[1]王淑梅.2020-2022年赣州市上犹县8~10岁儿童碘缺乏病监测结果及相关因素分析[J].医学信息,2024,37(21):19-22.[doi:10.3969/j.issn.1006-1959.2024.21.004]
　WANG Shumei.Analysis of Monitoring Results and Related Factors of Iodine Deficiency Disorders Among Children Aged 8-10 Years in Shangyou County of Ganzhou City from 2020 to 2022[J].Journal of Medical Information,2024,37(21):19-22.[doi:10.3969/j.issn.1006-1959.2024.21.004]
点击复制

2020-2022年赣州市上犹县8~10岁儿童碘缺乏病监测结果及相关因素分析()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
37卷
期数:
2024年21期
页码:
19-22
栏目:
公众健康信息学
出版日期:
2024-11-01

文章信息/Info

Title:
Analysis of Monitoring Results and Related Factors of Iodine Deficiency Disorders Among Children Aged 8-10 Years in Shangyou County of Ganzhou City from 2020 to 2022
文章编号:
1006-1959（2024）21-0019-04
作者:
王淑梅
上犹县疾病预防控制中心疾控科，江西 上犹 341200
Author(s):
WANG Shumei
Department of Disease Control,Shangyou County Center for Disease Control and Prevention,Shangyou 341200,Jiangxi,China
关键词:
儿童; 碘缺乏病; 相关因素; 甲状腺容积
Keywords:
Children; Iodine deficiency disorders; Related factors; Thyroid volume
分类号:
R725.9
DOI:
10.3969/j.issn.1006-1959.2024.21.004
文献标志码:
A
摘要:
目的 调查2020-2022年赣州市上犹县8~10岁儿童碘缺乏病监测结果及相关因素。方法 2020年1月-2022年12月采用随机抽取小学的方式，对赣州市上犹县儿童碘缺乏病进行调查和分析，对象为被调查乡镇/社区的1728名8~10岁的儿童。所有儿童均进行碘盐及其尿样采集，同时对抽检学龄儿童进行甲状腺触诊、B超检查、甲状腺容积测量，分析影响儿童碘缺乏病的单因素，多因素Logistic回归分析影响儿童碘缺乏病独立危险因素、不同尿碘水平8~10岁儿童甲状腺容积。结果 共收集学生家庭盐样1728份，合格碘盐1604份，合格率为92.82%；2020-2022年合格碘盐食用率分别为92.50%、91.79%、92.90%，差异无统计学意义（P＞0.05）；不同性别、年龄、年份儿童尿碘含量比较，差异有统计学意义（P＜0.05）；不同地区尿碘含量比较，差异无统计学意义（P＞0.05）；不同性别、年龄、年份、地区甲状腺肿大率比较，差异无统计学意义（P＞0.05）；不同性别、年龄、地区甲状腺结节检出率比较，差异有统计学意义（P＜0.05）；多因素Logistic回归分析显示，赣州市上犹县8~10岁儿童碘缺乏病可能与性别、年龄、地区有关（P＜0.05）；不同尿碘水平的甲状腺容积在不同年龄阶段（8岁、9岁、10岁）比较，差异有统计学意义（P＜0.05），且不同年龄儿童甲状腺容积随着年龄的增长具有增大趋势。结论 2020-2022年赣州市上犹县8~10岁儿童碘营养水平基本适宜，且达到了国家消除碘缺乏病标准。同时明确8~10岁儿童碘缺乏病的发生可能与性别、年龄、地区因素相关，且随着年龄增长，甲状腺容积随之增大，临床应加强对10岁儿童甲状腺容积的监测，及时进行甲状腺疾病筛查。
Abstract:
Objective To investigate the monitoring results and related factors of iodine deficiency disorders among children aged 8-10 years in Shangyou County, Ganzhou City from 2020 to 2022.Methods From January 2020 to December 2022, the iodine deficiency disorders of children in Shangyou County, Ganzhou City were investigated and analyzed by random sampling of primary schools. The subjects were 1728 children aged 8-10 years in the surveyed townships/communities. All children were collected iodized salt and urine samples. At the same time, thyroid palpation, B-ultrasound examination and thyroid volume measurement were performed on school-age children. The single factors affecting children’s iodine deficiency disorders were analyzed. Multivariate Logistic regression analysis was used to analyze the independent risk factors affecting children’s iodine deficiency disorders and thyroid volume of children aged 8-10 years with different urinary iodine levels.Results A total of 1728 salt samples were collected from students’ families, and 1604 were qualified iodized salt, with a qualified rate of 92.82%. The consumption rates of qualified iodized salt in 2020-2022 were 92.50%, 91.79% and 92.90%, respectively, and the difference was not statistically significant (P>0.05). There were statistically significant differences in urinary iodine content among children with different genders, ages and years (P<0.05). There was no significant difference in urinary iodine content among different regions (P>0.05). There was no significant difference in goiter rate among children with different genders, ages, years and regions (P>0.05). There were significant differences in the detection rate of thyroid nodules among children with different genders, ages and regions (P<0.05). Multivariate Logistic regression analysis showed that iodine deficiency disorders in children aged 8-10 years in Shangyou County of Ganzhou City may be related to gender, age and region (P<0.05). The thyroid volume of different urinary iodine levels was statistically significant at different ages (8 years old, 9 years old, 10 years old) (P<0.05), and the thyroid volume of children of different ages increased with age.Conclusion From 2020 to 2022, the iodine nutrition level of children aged 8-10 years in Shangyou County of Ganzhou City is basically appropriate, and it has reached the national standard for eliminating iodine deficiency disorders. At the same time, it is clear that the occurrence of iodine deficiency disorders in children aged 8-10 years may be related to gender, age and regional factors, and with the increase of age, the thyroid volume increases. Clinical monitoring of thyroid volume in children aged 10 years old should be strengthened, and thyroid disease screening should be carried out in time.

