摘要
目的了解重庆市8～10岁儿童甲状腺肿大变化规律。方法收集1997、1999、2002、2005、2009、2011年重庆市碘缺乏病病情监测结果中8-10岁儿童甲状腺检查数据资料，分析甲状腺肿大率总体情况，以及性别、年龄、地区分布情况。结果重庆市8～10儿童甲状腺肿大率（B超法）以1999年（23．75％，285／1200）最高，以2011年（5．52％，73／1322）最低；年份间比较差异有统计学意义（X^2=303．59，P〈0．01），呈逐年下降趋势（X^2趋势=14．25，P〈0．01）。上述各年度儿童甲状腺肿大率性别间比较，差异无统计学意义（P均〉0．05）。除2009年（X^2=6．31，P〈0．05）外，其他年度儿童甲状腺肿大率各年龄组间比较，差异无统计学意义（P均〉0．05）。上述各年度儿童甲状腺肿大率〉10％的区县所占比例分别为83．33％（25／30）、100．00％（30／30）、93．33％（28／30）、26．67％（8／30）、5．00％（2／40）、6．67％（2／30）；不同区县间比较，除1997年（X^2=164．33，P〈0．01）、1999年（X^2=51．40，P〈0．01）外，其他年度儿童甲状腺肿大率差异无统计学意义（P均〉0．05）。结论1997—2011年重庆市儿童甲状腺肿大率呈逐年下降趋势。
Objective To find out the variation of total goiter rate of children aged 8 to 10 in Chongqing. Methods The survey data of goiter examination of children aged 8 to 10 were collected from the surveillance results of iodine deficiency disorders in 1997, 1999, 2002, 2005, 2009 and 2011. Overall situation of goiter rate was analyzed as a whole. Gender, age and geographical distribution were also analyzed. Results The highest goiter rate of children aged 8 to 10 was 23.75%（285/1200） in 1999 and the lowest was 5.52%（73/1322） in 2011 （by B ultrasound） in Chongqing, and there was a significant difference between years （X^2= 303.59, P 〈 0.01 ）, with descending trend（X^2= 14.25, P 〈 0.01 ）. From 1997 to 2011, the difference of goiter rate between sexes was not statistically significant（all P 〉 0.05）. There was no significant difference of the rate among all age groups except 2009 （X^2= 6.31, P 〈 0.05） between different years （all P 〉 0.05）. The proportion of county with goiter rate higher than 10% was 83.33%（25/30）, 100.00%（30/30）, 93.33%（28/30）, 26.67%（8/30）, 5.00%（2/40）, and 6.67% （2/30）, respectively, in those years. Compared between different counties, except in 1997（X^2 = 164.33, P 〈 0.01 ） and 1999 （X^2= 51.40, P 〈 0.01 ）, the difference of goiter rate in 2002, 2005, 2009 and 2011 was not statistically significant （all P 〉 0.05 ）. Conclusion The total goiter rate of children has a declining trend from 1997 to 2011 in Chongqing.
出处
《中华地方病学杂志》
CAS
CSCD
北大核心
2013年第5期537-540,共4页
Chinese Journal of Endemiology
关键词
儿童
甲状腺肿
监测
重庆
Child
Goiter
Surveillance
Chongqing
