河北省高碘地区8～10岁儿童甲状腺肿影响因素的研究  

STUDY ON INFLUENCING FACTORS OF GOITER OF CHILDREN AGED 8-10 YEARS OLD IN EXCESSIVE IODINE REGIONS OF HEBEI PROVINCE

作　　者：吕胜敏[1] 徐栋[1] 杜永贵[1] 种振水[1] 赵君[1] 姚光俊[1] 马景[1] 马东瑞[1] 贾丽辉[1] 

机构地区：[1]河北省疾病预防控制中心,石家庄050021

出　　处：《现代预防医学》2008年第7期1334-1335,共2页Modern Preventive Medicine

基　　金：河北省科技厅指导项目(062761161)

摘　　要：[目的]掌握河北省高碘地区8￣10岁儿童甲状腺肿大流行的影响因素。[方法]采用人口比例概率抽样方法(PPS)。[结果]采集测定居民饮用水样85份,水碘中位数为166.0μg/L。采集测定居民户盐样301份,盐碘中位数为28.8mg/kg,碘盐覆盖率为70.43%。B超法检查8￣10岁儿童1259名,发现甲状腺肿大138例,肿大率为10.96%。水碘大于150μg/L的调查点中,有碘盐供应的儿童甲状腺肿大率要高于无碘盐供应的,分别为12.1%和8.6%。[结论]碘盐加重了高水碘对儿童甲状腺造成的危害,高碘地区应停止供应碘盐。[Objective] To explore the influencing factors of goiter of children aged 8-10 years old in excessive iodine regions. [Methods] Used population proportioned sampling （PPS）. [Results] A total of 85 drinking water samples were collected and determined, the median of iodine was 166.0μg/1. A total of 301 salt samples were collected and determined, the median of iodine was 28.8 mg/kg, and coverage rate of iodized salt was 70.43%.Through B-ultrasound examination, 138 cases with goiter were identified from 1259 children aged 8-10 years old, goiter rate was 10.96%.Among the survey sites with water iodine above 150μg/l, the children＇s goiter rate with iodized salt supplied was higher than that without iodized salt supplied, which was 12.1% and 8.6% respectively. [Conclusion] Iodized .salt aggravates the damage to children＇s thyroid induced by excessive iodine in drinking water, hence the iodized salt supply shonld be canceled in regions with excessive iodine in drinking water.

关 键 词：高碘 甲状腺肿大 流行病学调查 

分 类 号：R581.3[医药卫生—内分泌]