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2020—2023年青浦地区儿童尿碘结果分析
邵未艾, 刁永卿, 胡洁兰, 黎文杰, 李姣
上海市青浦区疾病预防控制中心, 上海 201700
摘要:
通过分析2020—2023年上海市青浦区8~10岁儿童的尿碘监测结果,探讨了儿童碘营养状况的变化趋势,为青浦区科学调整碘缺乏病防治干预策略提供科学依据及理论支持.根据《全国碘缺乏病监测方案》的要求进行采样,共收集8~10岁儿童的尿碘监测结果803份,同时采集所有调查对象家中食用盐样检测碘含量,采用B超法测量儿童甲状腺容积.结果显示:2020—2023年上海市青浦区居民户食用盐碘质量分数的中位数为25.65 mg·kg-1(四分位数为7.54~28.55 mg·kg-1),碘盐合格率为88.4%,碘盐覆盖率为65.0%,合格碘盐食用率为57.3%,儿童尿碘质量浓度中位数为199.25 μg·L-1(四分位数为129.20~308.22 μg·L-1),儿童甲状腺肿大率为1.2%.青浦区8~10岁儿童碘营养水平处于适宜水平,但仍有必要持续开展碘缺乏病监测.
关键词:  碘缺乏病  儿童  尿碘  盐碘
DOI:10.20192/j.cnki.JSHNU(NS).2024.05.007
分类号:R181.3
基金项目:
Analysis of urine iodine results of children in Qingpu area from 2020 to 2023
SHAO Weiai, DIAO Yongqing, HU Jielan, LI Wenjie, LI Jiao
Qingpu District Center for Disease Control and Prevention, Shanghai 201700, China
Abstract:
By analyzing the monitoring results of urinary iodine among 8-10 year old children in Qingpu District, Shanghai from 2020 to 2023, we explores the changing trend of children’s iodine nutrition status, providing scientific basis and theoretical support for the scientific adjustment of iodine deficiency disease prevention and intervention strategies in Qingpu District. According to the requirements of the National iodine deficiency disorders surveillance program, a total of 803 urine iodine monitoring results were collected from children aged 8-10 years old. At the same time, salt samples were collected from all surveyed subjects’ homes to detect iodine content, and the thyroid volume of children was measured using B-ultrasound method. The results showed that for the residents of Qingpu District, Shanghai from 2020 to 2023, the median mass fraction of iodine in edible salt was 25.65 mg·kg-1(quartilesis were 7.54-28.55 mg·kg-1), the qualified rate of iodized salt was 88.4%, the coverage rate of iodized salt was 65.0%, and the consumption rate of qualified iodized salt was 57.3%. The median urinary iodine mass concentration of children was was 199.25 μg·L-1(quartilesis were 129.20-308.22 μg·L-1). The incidence of thyroid enlargement in children was 1.2%. The iodine nutrition level of children aged 8-10 in Qingpu District is at an appropriate level. However, it is still necessary to continue monitoring iodine deficiency disease.
Key words:  iodine deficiency disease  children  urine iodine  salt iodine