摘要目的 评价山东省各级疾病预防控制机构碘检测能力,提高全省各级碘缺乏病实验室检测水平.方法 对2016年山东省省、市、县三级碘缺乏病实验室盐碘、水碘、尿碘实验室检测能力进行评价,盐碘用标准参考值±不确定度的方法进行评价;水碘和尿碘采用Z比分值法进行检测结果的统计学评价.结果 参加国家级考核的1个省级和17个市级盐碘、水碘、尿碘实验室以及30个县级盐碘实验室考核反馈率和合格率均为100％;参加省级考核的65个县级尿碘实验室反馈率为92.3％ (60/65),合格率为75.4％(49/65).结论 山东省省、市级盐碘、水碘、尿碘实验室和县级盐碘实验室检测能力均保持较高水平;多数县级尿碘实验室检测能力相对稳定,检测水平较高,部分县级尿碘实验室检测能力低.应重点加强县级尿碘实验室建设.

abstractsObjective To evaluate the testing ability of iodine in the disease control and prevention institutes at all levels in Shandong,and to raise their testing ability.Methods The testing ability of salt iodine,water iodine and urinary iodine of iodine deficiency disorders laboratories at provincial,prefectural and county levels in Shandong in 2016 was evaluated.The testing results of salt iodine were evaluated by using reference value ± uncertainty.The testing results of water iodine and urinary iodine of all the participatory laboratories were evaluated by using standard Z score generated from laboratories participated in the examination.Results One provincial and 17 prefectural salt iodine,water iodine and urinary iodine laboratories and 30 county level salt iodine laboratories took part in the national examination.Both the feedback rate and qualified rate of the testing results were 100％.The 65 urinary iodine laboratories at the county level took part in the provincial examination.The feedback rate was 92.3％ (60/65),and the qualified rate was 75.4％ (49/65).Conclusions The results of the national examination have showed that the testing ability at all levels of the laboratory is maintained at a higher level;the results of the provincial examination have showed that the testing ability of most of the county level urinary iodine laboratories is relatively stable at a higher level.The testing ability of some county level urinary iodine laboratories is low.We should focus on strengthening the county level urinary iodine laboratory construction.