2016—2020年昆山市重点人群碘营养水平监测结果分析

职业与健康 ›› 2023, Vol. 39 ›› Issue (1): 39-42.

2016—2020年昆山市重点人群碘营养水平监测结果分析

陈磊^1a, 许寒冰², 孙晓雯^1b, 韩春妹^1b, 胡朝友^1a, 吕冠明³

1.昆山市疾病预防控制中心a检验科，b血寄地防治科，江苏昆山 215300;
2.昆山市卫生健康委员会疾病预防控制科，江苏昆山 215300;
3.昆山市妇幼保健院党政办公室，江苏昆山 215300

收稿日期:2022-06-15 修回日期:2022-08-16 发布日期:2026-02-28
通信作者: 许寒冰，副主任医师，E-mail：ksxuhanbing@163.com
作者简介:陈磊，男，主管检验师，主要从事疾病预防控制与检验检测工作。
基金资助:
昆山市社会发展科技计划项目（KS1766）

Analysis on surveillance results of iodine nutrition among key population in Kunshan City from 2016-2020

CHEN Lei^1a, XU Han-bing², SUN Xiao-wen^1b, HAN Chun-mei^1b, HU Chao-you^1a, LYU Guan-ming³

1. a Clinical Laboratory, b Department for Control of Schistosomiasis, Parasites and Endemic Diseases, Kunshan City Centre for Disease Control and Prevention, Kunshan Jiangsu 215300, China;
2. Department of Disease Control and Prevention, Kunshan Municipal Health Committee Kunshan, Kunshan Jiangsu 215300, China;
3. Government Office, Kunshan Maternal and Child Health Hospital, Kunshan Jiangsu 215300, China

Received:2022-06-15 Revised:2022-08-16 Published:2026-02-28
Contact: XU Han-bing，Associate chief physician，E-mail：ksxuhanbing@163.com

摘要/Abstract

摘要： 目的分析“十三五”期间（2016—2020 年）昆山市重点人群碘营养水平分布状况，为制定昆山市碘缺乏病防治策略提供科学依据。方法每年根据地理方位采用分层随机抽样法抽取8~10岁儿童和孕妇，采集其尿样和家中食用盐样，测定尿碘及盐碘含量。结果 2016—2020年，昆山市共采集1 609份盐样，其中碘盐覆盖率为97.39%，碘盐合格率为 99.49%，合格碘盐食用率为96.89%。共采集 8~10 岁儿童尿样1 084份，尿碘中位数为202 μg/L，年度间差异有统计学意义（χ²=26.857，P<0.01）。共采集孕妇尿样525份，尿碘中位数为154 μg/L，其中尿碘值<150 μg/L 的占 47.81%，各年份间孕妇尿碘含量中位数差异无统计学意义（χ²=4.738，P>0.05）。结论 “十三五”期间，昆山市重点人群总体碘营养水平处于适宜水平，但有24.72%的儿童碘营养过剩，47.81%的孕妇碘营养缺乏，需对这2类人群进行分类指导，在加强孕妇补碘的同时应减少儿童的碘摄入量。

关键词: 重点人群, 碘营养, 盐碘, 尿碘, 监测

Abstract: Objective To analyze the distribution of iodine nutrition level of key population in Kunshan City during the "13th Five-Year Plan"（2016-2020），provide scientific basis for the formulation of the prevention and control policies of iodine deficiency disease. Methods By the stratified random sampling，the children aged 8-10 years old were selected according to geographical location every year，and their urine samples and edible salt samples were collected to determine the content of urine iodine and salt iodine. Results A total of 1 609 salt samples were collected in Kunshan City from 2016 to 2020. The coverage rate of iodized salt was 97.39%，the qualified rate of iodized salt was 99.49%，and the consumption rate of qualified iodized salt was 96.89%. A total of 1 084 urine samples were collected from children aged 8-10 years old，and the median urine iodine was 202 μg/L. There was statistically significant difference among different years（χ²=26.857，P<0.01）. A total of 525 urine samples of pregnant women were collected，and the median of urine iodine was 154 μg/L. The samples of urine iodine value <150 μg/L accounted for 47.81%. There was no statistically significant difference in the median urine iodine of pregnant women among different years（χ²=4.738，P>0.05）. Conclusion During the "13th Five-Year Plan"，the overall iodine nutrition level of key population in Kunshan City is at an appropriate level，but 24.72% children have excess iodine nutrition and 47.81% of pregnant women have iodine nutrition deficiency，which requires classification guidance for these two groups of people，including strengthen iodine supplements for pregnant women and reducing iodine intake for children.

Key words: Key population, Iodine nutrition, Salt iodine, Urine iodine, Surveillance

中图分类号:

R153

陈磊, 许寒冰, 孙晓雯, 韩春妹, 胡朝友, 吕冠明. 2016—2020年昆山市重点人群碘营养水平监测结果分析. [J]职业与健康, 2023, 39(1): 39-42.

