舟山群岛碘营养状况和甲状腺结节患者调查  

Investigation of iodine nutrition and prevalence of thyroid nodules in Zhoushan Archipelago

作　　者：竺王玉[1] 周世权[1] 王晔恺[1] 胡晓斐[1] 郑笑娟[1] 赵臣银[1] 袁惠萍[1] 刘晓光[1] 张永 

机构地区：[1]奎舟山市人民医院,浙江316004

出　　处：《中国预防医学杂志》2010年第2期113-116,共4页Chinese Preventive Medicine

基　　金：国家星火计划项目(2008GA700174);浙江省科技厅面上项目(2008C33043)

摘　　要：目的调查舟山群岛城镇居民、农民、岱山盐民、嵊泗渔民及普陀山僧侣碘营养状况、甲状腺结节患病情况及致甲状腺结节的相关影响因素。方法对舟山群岛1389名城镇居民、502名农民、737名岱山盐民、362名嵊泗渔民及294名普陀山僧侣进行流行病学问卷调查、甲状腺B超检查和尿碘测定。结果舟山群岛城镇居民、农民、岱山盐民、嵊泗渔民及普陀山僧侣的尿碘中位数(MUI)分别为320.7μg/L,188.9μg/L,122.2μg/L,193.6μg/L,271.7μg/L,甲状腺结节的患病率分别为25.9%,25.5%,32.0%,16.0%,16.7%。女性较男性更易患甲状腺结节(P<0.05),年龄越大,患甲状腺结节的危险性越高。饮食史、吸烟史、饮酒史、饮茶史、尿碘值与甲状腺结节无明显相关性。结论本调查研究表明,舟山群岛居民碘营养充足;各人群甲状腺结节患病率均较高。Objective To investigate the iodine nutrition and prevalence of thyroid nodules in urban residents,farmers,salt-makers,fishermen and monks in Putuo Mountain and the risk factors of thyroid disease in Zhoushan Archipelago.Methods A questionnaire survey,B-ultrasound examination of thyroid and measurement of urinary iodine concentration were carried out for 1 389 urban residents,502 farmers,737 salt-makers,362 fishermen and 294 monks in Zhoushan Archipelago.Results The median concentrations of urinary iodine were 320.7 μg/L,188.9 μg/L,122.2 μg/L,193.6 μg/L and 271.7 μg/L,and the prevalences of thyroid nodules were 25.9%,25.5%,32.0%,16.0% and 16.7%,respectively for urban residents,farmers,salt-makers,fishermen and monks in Putuo Mountain.Women had higher risk of thyroid nodules than men.Prevalence of thyroid nodules was significantly related to age increase（P0.05）.There was no significant association found between thyroid nodules and diet,cigarette smoking,alcohol drinking,tea drinking and the urinary iodine concentration.Conclusion Residents of Zhoushan Archipelago had high prevalence of thyroid nodules although with adequate iodine intake.

关 键 词：碘 甲状腺结节 流行病学 

分 类 号：R581[医药卫生—内分泌]