本文選題：水碘　切入點(diǎn)：甲狀腺腫大　出處：《中國(guó)地方病防治雜志》2017年03期 　論文類型：期刊論文

【摘要】：目的了解停供碘鹽后滄州市目前水源性高碘地區(qū)兒童甲狀腺腫病情,為制定防治措施提供科學(xué)依據(jù)。方法按《全國(guó)碘缺乏病監(jiān)測(cè)方案》在滄州市10個(gè)水源性高碘縣(市、區(qū))進(jìn)行居民無(wú)碘食鹽檢測(cè);在水碘含量100.0-1 100.0μg/L范圍內(nèi)抽取9個(gè)水源性高碘病情監(jiān)測(cè)點(diǎn),每個(gè)監(jiān)測(cè)點(diǎn)隨機(jī)抽取8-10歲兒童100名,其中,男、女各50名;用B超法檢測(cè)甲狀腺容積;隨機(jī)抽取其中不少于50名兒童(男、女各半)檢測(cè)尿碘含量;每個(gè)監(jiān)測(cè)村采集2份末梢水水樣,測(cè)定水碘含量;學(xué)校飲用凈化水的采集1份水樣,測(cè)水碘含量。結(jié)果 10個(gè)高碘縣(市、區(qū))共采集居民戶食用鹽2 580份,其中,無(wú)碘食鹽2 416份,無(wú)碘食鹽率為93.64%;9個(gè)水源性高碘病情監(jiān)測(cè)點(diǎn)對(duì)925名兒童進(jìn)行了甲狀腺容積檢測(cè),甲狀腺腫大116例,總甲腫率為12.54%,采集兒童尿樣542份,尿碘中位數(shù)為536.0μg/L;水碘值在100.0-500.0μg/L的監(jiān)測(cè)點(diǎn)兒童甲腫率與水碘值在500.0-1 096.0μg/L的監(jiān)測(cè)點(diǎn)兒童甲腫率具有統(tǒng)計(jì)學(xué)差異(χ2=40.17,Ρ0.01)。結(jié)論水源性高碘地區(qū)停供碘鹽措施后,水碘值在100.0-500.0μg/L的監(jiān)測(cè)點(diǎn)兒童甲腫病情較輕,水碘值≥500.0μg/L的地區(qū)病情仍較為嚴(yán)重。
[Abstract]:Objective to investigate the condition of goiter of children in water source high iodine area of Cangzhou after discontinuation of iodized salt, and to provide scientific basis for making prevention and cure measures. Methods according to the National Surveillance Program of iodine deficiency Disorders, 10 water-source high iodine counties (cities) in Cangzhou City, The iodine content of water was 100.0-1 ~ 100.0 渭 g / L, 9 monitoring points of water source hyperiodine disease were selected, 100 children (50 male and 50 female) were randomly selected from each monitoring point, and thyroid volume was measured by B-ultrasonic method. No less than 50 children (male and half female) were randomly selected to detect urinary iodine content; 2 peripheral water samples were collected from each monitoring village, and 1 water sample was collected from school drinking purified water. Results A total of 2,580 edible salt samples were collected from 10 high iodine counties (cities and districts), of which 2,416 were iodized salt, and the rate of iodized salt was 93.640.The thyroid volume of 925 children was measured in 9 water source hyperiodized disease monitoring sites. There were 116 cases of goiter, the total goiter rate was 12.54. 542 samples of children's urine were collected. The median of urinary iodine was 536.0 渭 g / L, the goiter rate of children at monitoring point 100.0-500.0 渭 g / L was significantly different from that of children with water iodine value of 500.0-1 096.0 渭 g / L (蠂 ~ 2 / 40.17, P ~ (0.01) 01). Conclusion after stopping iodized salt supply in water-source high iodine area, there is a significant difference in goiter rate between children and children with water iodine value of 500.0-1 ~ (-9) 渭 g 路L ~ (-1). The goiter of children with water iodine value of 100.0-500.0 渭 g / L was mild, and the area with water iodine value 鈮，

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