2009年河南省普遍加盐前后6 ~ 15岁出生儿童智力和精神运动功能的研究

He-ming Zheng, Yu Wang, Jin Yang
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引用次数: 0

摘要

目的调查分析普及食盐碘化(USI)后新生儿智力和精神运动功能的变化。方法2008年选取河南省历史水碘浓度低于10μg/L的大病区作为研究点,以历史非流行区50 ~ 100 μg/L的水碘浓度为控制点。采用整群抽样的方法选取6 ~ 15岁儿童作为观察对象,采用CRT- Man测验(CRT- c2)测定智商。采用“天津医学精神运动测试组”(JPB)对精神运动功能进行测试。结果在IDD地区调查usi后患儿230例,usi前患儿1284例。USI后和USI前的智商分别为99.3和99.9,智商≤69的比例分别为2.17%(6/230)和2.80%(36/1284)。在非缺碘症地区,650名儿童接受了usi后的调查,2079名儿童接受了usi前的调查。USI后和USI前的智商分别为95.3和93.8,智商≤69的比例分别为2.31%(15/650)和3.37%(70/2079)。IDD地区USI后T评分和损伤指数异常率分别为3.6%(2/56)、5.3%(3/56),显著低于USI前[18.1%(29/160)、18.1%(29/160),x2 = 7.54、6.86,均P < 0.01]。结论USI可提高儿童智商,降低JPB阳性率,显著提高国民素质,持续消除IDD。关键词:碘化物;盐;情报;精神运动功能
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Study of intelligence and psychomotor function in children aged 6 - 15 years and born pre and post universal salt iodization in Henan province in 2009
Objective Investigation and analysis of intelligence and psychomotor function in children born after implementingt universal salt iodization(USI). Methods Historical serious illness areas of water iodine below 10μg/L were selected as study sites, water iodine in 50 - 100 μg/L in the historical non-endemic areas were as control points in Henan, 2008. Cluster sampling was used to select children aged 6 - 15 years as observing subjects,IQ were measured with CRT- Man Test(CRT-C2). A "Tianjin Medical psychomotor test battery" (JPB) was carry out to test psychomotor function. Results In IDD regions 230 children were surveyed post-USI and 1284 children preUSI. The IQs post and pre USI were 99.3 and 99.9, respectively, and the proportion of IQ ≤69 were 2.17%(6/230) and 2.80%(36/1284), respectively. In non-IDD regions 650 children were surveyed post-USI and 2079children pre-USI. The IQs post and pre USI were 95.3 and 93.8, respectively, and the proportion of IQ ≤ 69 were 2.31%(15/650) and 3.37%(70/2079), respectively. In IDD regions, the abnormal rate of T scores and damage index post USI were 3.6%(2/56), 5.3%(3/56), respectively, significantly lower than pre USI [18.1%(29/160),18.1%(29/160), x2 = 7.54, 6.86, all P < 0.01]. Conclusions USI could increase the IQs of children and decrease the positive rate of JPB, and significantly improve the quality of whole nation and persistently eliminating IDD. Key words: Iodides; Salts; Intelligence; Psychomotor function
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来源期刊
中华地方病学杂志
中华地方病学杂志 我国对人类健康危害特别严重的地方性疾病:克山病、大骨节病、碘缺乏病、地方性氟中毒、地方性砷中毒、鼠疫、布鲁氏菌病、寄生虫、新冠肺炎等疾病,同时还报道多发性自然疫源性疾病。
CiteScore
1.60
自引率
0.00%
发文量
8714
期刊介绍: The Chinese Journal of Endemiology covers predominantly endemic diseases threatening health of the people in the areas affected by the diseases including Keshan disease, Kaschin-Beck Disease, iodine deficiency disorders, endemic fluorosis, endemic arsenism, plague, epidemic hemorrhagic fever, brucellosis, parasite diseases and the diseases related to local natural and socioeconomic conditions; and reports researches in the basic science, etiology, epidemiology, clinical practice, control as well as multidisciplinary studies on the diseases.
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