文章摘要
赵金扣,汪华,杨学行,张庆兰,王培桦,陈智高,尚莉,吴步华,刘安民,梁萍,费玉玲,刘长飞,周杰,何天焴.江苏黄泛平原高碘甲状腺肿地方性流行的证实和流行病学研究[J].中华流行病学杂志,1998,19(2):100-102
江苏黄泛平原高碘甲状腺肿地方性流行的证实和流行病学研究
Verif ication and Epidemiological Study on Endemic Iodide-induced Goiter in Jiangsu Old YellowRiver Flooded Plain
收稿日期:1997-09-10  出版日期:2014-09-16
DOI:
中文关键词: 高碘甲状腺肿  地方性流行  流行病学
英文关键词: ,
基金项目:
作者单位
赵金扣 江苏省卫生防疫站, 南京 210009 
汪华 江苏省卫生防疫站, 南京 210009 
杨学行 江苏省卫生防疫站, 南京 210009 
张庆兰 江苏省卫生防疫站, 南京 210009 
王培桦 江苏省卫生防疫站, 南京 210009 
陈智高 江苏省卫生防疫站, 南京 210009 
尚莉 江苏省卫生防疫站, 南京 210009 
吴步华 徐州市卫生防疫站 
刘安民 徐州市卫生防疫站 
梁萍 徐州市卫生防疫站 
费玉玲 丰县卫生防疫站 
刘长飞 丰县卫生防疫站 
周杰 沛县卫生防疫站 
何天焴 镇江市血吸虫病防治所 
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中文摘要:
      在江苏黄泛平原选点对该地区甲状腺肿的流行原因、流行范围和特征进行了研究,结果发现学生甲状腺肿大率 (甲肿率 )触诊法为 2 2.18%,B超法为 12.83%,均超过有关国际组织提出的地方性甲状腺肿病区甲肿率切点值 5% ;60 7份尿样的碘含量中位数为 962μg/L ;62名健康居民甲状腺 2 4小时摄 131I率平均值为 4.60 %± 0.30 % ;血清 TSH、T4 、T3值大多在正常值范围内 ;在调查的 65个乡的 10 4 9份水样中有 771份水样的碘含量超过 30 0μg/L,52个乡的水碘中位数超过30 0μg/L。结果提示,该地区流行的甲状腺肿呈地方性流行,由居民饮用碘含量过高的浅层地下水所致,高碘水源呈片状分布。
英文摘要:
      To verify the existence and reveal the epidemiological characteristics of endemiciodide induced goite r in Jiangsu Old YellowRiv er flooded plain, 12 spots were selected in this survey. The results showed that the to talgoiter rate of 22. 18% by palpation and 12. 83% by B-ultr asound which surpassed the 5% -cutpoint-recommended jointly by WHO /UNICEF /ICCIDD. The urinaryiodine median was 962μg / L in 607 samples. The average 24 hours 131 Iiodine-emissivity ratio was 4. 6± 0. 3% with most of the serum TSH. T4, T3 within no rmal ranges. Of 1049 water samples in 65 towns, 771 had iodine content over 300μg /L with water iodine concentration over 300μg /L in 52 towns. These finding suggested that go iter in this plain had been endemic which r ela ted to excessive io dine in shallowwell water. Heavy load of iodine over general population was noticed.
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