地方性甲状腺肿和地方性克汀病高低发区儿童智能对比调查  

A Comparative Survey of Children's Intelligence in Areas with Higher & Lower Prevalence Rate of Endemic Goiter and Cretinism

作　　者：黄河浪[1] 廖之升 姜梦璜 樊乃驹[1] 沈杰[1] 姚呈祥[2] 康俊才 刘状生 柒冲春 

机构地区：[1]江西医学院流行病学教研室 [2]江西省宜丰县卫生防疫站

出　　处：《江西医学院学报》1990年第1期61-64,共4页Acta Academiae Medicinae Jiangxi

摘　　要：随机抽取了江西宜丰县μg/L地甲病和地克病高发区车上乡(地甲现患率为44.10‰,地克病现患率为 6.40‰,水碘含量为 3.1μg/L)3～7岁儿童108人和低发区的新庄乡(地甲为32.00‰,地克病为0.00‰,水碘含量为6.7μg/L)同龄者115人的智能情况,并进行了对比研究。结果表明,车上乡儿童智商(IQ)平均值为92.78±12.99,极显著地低于新庄乡儿童的IQ均值(其IQ为99.42±13.25),t=3.777,p<0.005。两地智能中下～低下者占其所在组全部儿童的百分比分别为41.67％和20.00％,亦极显著地不同(x^2=15.55,p<0.01),说明高发区缺碘对儿童智能有相当的影响。此外,还发现两地被测儿童的身高、体重及粗动作能力均低于国内外同龄者的一般水平,并就其原因进行了初步讨论。Children from three to seven years old were chosen randomly for study in the village of Che Shang(108 members) and Xin Zhuang (115 members) in Yifeng county. The prevalence rate of en- demic goiter was 44.10‰, and 32.00‰;cretinism 6.40‰, and 0.00‰;and the concentration of io- dine in water was 3.1 μg/L and 6.7μg/L respectively. The average of children' s intellinence quotient (IQ) in Che Shang (92.78±12.99)was significantly lower (t=3.777. p<0.005)than that in the Xin Zhuang (99.42±3.25). The precentages of medium and lower IQ(<90 )in two areas were 41. 67‰ and 20.00% seperately, being statistically significant (x^2=15.55, p<0.01). It is evident that I_2 deficiency has certain effects on the development of children' s intelligence in the area of high prevalence. In addition,this study revealed that the levels of body-weight,height and extensive exercise ability of those children in the above mentioned areas were lower than correspondent average levels at home and abroad.

关 键 词：甲状腺肿 地方性 克汀病 智力测验 儿童 

分 类 号：R581.301[医药卫生—内分泌] R581.210.1[医药卫生—内科学]