徐州矿区亚临床甲状腺疾病的流行特征及分析  

The epidemiological characteristics and analysis of subclinical thyroid diseases in Xuzhou coal mine areas

作　　者：张淑贵[1] 焦亮[1] 龚莹[1] 蔡可英[1] 陆美琪[1] 

机构地区：[1]徐州医学院第二附属医院内分泌科,江苏徐州221006

出　　处：《徐州医学院学报》2010年第1期65-67,共3页Acta Academiae Medicinae Xuzhou

摘　　要：目的了解徐州矿区人群亚临床甲状腺疾病的患病率及流行特征。方法应用分层随机整群抽样方法调查徐州矿区常住(>5年)成年居民共468人,采用问卷调查、体格检查、甲状腺B超检查和功能检测方法采集数据。结果样本总人群、男性及女性亚临床甲状腺疾病的粗患病率分别为52.14%、37.01%和57.77%,甲状腺结节、亚临床甲状腺功能亢进症和亚临床甲状腺功能减退症的粗患病率分别为25.00%、4.06%和23.08%,亚临床甲状腺疾病的患病率随年龄的增加呈现上升趋势。女性甲状腺结节和亚临床甲状腺功能减退症患病率明显高于男性(P<0.05),而男性亚临床甲状腺功能亢进症患病率高于女性(P<0.01)。性别和年龄是亚临床甲状腺疾病发生的危险因素。结论徐州矿区成年人群亚临床甲状腺疾病患病率较高,应重视对矿区人群亚临床甲状腺疾病的筛查、治疗和随访。Objective To explore the incidence and prevalence characteristics of subclinical thyroid diseases in Xuzhou coal mine areas. Methods 468 permanent residents from the coal mine areas of Xuzhou, who had their residence for at least five years and were aged 20 or above, were survey by stratified sampling with questionnaire, physical examination, thyroid B ultrasonic examination and functional testing in data collection. Results The prevalence of subclinical thyroid diseases in sample population, males and females was 52.14% , 37.01% and 57.77% and had a tenden- cy of increase with age. The prevalence of thyroid nodules, subclinical hyperthyroidism and subclinical hypothyroidism was 25.00% , 4. 06% and 23.08% , respectively. The prevalence of thyroid nodules and subclinical hypothyroidism was higher in females than in males （ P 〈 0.05 ） , while males had a higher prevalence of subclinical hyperthyroidism （ P 〈 0.01 ）. Conclusion The high prevalence of subclinical of thyroid diseases in adults in Xuzhou coal mine areas requires timely screening, treatment and followups.

关 键 词：徐州矿区 甲状腺疾病 亚临床 患病率 

分 类 号：R587.1[医药卫生—内分泌]