天津市社区居民甲状腺结节流行状况调查及影响因素分析  

An epidemiological study on thyroid nodules of community residents and the influence factors in Tianjin

作　　者：侯常春[1] 刘忠慧[1] 王洋[1] 符刚[1] 崔玉山[1] 

机构地区：[1]天津市疾病预防控制中心环境与健康所,天津300011

出　　处：《环境与健康杂志》2015年第8期712-715,共4页Journal of Environment and Health

基　　金：天津市卫生局科技基金(2011KZ45);天津市疾病预防控制中心科技基金(CDCKY201203)

摘　　要：目的通过调查社区人群甲状腺结节的患病情况,了解其流行病学特征。方法 2012年9—10月采取分层随机抽样方法抽取天津市4个区县成年常住居民506人,以问卷调查个人基本情况,采用直接滴定法检测家中食盐碘(n=225)含量,采用分光光度测定方法检测尿碘(n=506)含量,采用B超仪测量甲状腺情况。以logistic回归分析甲状腺结节的相关因素。结果居民碘盐覆盖率为77.78%,合格碘盐食用率为70.22%;男、女尿碘中位数分别为152.1和160.2μg/L;共检出138例甲状腺结节,患病率为27.27%,标化患病率为19.11%,其中男35例,女103例;多因素logistic回归显示,女性甲状腺结节发生概率明显高于男性(P<0.01),B型性格者甲状腺结节发生概率高于A型性格(P<0.05),甲状腺结节与是否食用碘盐无关。结论天津市甲状腺结节患病率与国内外其他地区处于相似水平,女性、B型性格易发甲状腺结节。Objective To investigate the prevalence of thyroid nodules in the community population and understand its epidemiological characteristics. Methods A total of 506 residents in four communities of Tianjin were selected using stratified random sampling method in Sep. and Oct. in 2012. Personal basic conditions were obtained through questionnaire survey,iodine content of household salt through direct titration method,urinary iodine through spectrophotometric method, and thyroid condition through B-ultrasonography. Results The coverage rate of iodized salt was 77.78%, the rate of qualified iodized salt was 70.22%; The median of urinary iodine of male, female were 152.1 μg/L and 160.2 μg/L respectively; There were 138 cases of thyroid nodules, the prevalence rate was 27.27% and standardized prevalence rate was 19.11%, including 35 male cases,103 female cases and the prevalence of thyroid nodules of female was higher than that of male（P〈0.01）;Women were more likely to suffer from thyroid nodules than men; Type B personality was susceptible to thyroid nodules, but salt iodine level had no relationship with thyroid nodules. Conclusions The prevalence of thyroid nodules of Tianjin is similar with that of other regions at home and abroad. Women are more prone to thyroid nodules. Type B personality is a risk factor for thyroid nodules.

关 键 词：甲状腺结节 盐碘 性别 危险因素 

分 类 号：R181.3[医药卫生—流行病学]