天津市儿童高碘性甲状腺肿影响因素分析  

Influential factors of iodide goiter among children in Tianjin city

作　　者：刘洪亮[1,2] 曾强[1] 侯常春[1] 王洋[1] 刘忠慧[1] 韩树清[1] 崔维琪[1] 符刚[1] 

机构地区：[1]天津市疾病预防控制中心,300011 [2]天津医科大学公共卫生学院

出　　处：《中国公共卫生》2010年第6期684-685,共2页Chinese Journal of Public Health

基　　金：国家自然科学基金(30972555);天津市卫生局重点人才基金(06KR05)

摘　　要：目的分析天津市高碘性甲状腺肿的影响因素,为采取干预措施提供科学依据。方法根据水质监测结果和高碘地区的判定标准,对高碘地区和高碘病区的儿童进行尿碘和甲状腺检查,并对学生家庭食用盐碘进行检测。结果高碘地区儿童甲肿率为8.1%,高碘病区为5.8%,高碘地区儿童甲肿率高于高碘病区,但差异无统计学意义(χ2=2.50,P=0.114);高碘地区和高碘病区不同性别及年龄儿童甲肿率差异均无统计学意义;高碘地区和高碘病区甲状腺肿组饮用水中碘含量均明显高于非甲状腺肿组。高碘病区合格碘盐食用率明显低于高碘地区合格碘盐食用率(χ2=21.97,P=0.000);饮水水碘含量和食盐含碘量是影响当地儿童甲状腺肿的主要因素,且食盐含碘量对甲状腺肿的影响更大。结论在天津市水源性高碘地区可以采取以停供碘盐为主的干预措施,同时考虑改水。Objective To investigate the influential factors of iodide goiter among children in Tianjin and to provide a scientific basis for intervention on the disease.Methods According to the water monitoring results and iodine concentration,thyroid condition of elementary students in area with high iodine was tested.Meanwhile the condition of iodized salt intaked of the students’family was inspected.Results Goiter rate of the students in high water-iodine area and high water-iodine endemic area were 8.1% and 5.8%,and there was no significant difference compared to those of normal area（χ2=2.50,P=0.114）.Gender and age had influence on goiter rate of the students.Water iodine of iodide goiter group was higher than that of non-iodide goiter guoup in high water-iodine area and high water-iodine endemic area.Iodized salt consumption rate in high water-iodine endemic area was significantly lower than that of in high water-iodine area （χ2=21.97,P=0.000）.Water iodine and salt iodine were main influential factors of local children iodide goiter and salt iodine was the most important factor.Conclusion To stop the supply of iodized salt and to improve the quality of drinking water in high water-iodine area in Tianjin could be effective interveation on iodide goiter.

关 键 词：高碘性甲状腺肿 碘 甲状腺 

分 类 号：R179[医药卫生—妇幼卫生保健]