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目的:评价荣昌县碘缺乏病防治效果,为制定防治方案提供依据。方法:随机抽取9个乡镇360户居民食用盐,采用直接滴定法定量检测含碘量;抽取5所小学8～10岁儿童,采用触诊法检查甲状腺;采集100份尿液,采用砷铈催化分光光度测定法进行尿碘检测;调查150名五年级学生问卷调查碘缺乏病防治知识情况。结果:荣昌县消除碘缺乏病达标工作的组织管理、碘盐销售管理、监测与防治工作和健康教育工作等四方面的综合得分为97.85分。调查360户居民食用盐,盐碘中位数为32.00 mg/kg,居民合格碘盐食用率94.44%。甲状腺检查400人,肿大率为1.00%。尿碘检测100人,中位数为288.20μg/L,小于50?g/L比例为4.00%;大于300?g/L比例为47.00%。150名五年级学生碘缺乏病防治知识得分为4.75分。结论:荣昌县达到了消除碘缺乏病的阶段目标标准。
Objective: To evaluate the prevention and control of iodine deficiency disorders in Rongchang County and provide the basis for the development of prevention and treatment programs. Methods: 360 residents of 9 villages and towns were randomly selected for salt intake. The content of iodine was measured by direct titration. Five primary children aged 8 to 10 years old were selected for thyroid examination by palpation. 100 urines were collected and catalyzed by arsenic and cerium Urine iodine detection by spectrophotometry; Investigation of knowledge of prevention and treatment of iodine deficiency disorders in 150 fifth grade students. Results: In Rongchang County, the integrated score of 97.85 for the organization and management of eliminating iodine deficiency disorders, iodized salt sales management, monitoring and prevention work, and health education work. To investigate the consumption of salt by 360 households, the median salt iodine was 32.00 mg / kg, and the rate of eating iodine salt by residents was 94.44%. Thyroid examination 400 people, swelling rate was 1.00%. Urine iodine test 100 people, the median was 288.20μg / L, less than 50? G / L ratio was 4.00%; more than 300? G / L ratio of 47.00%. 150 fifth-grade students knowledge of iodine deficiency disorders prevention and control score was 4.75 points. Conclusion: Rongchang County has reached the target stage of elimination of iodine deficiency disorders.