海南省地方性甲状腺肿流行病学调查及干预措施分析

发布时间：2018-05-15 13:23

本文选题：海南省 + 地方性甲状腺肿　；参考：《中国地方病防治杂志》2016年02期

【摘要】：目的调查海南省地方性甲状腺肿流行病学特点,并分析其干预措施。方法采取流行病学的调查方法对海南省2010年~2015年间的1200例地方性甲状腺肿患者的发病特点和发病趋势以及临床表现,并依据流行病特点进行制定干预措施。结果男性500例(比例41.7%),女性700例(58.3%),男性地方性甲状腺肿发病率明显的低于女性,数据比较差异有统计学意义(P0.05)。地方性甲状腺肿患者的年龄分布比较广泛,年龄段为16~20、21~30、31~40、41~50、51~60、61~70、71~77,构成比分别为7.4%、10.1%、12.1%、14.1%、16.0%、17.2%、23.1%。2010年、2011年、2012年、2013年、2014年、2015年中地方性甲状腺肿发生率分别为31.7%、22.8%、18.2%、14.3%、8.7%、4.3%。B超检查地方性甲状腺肿主要分型为弥漫性肿、结节性肿、甲状腺瘤、胶质性肿和甲状腺癌,构成比分别为54.3%、30.1%、9.0%、4.8%、1.8%。地方性甲状腺肿临床分度表现为Ⅰ度、Ⅱ度和Ⅲ度以及Ⅳ度,构成比分别为91.3%、5.7%、2.1%、1.0%。地方性甲状腺肿患者饮用水含碘量为86-1895μg/L。其中,乡镇地区、县级地区、市级地区的饮用水含碘量分别为(1217.5±2311.7)、(756.3±99.6)、(174.7±21.6)μg/L,且市级地区饮用水含碘量明显的低于乡镇地区、县级地区饮用水含碘量,数据比较差异有统计学意义(P0.05)。结论海南省地方性甲状腺肿患者流行病学特点相对比较明显,其发病可能与患者的生活水平以及碘摄入量有着关联,可以依据临床特征进行制定干预措施,改善海南省地区地方性甲状腺肿发病状况。
[Abstract]:Objective to investigate the epidemiological characteristics of local goiter in Hainan Province, and to analyze its intervention measures. Methods the epidemiological characteristics and clinical manifestations of 1200 patients with endemic goiter in Hainan Province during ~2015 2010 were investigated by epidemiological investigation methods, and the intervention measures were made according to the epidemiological characteristics. There were 500 cases (41.7%) and 700 women (58.3%). The incidence of local goiter was significantly lower than that of women. The difference of data was statistically significant (P0.05). The age distribution of the patients with endemic goiter was 16~20,21~30,31~40,41~ 50,51~60,61~70,71~77, and the constituent ratio was 7.4%, 10.1%, 12.1%, 14.1%, 16, respectively. In%, 17.2%, 23.1%.2010, 2011, 2012, 2013, 2014, and 2015, the incidence of endemic goiter was 31.7%, 22.8%, 18.2%, 14.3%, 8.7%. Local goiter was mainly classified as diffuse swelling, nodular swollen, thyroid tumor, gelatinous swelling and thyroid cancer, and the constituent ratio was 54.3%, 30.1%, 9%, 4.8%, 1.8%., respectively. The clinical score of square goiter was I degree, II degree, grade III and IV degree, the ratio of the composition ratio was 91.3%, 5.7%, 2.1%. The iodine content of drinking water in the patients with endemic goiter was 86-1895 mu g/L., the iodine content of drinking water in the township, county and municipal areas was (1217.5 + 2311.7), (756.3 + 99.6) and (174.7 + 21.6) mu g/L, respectively. The iodine content in the drinking water in the municipal area is obviously lower than that in the township, and the iodine content in the drinking water in the county area is statistically significant (P0.05). Conclusion the epidemiological characteristics of the local goiter in Hainan province are relatively obvious, and the incidence of the patients may be related to the living level and iodine intake of the patients. Clinical features were formulated to improve the incidence of endemic goiter in Hainan province.

【作者单位】：海南省人民医院消毒供应中心;
【分类号】：R581.3

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