2018-2021年山东省潍坊市8~10岁学生甲状腺容积监测分析  

Analysis on thyroid volume monitoring results of students aged 8 to 10 years in Weifang city,Shandong province from2018 to 2021

作　　者：徐相凯[1] 王明明 李宁[3] XU Xiang-kai;WANG Ming-ming;LI Ning(Department of Endemic and Parasitic Diseases Prevention and Control,Weifang City Center for Disease Control and Prevention,Weifang,Shandong261061,China;Pharmacy Intravenous Admixture Services,Weifang Second People's Hospital;Department of Prevention and Control of Chronic Non-communicable Diseases,Weifang City Center for Disease Control and Preventio)

机构地区：[1]潍坊市疾病预防控制中心地方病与寄生虫病防制科,山东261061 [2]潍坊市第二人民医院静配中心 [3]潍坊市疾病预防控制中心慢性非传染疾病防制科

出　　处：《预防医学论坛》2023年第5期385-388,395,共5页Preventive Medicine Tribune

摘　　要：目的监测2018-2021年山东省潍坊市8~10岁学生甲状腺容积,评价碘缺乏病防治效果,掌握甲状腺容积变化趋势。方法收集2018-2021年潍坊市8~10岁学生甲状腺容积B超法监测资料,对甲肿率、甲状腺容积中位数和频数分布等指标进行统计分析。结果2018-2021年共监测8~10岁学生1600人,总甲肿率1.75%(28/1600),不同年度、性别、年龄学生的甲肿率均在1.25%~2.50%。2018-2021年学生甲状腺容积各年度中位数为2.78~3.11mL,年度中位数逐年增大,差异有统计学意义(χ^(2)=21.35,P<0.05);不同性别、不同年龄各年度中位数范围分别为男性2.71~3.06mL、女性2.87~3.15mL,8岁2.55~2.85mL、9岁2.67~3.07mL、10岁3.05~3.35mL,中位数均呈逐年增大趋势,差异均有统计学意义(χ^(2)男性=11.34,χ^(2)女性=12.86,χ^(2)8岁=9.61,χ^(2)9岁=16.87,χ^(2)10岁=10.15;P均<0.05)。在不同年度、性别、年龄学生的甲状腺容积频数分布中,均以2.5~<3.0mL段或3.0~<3.5mL段占比最高,且2.5~<3.0mL段占比逐年下降,差异有统计学意义(χ^(2)年度=30.80,χ^(2)男性=16.47,χ^(2)女性=15.05,χ^(2)8岁=23.49,χ^(2)9岁=17.52,χ^(2)10岁=11.69;P均<0.05),3.0~<3.5mL段占比逐年上升,差异有统计学意义(χ^(2)年度=33.53,χ^(2)男性=15.57,χ^(2)女性=19.41,χ^(2)8岁=9.57,χ^(2)9岁=9.23,χ^(2)10岁=10.39;P均<0.05)。结论潍坊市8~10岁学生甲肿率达到消除碘缺乏病标准,甲状腺容积呈逐年上升趋势。Objective To discover the trend of thyroid volume of the students aged 8-10years and evaluate the prevention and treatment effect of iodine deficiency disease in Weifang city according to the thyroid volume monitoring results.Methods The thyroid volume monitoring results of the students aged 8-10years in Weifang city from 2018to 2021by using B-ultrasound were collected.The incidence of goiter,median and frequency of thyroid volume and other indicators were analyzed.Results A total of 1600samples were collected from 2018to 2021.The goitre rate were 1.75%(28/1600),and it was 1.25%to 2.50%in students of different years,genders and ages.The median number of thyroid volume distributed between 2.78-3.11ml from 2018to 2021,which showed an increasing trend year by year,the differences between groups were statistically significant(χ^(2)=21.35,P<0.05).The median range for each year by sex and age was 2.71-3.06mL for men,2.87-3.15mL for women,2.55-2.85mL for age 8,2.67-3.07mL for age 9,and 3.05-3.35mL for age 10,respectively,and the medians showed a trend of increasing each year,with statistically significant differences(χ^(2) male=11.34,χ^(2) female=12.86,χ^(2)8-year-old=9.61,χ^(2)9-year-old=16.87,χ^(2)10-year-old=10.15;all P<0.05).In the frequency distribution of thyroid volume in students of different years,sex and age,the highest proportion was in the 2.5-<3.0ml or 3.0-<3.5mL segment,and the proportion of the 2.5-<3.0mL segment decreased year by year,the differences were statistically significant(χ^(2) year=30.80,χ^(2) male=16.47,χ^(2) female=15.05,χ^(2)8-year-old=23.49,χ^(2)9-year-old=17.52,χ^(2)10-year-old=11.69;all P<0.05).The proportion of 3.0-<3.5ml increased year by year,the differences between groups were statistically significant(χ^(2) year=33.53,χ^(2) male=15.57,χ^(2) female=19.41,χ^(2)8-year-old=9.57,χ^(2)9-year-old=9.23,χ^(2)10-year-old=10.39;all P<0.05).Conclusion The data of thyroid goiter rates in the students aged 8-10years reached national criteria for elimination of IDD,the thyroid vol

关 键 词：碘缺乏病 甲状腺容积 学生 青少年 监测 

分 类 号：R725.8[医药卫生—儿科] R445.1[医药卫生—临床医学]