2020-2022年赣州市上犹县8~10岁儿童碘缺乏病监测结果及相关因素分析  

Analysis of Monitoring Results and Related Factors of Iodine Deficiency Disorders Among Children Aged 8-10 Years in Shangyou County of Ganzhou City from 2020 to 2022

作　　者：王淑梅 WANG Shumei(Department of Disease Control,Shangyou County Center for Disease Control and Prevention,Shangyou 341200,Jiangxi,China)

机构地区：[1]上犹县疾病预防控制中心疾控科,江西上犹341200

出　　处：《医学信息》2024年第21期19-22,共4页Journal of Medical Information

摘　　要：目的调查2020-2022年赣州市上犹县8~10岁儿童碘缺乏病监测结果及相关因素。方法2020年1月-2022年12月采用随机抽取小学的方式,对赣州市上犹县儿童碘缺乏病进行调查和分析,对象为被调查乡镇/社区的1728名8~10岁的儿童。所有儿童均进行碘盐及其尿样采集,同时对抽检学龄儿童进行甲状腺触诊、B超检查、甲状腺容积测量,分析影响儿童碘缺乏病的单因素,多因素Logistic回归分析影响儿童碘缺乏病独立危险因素、不同尿碘水平8~10岁儿童甲状腺容积。结果共收集学生家庭盐样1728份,合格碘盐1604份,合格率为92.82%;2020-2022年合格碘盐食用率分别为92.50%、91.79%、92.90%,差异无统计学意义(P>0.05);不同性别、年龄、年份儿童尿碘含量比较,差异有统计学意义(P<0.05);不同地区尿碘含量比较,差异无统计学意义(P>0.05);不同性别、年龄、年份、地区甲状腺肿大率比较,差异无统计学意义(P>0.05);不同性别、年龄、地区甲状腺结节检出率比较,差异有统计学意义(P<0.05);多因素Logistic回归分析显示,赣州市上犹县8~10岁儿童碘缺乏病可能与性别、年龄、地区有关(P<0.05);不同尿碘水平的甲状腺容积在不同年龄阶段(8岁、9岁、10岁)比较,差异有统计学意义(P<0.05),且不同年龄儿童甲状腺容积随着年龄的增长具有增大趋势。结论2020-2022年赣州市上犹县8~10岁儿童碘营养水平基本适宜,且达到了国家消除碘缺乏病标准。同时明确8~10岁儿童碘缺乏病的发生可能与性别、年龄、地区因素相关,且随着年龄增长,甲状腺容积随之增大,临床应加强对10岁儿童甲状腺容积的监测,及时进行甲状腺疾病筛查。Objective To investigate the monitoring results and related factors of iodine deficiency disorders among children aged 8-10 years in Shangyou County,Ganzhou City from 2020 to 2022.Methods From January 2020 to December 2022,the iodine deficiency disorders of children in Shangyou County,Ganzhou City were investigated and analyzed by random sampling of primary schools.The subjects were 1728 children aged 8-10 years in the surveyed townships/communities.All children were collected iodized salt and urine samples.At the same time,thyroid palpation,B-ultrasound examination and thyroid volume measurement were performed on school-age children.The single factors affecting children's iodine deficiency disorders were analyzed.Multivariate Logistic regression analysis was used to analyze the independent risk factors affecting children's iodine deficiency disorders and thyroid volume of children aged 8-10 years with different urinary iodine levels.Results A total of 1728 salt samples were collected from students'families,and 1604 were qualified iodized salt,with a qualified rate of 92.82%.The consumption rates of qualified iodized salt in 2020-2022 were 92.50%,91.79%and 92.90%,respectively,and the difference was not statistically significant(P>0.05).There were statistically significant differences in urinary iodine content among children with different genders,ages and years(P<0.05).There was no significant difference in urinary iodine content among different regions(P>0.05).There was no significant difference in goiter rate among children with different genders,ages,years and regions(P>0.05).There were significant differences in the detection rate of thyroid nodules among children with different genders,ages and regions(P<0.05).Multivariate Logistic regression analysis showed that iodine deficiency disorders in children aged 8-10 years in Shangyou County of Ganzhou City may be related to gender,age and region(P<0.05).The thyroid volume of different urinary iodine levels was statistically significant at different ages(8 years

关 键 词：儿童 碘缺乏病 相关因素 甲状腺容积 

分 类 号：R725.9[医药卫生—儿科]