CHEN Lei, XU Han-bing, SUN Xiao-wen, HAN Chun-mei, HU Chao-you, LYU Guan-ming. Analysis on surveillance results of iodine nutrition among key population in Kunshan City from 2016-2020. [J]OCCUPATION AND HEALTH, 2023, 39(1): 39-42.

参考文献

[1] 苏晓辉,孙殿军.《中国居民补碘指南》解读[J].中华医学信息导报,2018,33(23):25.
[2] 许寒冰,韩春妹,孙晓雯,等.昆山市重点人群碘营养状况调查[J].职业与健康,2017,33(10):48-50.
[3] 苏静,徐娟,沈玲娥,等.2017 年苏州市重点人群碘营养水平调查分析[J].公共卫生与预防医学,2018,29(4):123-126.
[4] 丁晓洁,韩春妹,孙晓雯,等.2016—2020年江苏省昆山市重点人群碘营养监测结果[J].河南预防医学杂志,2021,32(11):840-842,864.
[5] 许寒冰,韩春妹,孙晓雯,等.2016年昆山市居民生活饮用水水碘监测结果分析[J].临床医药文献电子杂志,2017,4(23):162,186.
[6] 中华人民共和国国家质量监督检验检疫总局,中国国家标准化管理委员会.制盐工业通用试验方法碘的测定:GB/T 13025.7—2012[S].北京:中国标准出版社,2012:1-12.
[7] 中华人民共和国国家卫生和计划生育委员会.尿中碘的测定第1部分:砷铈催化分光光度测定法:WS/T 107.1—2016[S].北京:中国标准出版社,2016:1-7.
[8] 中华人民共和国卫生部.食品安全国家标准食用盐碘含量:GB 26878—2011[S].北京:中国标准出版社,2011:1-4.
[9] WHO/UNICEF/ICCIDD.Assessment of iodine deficiency disorders and monitoring their elimination:a guide for programme managers[M].2nd edition.Geneva:WHO/NUT,2001:31-37.
[10] 许寒冰,韩春妹,孙晓雯,等.2016年昆山市碘缺乏病监测结果[J].职业与健康,2018,34(10):65-67,71.
[11] 陈祝军,钱志荣,吴建兵,等.2018—2020 年张家港市重点人群碘营养监测结果分析[J].中国地方病防治,2020,35(6):648-650.
[12] 梁磊,苏锋,姜玮,等.2017—2019 年安康市碘缺乏病监测结果分析[J].中国地方病防治,2020,35(4):435-439.
[13] 皮海轮,王安娜,史继新,等.盐业体制改革前后北京市顺义区碘缺乏病监测结果分析[J].中国地方病防治,2020,35(6):629-632.
[14] 赵孝泽,段恒先,张碧荣.2011—2015年保山市隆阳区居民户食用碘盐监测结果分析[J].河南预防医学杂志,2020,31(2):116-119.
[15] 丁晓洁,韩春妹,孙晓雯,等.“十三五”期间昆山市居民食用盐碘含量监测结果分析[J].中国地方病防治,2021,36(2):157-159.
[16] 陈元爱,姚青霄,瞿新.南京市建邺区2015—2018年孕妇碘营养状况[J].江苏预防医学,2019,30(6):695-696.
[17] 郁超,杨文洲,高红霞,等.2009—2015年淮安市盐碘及孕妇尿碘监测分析[J].江苏预防医学,2015,26(6):58-59.
[18] 王彩霞,康建山,姚巧玲,等.2016年洛阳市碘缺乏病防治现况调查[J].中国地方病防治杂志,2018,33(1):10-12.
[19] 郑灿杰,方泉均,龚晓英,等.2019 年衢州市重点人群碘营养状况分析[J].中国地方病防治杂志,2020,35(2):109-112.
[20] 李悦,向继平,曲淑娜,等.2016—2018 年山东省烟台市8~10岁儿童碘营养状况分析[J].中华地方病学杂志,2020,39(5):358-361.
[21] 娄畅,张镇权,王迎军,等.2017—2019 年北京市延庆区8~10岁儿童碘营养状况分析[J].中国地方病防治,2020,35(6):643-645.
[22] 段雅妮,王洋,崔玉山,等.2015—2019 年天津市孕妇碘营养状况分析[J].公共卫生与预防医学,2021,32(1):63-66.
[23] 王军,缪平.2019年如东县居民碘营养状况分析[J].中国地方病防治,2020,35(6):640-642.
[24] 单忠艳.中国居民补碘指南解读[J].中国实用内科杂志,2019,39(4):347-350.
[25] 赵鹏山,马晓玲,凌曦,等.2018—2020年新疆生产建设兵团儿童和孕妇碘营养状况分析[J].现代预防医学,2021,48(21):3893-3896.
[26] 朱剑,张增利.2015—2017年无锡市惠山区重点人群碘营养状况[J].职业与健康,2018,34(7):897-899,904.