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对安徽大别山、巢湖缺碘病区和合肥市共3759例儿童在全民食盐加碘前的碘营养、垂体—甲状腺轴功能状态进行研究。结果表明:巢湖组为重病区(肿大率为55.8%),儿童人群严重缺碘(尿碘中位数为19.2μg/L),垂体—甲状腺轴功能呈高代偿状态,有亚临床甲状腺功能减退存在。大别山组,尿碘(中位数269.1μg/L)虽高,但甲肿率为22.4%,为中等病区水平,且垂体—甲状腺轴功能呈代偿状态,也提示有亚甲减存在,而合肥市甲肿率低,各项功能正常,为非病区,但尿碘水平偏低,提示碘营养不足。显示了全民食盐加碘防治的必要性。
A total of 3759 children in the Dabie Mountains of Anhui Province, the Iodine Ward in Chaohu Lake and Hefei City were studied for their iodine nutrition and pituitary-thyroid axis status before salt iodization. The results showed that the Chaohu group was seriously ill (swollen rate was 55.8%), children with severe iodine deficiency (median of urinary iodine was 19.2μg / L), and pituitary-thyroid axis function was highly compensated Subclinical hypothyroidism exists. Dabieshan group, urinary iodine (median 269.1μg / L) although high, but the rate of goiter was 22.4%, for the ward level, and pituitary-thyroid axis function compensated, but also suggest that methylene However, the rate of hypothyroidism in Hefei is low and all the functions are normal. It is non-ward, but the level of urinary iodine is low, suggesting that iodine deficiency is not enough. Shows the need for prevention and treatment of salt iodization of the whole people.