福建省8~10岁儿童不同甲状腺容积校正指数结果比较  

Comparative of the results of different thyroid volume correction indexes for children aged 8-10 in Fujian Province

作　　者：王木华[1] 季淑眯 陈迪群[1] 陈志辉[1] WANG Muhua;JI Shumi;CHEN Diqun;CHEN Zhihui(Institute for the Control and Prevention of Endemic and Chronic Non-communicabie Diseases,Fujian Provincial Center for Disease Control and Prevention,Fuzhou 350012,China)

机构地区：[1]福建省疾病预防控制中心地方病及慢性非传染性疾病防治所,福州350012

出　　处：《中华疾病控制杂志》2023年第9期1010-1012,共3页Chinese Journal of Disease Control & Prevention

基　　金：福建省卫生健康科技计划项目(2020CXA020);福建省科技创新平台建设项目(2019Y2001)。

摘　　要：目的分析福建省8~10岁儿童甲状腺容积与体格发育的关系,探索适宜儿童甲状腺容积的校正方法。方法2020―2021年采用多阶段分层整群随机抽样方法,抽取福建省3732名8~10岁儿童。采用B超法检测其甲状腺容积,并测定其尿碘、食用盐碘含量。采用身高容积指数(height volume index,HVI)、体重身高容积指数(weight height volume index,WHVI)、体质容积指数(body mass volume index,BMIV)、体表面积容积指数(body surface volume index,BSAV)对甲状腺容积进行校正。结果HVI校正后甲状腺容积与年龄、身高、体重、BMI、体表面积(body surface area,BSA)差异均有统计学意义,呈正相关(均P<0.001),且与原始甲状腺容积的相关性最强(r=0.918),其次是BSAV(r=0.884)。但BSAV不受体重的影响,具有更好的适应性。结论建议使用BSAV法作为儿童甲状腺容积的校正法。Objective We aimed to analyze the relationship between thyroid volume and physical development in children aged 8-10 years,and to explore the suitable correction method for thyroid volume in children.Methods During 2020-2021,3732 children aged 8-10 years in Fujian Province were selected using the multi-stage stratified cluster random sampling method.The thyroid volume was evaluated using the B-ultrasonic method,and urinary iodine levels along with the iodine content in their diet were measured.Correction of thyroid volumes was done using height volume index(HVI),weight height volume index(WHVI),body mass volume index(BMIV),and body surface volume index(BSAV).Results There was a statistically significant association between thyroid volume and age,height,weight,BMI and BSAV after HVI correction(all P<0.001).The HVI corrected thyroid volume had the strongest correlation with the original thyroid volume(r=0.918),followed by the BSAV(r=0.884).However the BSAV was not affected by body weight,and had a better fit.Conclusion The BSAV method is recommended as a calibration method for thyroid volume in children.

关 键 词：儿童 甲状腺容积 体格检查 校正指数 

分 类 号：R153.2[医药卫生—营养与食品卫生学] R181.2[医药卫生—公共卫生与预防医学]