中华内分泌代谢杂志
中華內分泌代謝雜誌
중화내분비대사잡지
CHINESE JOURNAL OF ENDOCRINOLOGY AND METABOLISM
2001年
2期
75-78
,共4页
谭建%方佩华%卢倜章%陈秉忠%高硕%董峰%来则民%周荫葆%张志友%戴连起%黄广玉%张富海
譚建%方珮華%盧倜章%陳秉忠%高碩%董峰%來則民%週蔭葆%張誌友%戴連起%黃廣玉%張富海
담건%방패화%로척장%진병충%고석%동봉%래칙민%주음보%장지우%대련기%황엄옥%장부해
碘%甲状腺肿%流行病学研究
碘%甲狀腺腫%流行病學研究
전%갑상선종%류행병학연구
目的 调查和研究食盐加碘后天津市居民的甲状腺肿大率和碘营养状况。方法 在6个区共调查居民31 530人，7～14岁在校儿童4 415人。对调查对象进行甲状腺肿大率、尿碘浓度、食盐碘含量等项目的调查。结果 (1)食盐加碘后天津市居民的平均甲状腺肿大率为5.5%，8～10岁儿童平均甲状腺肿大率为19.7%。甲状腺肿大率较食盐加碘以前有了明显下降，但下降的速度较缓慢。(2)天津市食盐加碘以后各区居民的平均尿碘中位数为287.2 μg/L，各区儿童尿碘中位数平均为271.6 μg/L。证明总体人群碘营养充足。(3)天津市居民总体盐碘含量超过20 mg/kg水平，各区居民户盐含碘量有9.9%～41.1%超过60 mg/kg。说明碘盐的含碘量偏高是一个新的现象。结论经过3年左右的食盐加碘防治工作，天津市碘缺乏情况已得到控制。
目的 調查和研究食鹽加碘後天津市居民的甲狀腺腫大率和碘營養狀況。方法 在6箇區共調查居民31 530人，7～14歲在校兒童4 415人。對調查對象進行甲狀腺腫大率、尿碘濃度、食鹽碘含量等項目的調查。結果 (1)食鹽加碘後天津市居民的平均甲狀腺腫大率為5.5%，8～10歲兒童平均甲狀腺腫大率為19.7%。甲狀腺腫大率較食鹽加碘以前有瞭明顯下降，但下降的速度較緩慢。(2)天津市食鹽加碘以後各區居民的平均尿碘中位數為287.2 μg/L，各區兒童尿碘中位數平均為271.6 μg/L。證明總體人群碘營養充足。(3)天津市居民總體鹽碘含量超過20 mg/kg水平，各區居民戶鹽含碘量有9.9%～41.1%超過60 mg/kg。說明碘鹽的含碘量偏高是一箇新的現象。結論經過3年左右的食鹽加碘防治工作，天津市碘缺乏情況已得到控製。
목적 조사화연구식염가전후천진시거민적갑상선종대솔화전영양상황。방법 재6개구공조사거민31 530인，7～14세재교인동4 415인。대조사대상진행갑상선종대솔、뇨전농도、식염전함량등항목적조사。결과 (1)식염가전후천진시거민적평균갑상선종대솔위5.5%，8～10세인동평균갑상선종대솔위19.7%。갑상선종대솔교식염가전이전유료명현하강，단하강적속도교완만。(2)천진시식염가전이후각구거민적평균뇨전중위수위287.2 μg/L，각구인동뇨전중위수평균위271.6 μg/L。증명총체인군전영양충족。(3)천진시거민총체염전함량초과20 mg/kg수평，각구거민호염함전량유9.9%～41.1%초과60 mg/kg。설명전염적함전량편고시일개신적현상。결론경과3년좌우적식염가전방치공작，천진시전결핍정황이득도공제。
Objective To investigate iodine nutritional status and thyroid goiter prevalence of residents in Tianjin after salt iodination. Methods From six districts, 31 530 residents and 4 415 pupils aged 7～14 years were selected by stratified cluster sampling. Their urinary iodine and iodine content of salt were measured. Their thyroid size and some children's 131 I thyroid uptake rate were also examined. Results The thyroid goiter prevalence were 1.7%～10.6% (average 5.5%) in residents, 12.3%～32.4% (average 22.7%) in children aged 7～14 years and 13.0%～27.7% (average 19.7%) in 8～10 years groups respectively. The goiter prevalence decreased considerably but slowly after iodized salt supply. In four districts, the median urinary iodine was 287.2 μg/L in residents and was 271.6 μg/L in children aged 8～10 years. The data showed that iodine nutrition of residents was adequate. The iodine content of salt from residents' kitchens was generally over 20 mg/kg and over 60 mg/kg in 9.9%～41.1% of salt samples, hence the high iodine content in iodized salt may become an unfavorable factor to the residents. Children's 131 I uptake rate was lower than before， which indicated that iodine deficiency has no more existed. Conclusions The iodine nutritional status improves ultimately after iodized salt supplementation for three years in Tianjin. Median urinary iodine and iodized salt reach the national standard for eliminating iodine defeciency disease but the goiter rate slowly decreased. The results indicate that iodine deficiency status is under control in Tianjin.
