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目的掌握厦门市沿海产盐区与非产盐区居民盐碘、18～45岁人群碘营养和甲状腺功能水平状况,为采取针对性的防治措施提供依据。方法选择沿海产盐区翔安区和非产盐区集美区为调查点,调查居民合格碘盐食用率、18～45岁育龄期妇女和男性尿碘水平、甲状腺激素水平和海带、紫菜的摄入习惯。结果产盐区和非产盐区盐碘中位数均为27.21 mg/kg,合格碘盐食用率分别为95.33%和96.33%;18～45岁男性尿碘中位数分别为206.55μg/L和232.95μg/L,尿碘<100μg/L的比例分别为20.97%和10%;18～45岁育龄期妇女尿碘中位数分别为176.95μg/L和227.70μg/L,尿碘<100μg/L的比例分别为21.67%和25%;产盐区和非产盐区18～45岁男性和育龄期妇女的甲状腺激素TSH、Tg、FT3、FT4、TPOAb、TT3、TT4中位数均在正常值范围内;产盐区18～45岁男性的甲状腺功能亢进阳性率为3.4%、育龄期妇女的甲状腺功能减退和亚临床甲状腺减退症的阳性率均为1.67%,而非产盐区均为0。产盐区和非产盐区18～45岁男性和育龄期妇女中均有一定比例易患甲状腺免疫性疾病的人群。每月食用海带、紫菜的次数≥4次、1～3次和<1次的人尿碘组间比较无统计学差异。结论产盐区和非产盐区18～45岁男性和育龄期妇女碘营养总体处于适宜状态,应坚持食盐加碘措施,对育龄期妇女在婚前体检时开展常规碘营养水平和甲状腺功能检测。
Objective To understand the status of iodine nutrition and thyroid function in salt-producing and salt-producing areas of coastal areas in Xiamen, and to provide evidences for taking targeted prevention and treatment measures. Methods In the coastal salt producing area of Xiangan and non-salt producing areas of Jimei as the investigation point, the survey residents’ eating rate of qualified iodized salt, 18-45 year-old women and men of childbearing age, urinary iodine levels, thyroid hormone levels and kelp, seaweed photo Into the habit. Results The median of salt iodine in salt-producing and non-salt-producing areas were both 27.21 mg / kg and 95.33% and 96.33% respectively. The median urinary iodine of 18-45 year-old men was 206.55 μg / L And 232.95μg / L, urinary iodine <100μg / L were 20.97% and 10%, respectively. The median urinary iodine of women of childbearing age from 18 to 45 years were 176.95μg / L and 227.70μg / L, urinary iodine <100μg / L were 21.67% and 25% respectively. The median thyroid hormones TSH, Tg, FT3, FT4, TPOAb, TT3 and TT4 of 18-45 years old women and women of childbearing age in salt-producing and non-salt-producing areas were Normal range; the positive rate of hyperthyroidism was 3.4% in 18 ~ 45-year-old men in salt-producing area, while the positive rate of hypothyroidism and subclinical hypothyroidism in childbearing women were 1.67% Is 0 Salt-producing and non-salt-producing areas of 18 to 45-year-old male and childbearing women have a certain proportion of susceptible to thyroid immune disease in people. Monthly consumption of kelp, seaweed ≥ 4 times, 1 ~ 3 times and <1 times the urine of patients with no significant difference between groups. Conclusion The iodine nutrition of 18-45-year-old men and women of childbearing age in salt-producing areas and non-salt-producing areas is generally in an appropriate state. Salt iodization should be insisted on, and routine iodine nutrition and thyroid function tests should be carried out for pre-marital women of childbearing age.