缺碘病区补碘后儿童身心发育的调查分析  

A survey on physical development and intelligence in children and teenagers 12 year after prophylaxis of iodination in Jilin Province

作　　者：金玉珂[1] 谢秀珍[1] 陈强[1] 张毅南 吕彩霞[1] 刘钢[1] 冯晓黎 韩岁梅[1] 沙路平 廖凯 刘玉英 王河 张光 朱德志 

机构地区：[1]白求恩医科大学预防医学院,中日联谊医院,白求恩医科大学第一临床学院,长春市卫生防疫站,吉林省劳动卫生职业病研究所

出　　处：《中国地方病学杂志》1995年第2期81-83,共3页Chinese Jouranl of Endemiology

摘　　要：吉林省６个县（市）１２所小学儿童在补碘１２年后调查发现，甲状腺肿大５．１３％，尿碘值＜５０μｇ／ｇ．Ｃｒ者占２０．９９％，ＴＳＨ＞１０μＩＵ／ｍｌ占０．５７％，有２１％儿童体内摄碘不足。智商均值９６．６３±１３．７３，但智商值向低值偏移，智力落后占６．１２％，超出正常地区２～３倍．听力减退占７．０２％骨龄延迟占６２．４％身高、胸围发育差者各占７．５２％和１０．４４％。亚临床克汀病患病率约４．３４％。对几项指标的诊断价值进行初步讨论。The paper reported that the thyroid enlargement rete was 5. 13%. Urine iodine<50μg/g. Crwas 20. 99%,TSH≥10μIU/ml was 0. 57%. The body iodine of 21% children and teenagers wasnot sufficient,the intelligence quotient(IQ) backwardness was 6. 12% it was 2￣3 times higher iniodine deficiency area than that in control area. The audition decrease was 7. 02%. The skeletonage retardation was 62. 4%. The inferier of physical development was 7. 52%￣10.44%. The morbidity rate of endemic subclinic cretinism in chidren was 4. 34%. Preliminary discuss of several diagnosis indices was proceeded.

关 键 词：碘缺乏症 甲状腺肿 智商 骨龄 克汀病 儿童 

分 类 号：R591.101[医药卫生—内科学]