本文選題：甲狀腺疾病 + 遷移人群��； 參考：《中國全科醫(yī)學(xué)》2017年12期

【摘要】：目的調(diào)查由內(nèi)陸至沿海遷移人群甲狀腺疾病發(fā)生情況,探討遷移人群甲狀腺疾病的流行趨勢。方法2016年1—6月,選取2006年以前部分隨工作單位搬遷、由滄州市及其西部縣搬遷至黃驊港并長期改居于黃驊港及周邊地區(qū)10~20年的10個(gè)企、事業(yè)單位職工及隨行配偶共2 357例為遷移組,上述企、事業(yè)單位未搬遷的職工及配偶共3 378例為原地組。分析兩組的人口學(xué)資料(性別、年齡、民族、文化程度、吸煙情況、飲酒情況、家庭人均年收入)。在此基礎(chǔ)上比較兩組慢性淋巴細(xì)胞性甲狀腺炎(CLT)、甲狀腺結(jié)節(jié)病、毒性彌漫性甲狀腺腫(GD)患病率。兩組均有部分甲狀腺結(jié)節(jié)病患者行手術(shù)治療并進(jìn)行病理檢查,比較其術(shù)后病理類型。由于條件限制,采用整群抽樣法抽取兩組中部分人員(遷移組92例、原地組84例)檢測尿碘水平(時(shí)間:2016年3月),比較兩組抽樣人群的尿碘水平。結(jié)果兩組性別、年齡、民族、文化程度、吸煙情況、飲酒情況、家庭人均年收入比較,差異無統(tǒng)計(jì)學(xué)意義(P0.05)。遷移組CLT、GD患病率均高于原地組(P0.05);遷移組和原地組甲狀腺結(jié)節(jié)病患病率比較,差異無統(tǒng)計(jì)學(xué)意義(P0.05)。遷移組中進(jìn)行甲狀腺結(jié)節(jié)病手術(shù)者166例,病理類型:結(jié)節(jié)性甲狀腺腫89例(53.6%)、甲狀腺腺瘤44例(26.5%)、甲狀腺癌31例(18.7%)、其他2例(1.2%);原地組中進(jìn)行甲狀腺結(jié)節(jié)病手術(shù)者183例,病理類型:結(jié)節(jié)性甲狀腺腫81例(44.3%)、甲狀腺腺瘤80例(43.7%)、甲狀腺癌20例(10.9%)、其他2例(1.1%);遷移組和原地組甲狀腺結(jié)節(jié)病手術(shù)者術(shù)后病理類型比較,差異有統(tǒng)計(jì)學(xué)意義(χ~2=12.402,P=0.006)。遷移組抽樣人群尿碘水平比較,差異有統(tǒng)計(jì)學(xué)意義(χ~2=15.049,P=0.020)。結(jié)論由內(nèi)陸至沿海遷移人群的甲狀腺疾病患病率增加,因此由內(nèi)陸至沿海的遷移人群是一個(gè)需要格外關(guān)注和采取預(yù)防措施的群體。
[Abstract]:Objective to investigate the prevalence of thyroid diseases in migrants from inland to coastal areas. Methods from January to June 2016, 10 enterprises moved from Cangzhou and its western counties to Huanghua Port before 2006, and changed to live in Huanghua Port and its surrounding areas for 10 ~ 20 years. A total of 2 357 employees and accompanying spouses of institutions were in the migration group, and 3 378 cases of the above mentioned enterprises and their spouses were in situ. The demographic data of the two groups (sex, age, nationality, education, smoking, alcohol consumption and per capita household income) were analyzed. On this basis, the prevalence of chronic lymphocytic thyroiditis (CLT), thyroid sarcoidosis and toxic diffuse goiter (GD) was compared between the two groups. Two groups of patients with thyroid sarcoidosis underwent surgical treatment and pathological examination, compared their postoperative pathological types. Due to the limitation of the conditions, some of the two groups (92 cases in the migration group and 84 cases in the in-situ group) were selected by cluster sampling to detect the level of urinary iodine (time: March 2016, comparison of urinary iodine level between the two groups). Results there was no significant difference between the two groups in sex, age, nationality, education, smoking, drinking and household income per capita (P 0.05). The prevalence rate of CLTN GD in migration group was higher than that in situ group (P 0.05), and there was no significant difference between migration group and in situ group in the prevalence of thyroid sarcoidosis. In the migration group, 166 cases underwent thyroid sarcoidosis surgery, and the pathological types were as follows: 89 cases of nodular goiter, 44 cases of thyroid adenoma and 26.5% of thyroid adenoma, 31 cases of thyroid carcinoma, and 2 cases of other 2 cases of sarcoidosis, and 183 cases of thyroid sarcoidosis were operated on in situ group. Pathological types: 81 cases of nodular goiter, 80 cases of thyroid adenoma and 43.7%, 20 cases of thyroid carcinoma, and 2 cases of other two cases, the pathological types of thyroid sarcoidosis in migration group and in situ group were significantly different (蠂 ~ 2 12.402 P 0.006). There was significant difference in urine iodine level in the migration group (蠂 ~ (2 +) 15.049) and the urine iodine level was 0.020% in the migration group (蠂 ~ (2 +). Conclusion the prevalence of thyroid diseases in the population from inland to coastal areas is increasing, so the migration from inland to coastal areas is a group that needs special attention and preventive measures.
【作者單位】： 河北省滄州市中心醫(yī)院體檢中心;
【分類號(hào)】：R581

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相關(guān)期刊論文 前9條

1 張潤曉;楊雯雯;張麗;;烏魯木齊地區(qū)人群碘營養(yǎng)狀態(tài)與甲狀腺癌的關(guān)系研究[J];中國全科醫(yī)學(xué);2016年16期

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本文編號(hào)：1905863