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目的通过此次调查研究掌握长春地区食盐加碘后,长春地区成人甲状腺疾病患病现状及患病相关因素,在充分保证各类人群对食盐加碘防治碘缺乏病过程中所享有的权益,同时对成人甲状腺功能情况进行基线调查,确保碘缺乏病可持续消除。方法采用PPS抽样及单纯随机抽样法分别从长春地区抽取8调查点,从调查点中抽取80名20~55岁居民进行问卷调查、甲状腺检查、甲功检测。结果长春地区居民甲状腺疾病总患病率为22.4%。甲亢及亚临床甲亢、甲减及亚临床甲减、单纯抗体增高分别为4.8%、2.6%、15%。其中患病率随年增长而增加,女性高于男性,差异有统计学意义(P<0.05)。结论研究甲状腺疾病相关因素对于病因预防、疾病影响,在现阶段碘营养适宜情况下把食盐加碘作为引起甲状腺疾病发病率较高的主要原因,尚缺乏有力证据。
Objective To investigate the prevalence and prevalence of thyroid diseases in adults in Changchun area through the investigation and study of the salt iodization in Changchun area. While fully guaranteeing the rights and interests of all kinds of people during iodized salt prevention and treatment of iodine deficiency disorders, Baseline surveys on adult thyroid function to ensure sustainable elimination of iodine deficiency disorders. Methods PPS sampling and simple random sampling method were respectively used to extract 8 investigation points from Changchun area. Eighty residents from 20 to 55 years old were selected from the survey sites for questionnaire survey, thyroid examination and thyroid function test. Results The total prevalence of thyroid disease in Changchun was 22.4%. Hyperthyroidism and subclinical hyperthyroidism, hypothyroidism and subclinical hypothyroidism, antibody alone increased 4.8%, 2.6%, 15%. Among them, the prevalence increased with the increase of years, but the difference was statistically significant (P <0.05). Conclusions It is lack of strong evidence to study the related factors of thyroid disease for the prevention of etiology and the influence of the disease. It is the main reason that iodine salt is iodized at the present stage to cause the high incidence of thyroid disease.