摘要
目的调查浙江省舟山市海岛地区食用非加碘盐的居民患甲状腺疾病状况及致甲状腺疾病的相关影响因素。方法2008年在浙江省舟山市岱山县对737名食用非加碘盐的居民进行流行病学问卷调查、甲状腺B超检查、甲状腺功能及尿碘测定；同时抽查了183名8～10岁儿童（均为食用非加碘盐居民的子女）的尿碘。结果舟山市岱山县食用非加碘盐的居民尿碘中位数（MUI）为122．2μg/L，8～10岁儿童MUI为123．7μg/L；甲状腺肿、甲状腺癌、甲状腺功能亢进（简称甲亢）、亚临床甲状腺功能亢进（简称亚临床甲亢）和亚临床甲状腺功能减退（简称亚临床甲减）的患病率分别为39．9％、0．4％、0．4％、0．7％和0．8％。logistic回归分析显示，甲状腺肿患病率无性别差异（P〉0．05），而年龄是甲状腺肿发生的危险因素（P〈0．05）；甲状腺肿、甲亢患病情况与饮食史、吸烟史、饮酒史、饮茶史、尿碘水平均无明显相关关系（P均〉0．05）。结论舟山市海岛地区食用非碘盐居民碘摄入适量，但甲状腺肿和甲亢患病率较高。
Objective To investigate the healthy status of thyroid in the residents of Zhoushan Archipelago who hadn＇t taken iodized salt and to analyze the relative influencing factors of thyroid disease. Methods Seven hundred and thirty-seven residents who hadn＇t eaten iodized salt in Zhoushan Archipelago were surveyed by questionnaire, their thyroid conditions were detected by B ultrasound, and their thyroid function was also determined. And at the same time, the levels of urinary iodine were analysed in those people and 183 children of 8 - 10 years old. Results The urinary iodine median of the residents and the children in Daishan County was 122.2,123.7 μg/L, respectively. The prevalence rates of goiter, thyroid carcinoma, hyperthyreosis, subclinical hyperthyreosis, and subclinical hyperthyroidism were 39.9% ,0.4% ,0.4% ,0.7% and 0.8%, respectively. The prevalence rate of thyroid goiter in female was the same as that in male（P〉 0.05）. Age was a risk factor for thyroid goiter. Thyroid goiter, hyperthyreosis and subclinical hyperthyroidism had no significant relation with dietedical conditions, smoking, drinking, tea and urinary iodine（all P 〉 0.05）. Conclusion The residents who take non iodized salt in Daishan County have adequate iodine intake, but the prevalence rates of thyroid goiter and hyperthyreosis are higher.
出处
《中国地方病学杂志》
CAS
CSCD
北大核心
2009年第6期649-652,共4页
Chinese Jouranl of Endemiology
基金
国家星火计划项目（2008GA700174）
浙江省科技厅面上基金（2008C33043）
关键词
碘
甲状腺
流行病学
Iodine
Thyroid
Epidemiology
