吉林省成人甲状腺疾病流行病学研究

发布时间：2018-03-10 01:29

本文选题：成人　切入点：甲状腺疾病　出处：《中国地方病防治杂志》2017年03期 　论文类型：期刊论文

【摘要】：目的吉林省于2000年实现消除碘缺乏病阶段目标后,通过实施食盐加碘为主防治措施,全省碘缺乏病得到了有效控制。为了摸清在碘缺乏病病情有效控制下,全省成人甲状腺疾病患病现状,开展了此项研究。方法采用按人口比例概率抽样方法(PPS法),在全省采取连续抽样方法,确定30个县(市、区),从抽到的县(市、区)随机抽取一个乡(镇、街道),在每个乡(镇、街道)辖区内随机抽取一个村,在每个村中随机抽取80名20-60岁居民,男女各半进行甲状腺疾病筛查。结果全省9个市(州)30个县(市、区)共抽检20-60成人3007人,各种甲状腺疾病患病率依次为:甲状腺结节683例,患病率为22.71%;亚临床甲亢96例,患病率为3.19%;亚临床甲减81例,患病率为2.69%;临床甲亢56例,患病率为1.86%;临床甲减34例,患病率为1.13%;甲状腺癌21例,患病率为0.70%;甲状腺炎8例,患病率为0.27%;甲状腺球蛋白抗体阳性率为9.25%;抗甲状腺过氧化物酶抗体阳性率为12.04%。结论全省成人甲状腺疾病总体患病率为32.56%,共检出7种甲状腺疾病,其中,以甲状腺结节为高发为22.7%,其它依次为亚临床甲亢、亚临床甲减、临床甲亢、临床甲减、甲状腺癌和甲状腺炎;患病率与临床接诊情况相符;甲状腺疾病患病率性别比,女性患病总体高于男性,男∶女为1∶1.67;从年龄段患病情况看,甲状腺疾病患病随着年龄的增长甲状腺疾病患病率逐渐增加;地区之间、城乡之间患病率无显著差异;全省成人甲状腺疾病发病呈散在分布,不存在聚集性。
[Abstract]:Objective to achieve the goal of eliminating iodine deficiency disorders in Jilin Province in 2000, and to effectively control iodine deficiency disorders in Jilin province through the implementation of salt iodization, in order to find out the effective control of iodine deficiency disorders (IDD). This study was carried out in adult patients with thyroid diseases in the province. Methods 30 counties (cities, districts, counties) were determined by using the method of PPS sampling according to the proportional probability of the population and adopting the method of continuous sampling in the province. District) randomly select a township (town, street), select a village randomly within each township (town, street) jurisdiction, and randomly select 80 residents aged 20-60 years from each village. Results A total of 3007 adults were selected from 30 counties (cities and districts) in 9 cities (states) of the province. The prevalence rates of thyroid diseases were 683 cases of thyroid nodules, 22.71 cases of thyroid diseases, 96 cases of subclinical hyperthyroidism, 96 cases of subclinical hyperthyroidism. The prevalence rate was 3.19; the subclinical hypothyroidism was 81 cases, the prevalence rate was 2.69; the clinical hyperthyroidism was 56 cases, the prevalence rate was 1.86; the clinical hypothyroidism was 34 cases, the prevalence rate was 1.1313; the thyroid cancer was 21 cases, the prevalence rate was 0.70; the thyroiditis was 8 cases. The prevalence rate was 0.27, the positive rate of thyroid globulin antibody was 9.25 and the positive rate of anti-thyroid peroxidase antibody was 12.04.Conclusion the total prevalence rate of thyroid diseases in adults in the province is 32.56. The incidence of thyroid nodule was 22. 7%, the other was subclinical hyperthyroidism, subclinical hypothyroidism, clinical hyperthyroidism, clinical hypothyroidism, thyroid cancer and thyroiditis. The prevalence of thyroid diseases in females was higher than that in males (1: 1.67). The prevalence of thyroid diseases increased with age, but there was no significant difference between urban and rural areas. The incidence of thyroid diseases in adults in the province was scattered and there was no agglomeration.
【作者单位】：吉林省地方病第二防治研究所;
【分类号】：R181.3;R581

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