摘要
目的了解厦门市沿海产盐区和非产盐区儿童碘营养状况与甲状腺功能水平,为科学补碘提供依据。方法选择产盐区翔安区和非产盐区集美区为调查点,随机抽取600名8～10岁儿童进行甲状腺检查,随机抽取部分儿童采集尿样、家中盐样和血样,检测含碘量和血清FT3、FT4、TSH、Tg、TPOAb、TT3和TT4水平。结果产盐区与非产盐区合格碘盐食用率为81.5%和98.6%;儿童甲状腺肿大率为3.0%和0.7%,尿碘中位数为202.8和238.4μg/L;两区儿童的甲状腺功能指标均在正常范围,未发现甲亢、亚甲亢及甲减患者,亚甲减患病率为普通人群水平。结论产盐区与非产盐区8～10岁儿童的碘营养水平是适宜的,应坚持食盐加碘措施,加强儿童的科学补碘工作。
Objective To study the iodine nutritional status and thyroid function of children in coastal salt and non-saltproducing areas in Xiamen for scientific strategy of iodine supplement. Methods Salt and non-salt-producing areas （Xiang-an and Ji-Mei） were selected as research areas. Totally 600 children aged 8-10 were randomly selected and thyroid palpation was performed. Urine, blood sample and household salt sample were collected to detect the iodine level and blood thyroid hormone level, including FT3, FT4, TSH, Tg, TPOAb, TTs and TT4. Results The edible rate of qualified iodinated salt of children in the two areas were 81.5 %and 98.6 % respectively. The goiter rates were 3.0 and 0.7 ~. The medians of urinary iodine were 202.8 and 238.4v.g/L. Thyroid function indicators were all in normal range in two areas. No hyperthyroidism, sub-hyperthyroidism and hypothyroidism cases were found, sub-hypothyroid- ism rates were similar to general population. Conclusions The iodine nutrition status of aged 8-10 children are classified as appropriate. Salt iodization measures should be promoted and supplementary iodine strategy should be enhanced for children.
出处
《海峡预防医学杂志》
CAS
2013年第2期9-11,共3页
Strait Journal of Preventive Medicine
基金
福建省医学创新课题(No.2009-CXB-68)
关键词
碘营养
尿碘
盐碘
甲状腺肿
甲状腺功能
Iodine Nutrition
Urinary Iodine Salt Iodine, Goiter, Thyroid Function
