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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
摘要:
目的 本研究旨在通过分析2020-2023年间上海市青浦区8~10岁儿童的尿碘监测结果,探讨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。方法 根据《全国碘缺乏病监测方案》的要求进行采样,共收集2020-2023年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2020-2023年上海市青浦区居民户食用盐碘含量为25.65(7.54~28.55)mg/kg,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%。儿童尿碘中位数为199.25(129.20~308.22)μg/L。儿童甲状腺肿大率为1.17%。结论 青浦区8-10岁儿童碘营养水平处于适宜水平 ,青浦区的碘缺乏病防治工作一直做得比较好,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
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Analysis of urine iodine results of children in Qingpu area from 2020 to 2023
Shao Weiai, Diao yongqing, Hu jielan, Li wenjie, Li jiao
Shanghai Qingpu District Center for Disease Control and Prevention
Abstract:
Aim This study aims to analyze the urinary iodine monitoring results of children aged 8-10 in Qingpu District, Shanghai from 2020 to 2023, Exploring the changing trends 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.Methods Sampling shall be conducted in accordance with the requirements of the National Iodine Deficiency Disease Surveillance Program, 803 urine iodine monitoring results were collected from children aged 8-10 years old from 2020 to 2023.All subjects were collected to detect the iodine content of edible salt samples at home, and the B-ultrasound method was used to measure the thyroid volume of children.Results A total of 803 salt samples were collected for quantitative testing. The salt iodine content was 25.65 (7.54~28.55) mg/kg, 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%. A total of 803 urine samples were tested for children, and the median urine iodine was 199.25 (129.20~308.22) μg/L. The incidence of thyroid enlargement in children was 1.17%. Conclusion The iodine nutrition level of children aged 8-10 in Qingpu District is at an appropriate level. The prevention and treatment of iodine deficiency diseases in Qingpu District has been doing well, but it is still necessary to continue to monitor iodine deficiency diseases.
Key words:  iodine deficiency disease  children  urine iodine  salt iodine