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目的了解舟山海岛地区城镇居民甲状腺健康状况及致甲状腺疾病的影响因素。方法对1389名城镇居民进行流行病学问卷调查、甲状腺B超检查和尿碘测定;同时抽查442名8～10岁儿童的尿碘。结果舟山海岛地区城镇居民的尿碘中位数(MUI)为320.7μg/L,8～10岁儿童MUI为259.0μg/L;弥漫性甲状腺肿、结节性甲状腺肿、胶质性甲状腺肿、甲状腺腺瘤、甲状腺癌的患病率分别为1.8%、25.9%、2.5%、0.2%和0.2%;女性、年龄大于40岁、患慢性病者更易患甲状腺肿;甲状腺肿与饮食史、吸烟史、饮酒饮茶史、尿碘值等均无明显正相关关系(P>0.05)。结论舟山海岛为碘充足地区,城镇居民碘营养过量;结节性甲状腺肿呈高发状态,可能与舟山海岛地区人群碘营养过量有关。
Objective To understand the status of thyroid health and the influencing factors of thyroid disease in urban residents in Zhoushan Island. Methods A total of 1389 urban residents were surveyed by epidemiological survey, thyroid ultrasonography and urinary iodine. 442 children aged 8-10 years old were also examined for urinary iodine. Results The median urinary iodine (MUI) was 320.7 μg / L for urban residents and 259.0 μg / L for children aged 8-10 years in Zhoushan island area. The incidence of diffuse goiter, nodular goiter, glial goiter, The prevalence of thyroid adenoma and thyroid cancer was 1.8%, 25.9%, 2.5%, 0.2% and 0.2% respectively. The female, over 40 years of age, was more likely to have goiter with chronic diseases. The goiter and diet history, smoking history , Drinking history of drinking tea, urine iodine value, etc. There was no significant positive correlation (P> 0.05). Conclusion Zhoushan island is an area full of iodine. Iodine nutrition is excessive in urban residents. Nodular goiter is in a high incidence state, which may be related to excessive iodine nutrition in Zhoushan island area.