發(fā)布時(shí)間：2018-03-10 01:29

  本文選題：成人　切入點(diǎn)：甲狀腺疾病　出處：《中國地方病防治雜志》2017年03期 　論文類型：期刊論文

【摘要】：目的吉林省于2000年實(shí)現(xiàn)消除碘缺乏病階段目標(biāo)后,通過實(shí)施食鹽加碘為主防治措施,全省碘缺乏病得到了有效控制。為了摸清在碘缺乏病病情有效控制下,全省成人甲狀腺疾病患病現(xiàn)狀,開展了此項(xiàng)研究。方法采用按人口比例概率抽樣方法(PPS法),在全省采取連續(xù)抽樣方法,確定30個(gè)縣(市、區(qū)),從抽到的縣(市、區(qū))隨機(jī)抽取一個(gè)鄉(xiāng)(鎮(zhèn)、街道),在每個(gè)鄉(xiāng)(鎮(zhèn)、街道)轄區(qū)內(nèi)隨機(jī)抽取一個(gè)村,在每個(gè)村中隨機(jī)抽取80名20-60歲居民,男女各半進(jìn)行甲狀腺疾病篩查。結(jié)果全省9個(gè)市(州)30個(gè)縣(市、區(qū))共抽檢20-60成人3007人,各種甲狀腺疾病患病率依次為:甲狀腺結(jié)節(jié)683例,患病率為22.71%;亞臨床甲亢96例,患病率為3.19%;亞臨床甲減81例,患病率為2.69%;臨床甲亢56例,患病率為1.86%;臨床甲減34例,患病率為1.13%;甲狀腺癌21例,患病率為0.70%;甲狀腺炎8例,患病率為0.27%;甲狀腺球蛋白抗體陽性率為9.25%;抗甲狀腺過氧化物酶抗體陽性率為12.04%。結(jié)論全省成人甲狀腺疾病總體患病率為32.56%,共檢出7種甲狀腺疾病,其中,以甲狀腺結(jié)節(jié)為高發(fā)為22.7%,其它依次為亞臨床甲亢、亞臨床甲減、臨床甲亢、臨床甲減、甲狀腺癌和甲狀腺炎;患病率與臨床接診情況相符;甲狀腺疾病患病率性別比,女性患病總體高于男性,男∶女為1∶1.67;從年齡段患病情況看,甲狀腺疾病患病隨著年齡的增長甲狀腺疾病患病率逐漸增加;地區(qū)之間、城鄉(xiāng)之間患病率無顯著差異;全省成人甲狀腺疾病發(fā)病呈散在分布,不存在聚集性。
[Abstract]:Objective to achieve the goal of eliminating iodine deficiency disorders in Jilin Province in 2000, and to effectively control iodine deficiency disorders in Jilin province through the implementation of salt iodization, in order to find out the effective control of iodine deficiency disorders (IDD). This study was carried out in adult patients with thyroid diseases in the province. Methods 30 counties (cities, districts, counties) were determined by using the method of PPS sampling according to the proportional probability of the population and adopting the method of continuous sampling in the province. District) randomly select a township (town, street), select a village randomly within each township (town, street) jurisdiction, and randomly select 80 residents aged 20-60 years from each village. Results A total of 3007 adults were selected from 30 counties (cities and districts) in 9 cities (states) of the province. The prevalence rates of thyroid diseases were 683 cases of thyroid nodules, 22.71 cases of thyroid diseases, 96 cases of subclinical hyperthyroidism, 96 cases of subclinical hyperthyroidism. The prevalence rate was 3.19; the subclinical hypothyroidism was 81 cases, the prevalence rate was 2.69; the clinical hyperthyroidism was 56 cases, the prevalence rate was 1.86; the clinical hypothyroidism was 34 cases, the prevalence rate was 1.1313; the thyroid cancer was 21 cases, the prevalence rate was 0.70; the thyroiditis was 8 cases. The prevalence rate was 0.27, the positive rate of thyroid globulin antibody was 9.25 and the positive rate of anti-thyroid peroxidase antibody was 12.04.Conclusion the total prevalence rate of thyroid diseases in adults in the province is 32.56. The incidence of thyroid nodule was 22. 7%, the other was subclinical hyperthyroidism, subclinical hypothyroidism, clinical hyperthyroidism, clinical hypothyroidism, thyroid cancer and thyroiditis. The prevalence of thyroid diseases in females was higher than that in males (1: 1.67). The prevalence of thyroid diseases increased with age, but there was no significant difference between urban and rural areas. The incidence of thyroid diseases in adults in the province was scattered and there was no agglomeration.
【作者單位】： 吉林省地方病第二防治研究所;
【分類號(hào)】：R181.3;R581

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本文編號(hào)：1591179