居民碘营养状况和甲状腺疾病的现况研究  

A Cross-Section Study on Iodine Nutrition Status and Thyroid Diseases

作　　者：徐惠庆[1] 朱培华[1] 

机构地区：[1]嘉兴市秀洲区疾病预防控制中心,浙江嘉兴314000

出　　处：《浙江预防医学》2013年第5期19-23,28,共6页Zhejiang Journal of Preventive Medicine

基　　金：浙江省科技厅重大专项(2009C03010-1)

摘　　要：目的了解和评估秀洲区不同人群碘营养状况,为科学补碘防控策略提供依据。方法采用分层整群抽样的方法对秀洲区居民进行问卷调查、尿碘检测、甲状腺检查和甲状腺功能检测。结果人群尿碘中位数213.43μg/L,尿碘水平<100μg/L占3.61%～40.63%;>200μg/L的为23.44%～79.52%;结节型甲状腺肿大率20.64%,结节型甲肿率随年龄上升而增高(P<0.01);结节型甲肿率女性是男性的1.58倍(P<0.01);甲状腺功能异常检出率为8.86%,甲状腺功能异常检出率女性是男性的1.38倍,甲状腺功能异常检出率40岁以上高于40岁以下,差异有统计学意义(P<0.05);不同碘营养水平甲状腺异常和功能性甲状腺异常差异均无统计学意义(P>0.05)。结论秀洲区居民碘营养状况大多处于适宜至过量的水平,结节型甲肿率高于内陆适碘地区平均水平,且与年龄、性别有关。Objective To understand and evaluate the current status of iodine nutrition and thyroid diseases in different populations of Xiu-Zhou district.Methods Questionnaire,urine iodione detection,imaging examination of thyroid gland and its function test were carried out among the residents selected by multistage sampling.Results The median of urinary iodine was 213.43 μg/L,in which <100 μg/L accounted for 9.31% and>300 μg/L accounted for 22.63%.The rate of nodular goiter was 20.64% and it was increased with age(P<0.01).Women's nodular goiter rate was 1.58 times of men(P<0.01).The rate of thyroid function abnormalities was 8.86%,which of female was 1.38 times of male,as well as which of populations aged above 40 was higher than who aged under 40(P<0.05).There was no significant difference on both imaging and functional thyroid abnormalities between residents with different levels of iodine nutrution state.Conclusion iodine nutritional status of residents in Xiuzhou district is at borderline level which is between suitability and excess.The nodular goiter rate is higher than the average rate of inland iodine intake areas and is correlated with age and gender.

关 键 词：碘缺乏病 尿碘 甲状腺疾病 

分 类 号：R581[医药卫生—内分泌]