天津市食盐加碘后甲状腺肿大率与碘营养状况的调查  

Investigation on iodine nutritional status and thyroid goiter prevalence of residents in Tianjin after salt iodination

作　　者：谭建[1] 方佩华[1] 卢倜章[1] 陈秉忠[1] 高硕[1] 董峰[1] 来则民[2] 周荫葆[1] 张志友[1] 戴连起[1] 黄广玉[1] 张富海[1] 

机构地区：[1]天津医科大学总医院核医学科,300052 [2]天津医科大学公共卫生学院

出　　处：《中华内分泌代谢杂志》2001年第2期75-78,共4页Chinese Journal of Endocrinology and Metabolism

摘　　要：目的　调查和研究食盐加碘后天津市居民的甲状腺肿大率和碘营养状况。方法　在 6个区共调查居民 315 30人 ,7～ 14岁在校儿童 44 15人。对调查对象进行甲状腺肿大率、尿碘浓度、食盐碘含量等项目的调查。结果　 (1)食盐加碘后天津市居民的平均甲状腺肿大率为 5 .5 % ,8～ 10岁儿童平均甲状腺肿大率为 19.7%。甲状腺肿大率较食盐加碘以前有了明显下降 ,但下降的速度较缓慢。 (2 )天津市食盐加碘以后各区居民的平均尿碘中位数为 2 87.2 μg/L ,各区儿童尿碘中位数平均为 2 71.6 μg/L。证明总体人群碘营养充足。 (3)天津市居民总体盐碘含量超过 2 0mg/kg水平 ,各区居民户盐含碘量有 9.9%～ 41.1%超过 6 0mg/kg。说明碘盐的含碘量偏高是一个新的现象。 结论经过 3年左右的食盐加碘防治工作 。Objective To investigate iodine nutritional status and thyroid goiter prevalence of residents in Tianjin after salt iodination. Methods From six districts, 31530 residents and 4415 pupils aged 7～14 years were selected by stratified cluster sampling. Their urinary iodine and iodine content of salt were measured. Their thyroid size and some children's 131 I thyroid uptake rate were also examined. Results The thyroid goiter prevalence were1.7%～10.6%(average 5.5%) in residents, 12.3%～32.4% (average 22.7%) in children aged 7～14 years and 13.0%～27.7% (average 19.7%) in 8～10 years groups respectively. The goiter prevalence decreased considerably but slowly after iodized salt supply. In four districts, the median urinary iodine was 287.2 μg/L in residents and was 271.6 μg/L in children aged 8～10 years. The data showed that iodine nutrition of residents was adequate. The iodine content of salt from residents' kitchens was generally over 20 mg/kg and over 60 mg/kg in 9.9%～41.1% of salt samples, hence the high iodine content in iodized salt may become an unfavorable factor to the residents. Children's 131 I uptakeratewaslowerthan before, whichindicated that iodine deficiency has no more existed. Conclusions The iodine nutritional status improves ultimately after iodized salt supplementation for three years in Tianjin. Median urinary iodine and iodized salt reach the national standard for eliminating iodine defeciency disease but the goiter rate slowly decreased. The results indicate that iodine deficiency status is under control in Tianjin.

关 键 词：碘 甲状腺肿 流行病学 研究 碘营养 

分 类 号：R581.3[医药卫生—内分泌]