remarkable results.It is suggested in the paper that the concentration of iodized salt in households which was the reason for the overly high urinary iodine in children aged 8-10 should been reduced as soon as possible.Health education on iodized salt is not ignorable for the awareness rate in the pupils graded 5 for IDD was not high.更多还原