碘缺乏病轻病区甲状腺疾病住院病例回顾性分析  

Retrospective investigation on hospitalized cases with thyroid disease in a mildiodine deficient area

作　　者：吴民义[1] 张建伟 赵金扣[3] 张庆兰[3] 谢轶青[1] 杨明霞[4] 冷瑞珍[1] 

机构地区：[1]常州市疾病预防控制中心,江苏常州213003 [2]常州市妇幼保健医院,江苏常州213003 [3]江苏省疾病预防控制中心,江苏南京210009 [4]常州市卫生监督所,江苏常州213003

出　　处：《中国地方病学杂志》2003年第4期355-357,共3页Chinese Jouranl of Endemiology

基　　金：江苏省血地寄防科研基金资助项目(200019)

摘　　要：目的　分析全民食盐加碘 (USI)对甲状腺疾病住院病例的影响。方法　采用回顾性调查方法查阅甲状腺疾病住院病历。结果　 USI实施 1～ 4年甲状腺疾病占总住院比例呈逐渐升高趋势 ,由 6.9‰上升到11.0‰ ;女 /男比率由 3 .4上升到 4.1;甲状腺良性肿瘤由 61.6%下降到 3 8.8% ,甲状腺功能亢进 (甲亢 )则由14 .1%上升到 3 7.4%。实施 USI后居民食盐碘含量和尿碘中位数分别由 <5mg/ kg和 71.6μg/ L 上升到 43 .4mg/ kg和 3 3 3 .6μg/ L。结论　甲状腺疾病住院病例的增加可能与Objective To investigate the affect of univer sal salt iodization(USI) on thyroid diseases in-patients.Methods Information on hospitalized thyroid diseases wa s collected by retrospective approach.Results After USI the ratio of thyroid diseases to tota l in-patients increased from 6.9‰ to 11.0‰.The ratio of female cases to male cases increased from 3.4 to 4.1. Thyroid benign tumors dropped from 61.6% to 38. 8%.Hyperthyroidism increased from 14.1% to 37.4%,respectively. After USI, salt i odine contents at households and the median urinary iodine concentrations were r aised from <5 mg/kg to 43.4 mg/kg and from 71.6 μg/L to 333.6 μg/L respect ively.Conclusions Increase of thyroid diseases in-patients m ay be related to the rapid improvement of iodine intake which accompanied by the implementation of USI.

关 键 词：碘缺乏病 甲状腺疾病 USI 肿瘤 甲亢 营养学 

分 类 号：R599[医药卫生—内科学]