内陆至沿海迁移人群甲状腺疾病的调查分析

发布时间：2018-05-18 12:38

本文选题：甲状腺疾病 + 迁移人群　；参考：《中国全科医学》2017年12期

【摘要】：目的调查由内陆至沿海迁移人群甲状腺疾病发生情况,探讨迁移人群甲状腺疾病的流行趋势。方法2016年1—6月,选取2006年以前部分随工作单位搬迁、由沧州市及其西部县搬迁至黄骅港并长期改居于黄骅港及周边地区10~20年的10个企、事业单位职工及随行配偶共2 357例为迁移组,上述企、事业单位未搬迁的职工及配偶共3 378例为原地组。分析两组的人口学资料(性别、年龄、民族、文化程度、吸烟情况、饮酒情况、家庭人均年收入)。在此基础上比较两组慢性淋巴细胞性甲状腺炎(CLT)、甲状腺结节病、毒性弥漫性甲状腺肿(GD)患病率。两组均有部分甲状腺结节病患者行手术治疗并进行病理检查,比较其术后病理类型。由于条件限制,采用整群抽样法抽取两组中部分人员(迁移组92例、原地组84例)检测尿碘水平(时间:2016年3月),比较两组抽样人群的尿碘水平。结果两组性别、年龄、民族、文化程度、吸烟情况、饮酒情况、家庭人均年收入比较,差异无统计学意义(P0.05)。迁移组CLT、GD患病率均高于原地组(P0.05);迁移组和原地组甲状腺结节病患病率比较,差异无统计学意义(P0.05)。迁移组中进行甲状腺结节病手术者166例,病理类型:结节性甲状腺肿89例(53.6%)、甲状腺腺瘤44例(26.5%)、甲状腺癌31例(18.7%)、其他2例(1.2%);原地组中进行甲状腺结节病手术者183例,病理类型:结节性甲状腺肿81例(44.3%)、甲状腺腺瘤80例(43.7%)、甲状腺癌20例(10.9%)、其他2例(1.1%);迁移组和原地组甲状腺结节病手术者术后病理类型比较,差异有统计学意义(χ~2=12.402,P=0.006)。迁移组抽样人群尿碘水平比较,差异有统计学意义(χ~2=15.049,P=0.020)。结论由内陆至沿海迁移人群的甲状腺疾病患病率增加,因此由内陆至沿海的迁移人群是一个需要格外关注和采取预防措施的群体。
[Abstract]:Objective to investigate the prevalence of thyroid diseases in migrants from inland to coastal areas. Methods from January to June 2016, 10 enterprises moved from Cangzhou and its western counties to Huanghua Port before 2006, and changed to live in Huanghua Port and its surrounding areas for 10 ~ 20 years. A total of 2 357 employees and accompanying spouses of institutions were in the migration group, and 3 378 cases of the above mentioned enterprises and their spouses were in situ. The demographic data of the two groups (sex, age, nationality, education, smoking, alcohol consumption and per capita household income) were analyzed. On this basis, the prevalence of chronic lymphocytic thyroiditis (CLT), thyroid sarcoidosis and toxic diffuse goiter (GD) was compared between the two groups. Two groups of patients with thyroid sarcoidosis underwent surgical treatment and pathological examination, compared their postoperative pathological types. Due to the limitation of the conditions, some of the two groups (92 cases in the migration group and 84 cases in the in-situ group) were selected by cluster sampling to detect the level of urinary iodine (time: March 2016, comparison of urinary iodine level between the two groups). Results there was no significant difference between the two groups in sex, age, nationality, education, smoking, drinking and household income per capita (P 0.05). The prevalence rate of CLTN GD in migration group was higher than that in situ group (P 0.05), and there was no significant difference between migration group and in situ group in the prevalence of thyroid sarcoidosis. In the migration group, 166 cases underwent thyroid sarcoidosis surgery, and the pathological types were as follows: 89 cases of nodular goiter, 44 cases of thyroid adenoma and 26.5% of thyroid adenoma, 31 cases of thyroid carcinoma, and 2 cases of other 2 cases of sarcoidosis, and 183 cases of thyroid sarcoidosis were operated on in situ group. Pathological types: 81 cases of nodular goiter, 80 cases of thyroid adenoma and 43.7%, 20 cases of thyroid carcinoma, and 2 cases of other two cases, the pathological types of thyroid sarcoidosis in migration group and in situ group were significantly different (蠂 ~ 2 12.402 P 0.006). There was significant difference in urine iodine level in the migration group (蠂 ~ (2 +) 15.049) and the urine iodine level was 0.020% in the migration group (蠂 ~ (2 +). Conclusion the prevalence of thyroid diseases in the population from inland to coastal areas is increasing, so the migration from inland to coastal areas is a group that needs special attention and preventive measures.
【作者单位】：河北省沧州市中心医院体检中心;
【分类号】：R581

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