乐昌市克汀病老病区与非病区人群尿碘及甲状腺结节关系的现况研究

发布时间：2018-03-10 19:32

本文选题：克汀病老病区人群　切入点：尿碘含量　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】：目的了解乐昌市克汀病老病区与非病区人群尿碘水平及甲状腺结节的分布。方法选择克汀病老病区的乐昌市大源镇和非病区的乐城镇按分层整群方法抽取10~60岁常住居民共648名,进行甲状腺超声检查、盐碘、尿碘含量检测。结果克汀病老病区人群尿碘水平高于非病区人群,尿碘中位数分别为175.9μg/L和138.7μg/L,其中分布于200μg/L及以上的比重高于非病区人群,差异有显著性(P=0.001);克汀病老病区与非病区人群甲状腺结节检出率分别为21.17%和20.10%,差异无显著性。克汀病老病区与非病区人群各年龄组的检出率均以40岁组及以上明显上升,分别为21.12%~38.96%之间和19.77%~38.20%之间,差异均有显著性(分别P=0.000)。结论乐昌市克汀病老病区与非病区人群尿碘中位值均处于适宜水平,甲状腺结节检出率差异无显著性。表明实行食盐加碘为主的综合防治措施对碘缺乏病控制效果明显,目前尚无更多或充分的流行病学依据予以论证碘的过量摄入及其可致其他甲状腺疾病的增高。
[Abstract]:Objective to investigate the distribution of urinary iodine and thyroid nodule in old and non-endemic areas of cretinism in Lechang City. Methods 648 residents aged 10 to 60 years old were selected from Dayuanzhen and Lerotown of Lechang City according to stratified cluster method. Results the level of urinary iodine in cretinism aged area was higher than that in non-endemic area. The median of urinary iodine was 175.9 渭 g / L and 138.7 渭 g / L, respectively, and the proportion distributed in 200 渭 g / L and above was higher than that in non-endemic area. The positive rate of thyroid nodule was 21.17% and 20.10 in cretinism aged area and non-endemic area, respectively. The detection rate of thyroid nodule in cretinism old area and non-sick area was significantly higher than that in 40 years old group and above age group. There were significant differences between 21.128.96% and 19.770.20% (P < 0.000). Conclusion the median value of urinary iodine in cretinism aged area and non-endemic area of Lechang City is at the appropriate level. There was no significant difference in the detection rate of thyroid nodules. At present, there is no more or sufficient epidemiological evidence to prove that excessive iodine intake and the increase of other thyroid diseases.
【作者单位】：乐昌市疾病预防控制中心检验科;
【基金】：2017年韶关市卫生计生科研计划项目(Y17147)
【分类号】：R446.1;R581

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