长春市某区地方性甲状腺肿流行病学调查分析

摘要

Objective The status of goiter and the influence factors of thyroid healthy of one district of Changchun city were studied. Methods 3128 urban residents were performed physical palpation in thyroid, randomly selected the five different local residents drinking water for determination of iodine content, on the basis of water iodine content determination results, B type ultrasound were carried on the stratified random selected sampling of thyroid residents to perform the goiter epidemiological studies.ResultsThyroid physical palpation results reveled that, the goiter number was 379 in the residents, the rate of goiter with palpation were 12.12%, 215 people were in sick, the rate of female goiter were obviously much more than that of males(P<0.05).The B ultrasonic examination of urban residents results showed that the type of goiter were thyroid tumor, colloid goiter, diffuse goiter, nodular goiter and thyroid cancer, the prevalence of male were significantly lower than female, statistically significant difference (P< 0.05).ConclusionThe iodine was relatively abundant in the area of Changchun city, urban residents were in excess iodine nutrition, it may be associated with the consumption of iodine excess crowd .%目的：探讨长春市某区城镇居民地方性甲状腺肿状况，以及影响甲状腺健康的因素。方法2012年1月—2013年12月对3128名该区城镇居民进行甲状腺触诊，随机抽选该区不同5个地方的居民饮用水进行碘含量测定，依据饮用水碘含量测定结果，分层随机抽样B超检测居民的甲状腺，进行甲状腺肿流行病学研究。结果触诊调查结果显示，人群中居民甲状腺肿大的人数为379人，肿大率为12.12%，患病215人，女性甲状腺肿大率与患病率显著高于男性(P<0.05)。城镇居民B超检测结果显示居民甲状腺肿大类型分别为甲状腺瘤、胶质性甲状腺肿、弥漫性甲状腺肿、结节性甲状腺肿及甲状腺癌，其中男性的患病率均显著低于女性，差异具有统计学意义(P<0105)。结论长春市该区为碘较为充足，城镇居民碘营养过量，可能与该区人群食用碘过量有关。