【摘要】 目的 综合评价2017—2023年福州市重点人群碘缺乏病监测效果，为优化监测方案与提升监测质量提供依据。方法 联合运用TOPSIS法和RSR法从碘盐覆盖率、碘盐合格率、合格碘盐食用率、儿童甲状腺肿大率、儿童和孕妇尿碘中位数共6个指标对2017—2023年福州市重点人群碘缺乏病监测质量进行排序并分档。结果 经TOPSIS法排序，排名前3的年份依次为2020、2019及2018年;后3位依次为2023、2017及2022年，结合RSR法分档显示2020年和2019年为“上档”，2022年为“下档”，其他年度均为“中档”。三档间总体方差齐(F=0.001,P=0.974)，分档差异有统计学意义(F=9.854,P=0.028)。结论 TOPSIS与RSR的联合模型能够客观、准确地反映监测成效，与实际情况相符。福州市应加强监测与干预，坚持普遍食盐加碘的策略，动态监测人群碘营养状况，持续巩固碘缺乏病防治成果。更多还原

【Abstract】 Objective To comprehensively evaluate the effectiveness of iodine deficiency disorders(IDD) surveillance among key populations in Fuzhou City from 2017 to 2023,so as to provide a basis for optimizing surveillance programs and improving quality.Methods The TOPSIS and RSR methods were jointly applied to rank and grade the surveillance quality based on six indicators:iodized-salt coverage,iodized-salt qualification rate,qualified iodized-salt consumption rate,children’ s goiter rate,median urinary iodine concentration(UIC) in children,and median UIC in pregnant women.Results TOPSIS ranking showed the top three years were 2020,2019,and 2018,while the last three were 2023,2017,and 2022.RSR grading classified 2020 and 2019 as "high grade",2022 as "low grade",and other years as "medium grade".The overall variance among the three grades was homogeneous(F = 0.001,P = 0.974),with statistically significant differences between grades(F = 9.854,P = 0.028).Conclusion The combined TOPSIS-RSR model objectively and accurately reflects surveillance outcomes,aligning with practical observations. Fuzhou City should enhance surveillance and interventions, adhere to the universal salt iodization strategy, continuously monitor population iodine nutrition status dynamically,and consolidate IDD prevention achievements.更多还原