参考文献/References:

[1]赵清婷,胡迪,杨婧,等.2017-2021年重庆市渝北区碘营养状况监测结果分析[J].中国地方病防治,2022,37(1):26-28.[2]张莉莉,李津蜀,宋选波,等.2017年四川省生活饮用水水碘含量现状调查[J].预防医学情报杂志,2019,35(4):342-345.[3]宋选波,李津蜀,张莉莉,等.2020年四川省8~10岁儿童甲状腺肿大调查及影响因素分析[J].预防医学情报杂志,2022,38(6):777-781.[4]杨霄星,冯宝玉,杨军勇,等.学龄儿童身体发育与甲状腺容积的关系研究[J].首都公共卫生,2021,15(2):74-77.[5]雷群建,杨亮,李维.2006-2016年重庆市长寿区碘缺乏病监测分析[J].公共卫生与预防医学,2017,28(1):47-49.[6]李旭,任海林,庞星火.北京市儿童甲状腺容积超声检查结果分析[J].实用预防医学,2007,14(2):402.[7]杨婧,龚志华,黄顺利,等.2017年重庆市渝北区碘缺乏病监测结果分析[J].中国卫生检验杂志,2018,28(23):2915-2917.[8]赵鹏山.2016~2020年新疆生产建设兵团8~10岁儿童及孕妇碘营养状况分析[D].石河子:石河子大学,2022.[9]曾勇,胡海,杨洋,等.2017-2019年安徽省六安市8~10岁学生尿碘监测结果分析[J].中国地方病防治,2021,36(3):267-269.[10]姚怡,潘莹宇,张浩明,等.2015年无锡市锡山区8~10岁学龄儿童碘缺乏病监测状况分析[J].中国儿童保健杂志,2016,24(4):428-431.[11]吴彬彬,范岩钟,苏结纬,等.晋江市2019年重点人群尿碘监测分析[J].海峡预防医学杂志,2021,27(3):111-112.[12]张菁菁,鲁传宏,赵望新,等.2019年济南市槐荫区学龄儿童和孕妇尿碘调查[J].预防医学论坛,2020,26(9):677-679.[13]赵秋玲,汪周天,许平,等.深圳市某院体检人群甲状腺结节检出率及其关联因素[J].现代预防医学,2021,48(14):2681-2683.[14]李玉杰,黄军,李子卓,等.甲状腺结节超声表现与尿碘含量的相关性研究[J].哈尔滨医科大学学报,2018,52(1):62-64.[15]孙静,于丽萍,陈阿丽,等.2015年宁夏8~10周岁儿童尿碘和食用盐碘监测结果分析[J].宁夏医科大学学报,2018,40(2):90-92.[16]李蕾,李思齐,陈倩,等.2016-2018年成都市成华区碘缺乏病监测结果分析[J].中国校医,2019,33(7):492-494,535.[17]乔小艳,刘旭,苏欣,等.2016年河北省廊坊市8~10岁儿童和孕妇碘缺乏病监测结果分析[J].医学动物防制,2018,35(2):161-164.[18]杨新建,李普,李盛.兰州市8~10岁儿童甲状腺肿大现状调查分析[J].环境卫生学杂志,2020,10(2):138-141.[19]魏蔷.2017-2019年吉林省靖宇县8~10岁学龄儿童碘营养状况及影响因素研究[D].长春:吉林大学,2020.[20]李琼.2007-2017年张掖市甘州区儿童碘缺乏病流行趋势分析及防控策略[D].兰州:兰州大学,2020.[21]沈卫萍,梁娜,王晓明,等.2011-2015年山东省碘缺乏病健康教育效果分析[J].中华地方病学杂志,2018,37(8):676-679.[22]戴馨,宁浩然,李茜.2013-2018年湖北省碘缺乏病健康教育干预效果评价[J].公共卫生与预防医学,2020,31(4):85-88.

相似文献/References:

[1]韩晓利.含氟泡沫预防儿童乳牙龋齿的临床效果研究[J].医学信息,2018,31(02):7.[doi:10.3969/j.issn.1006-1959.2018.02.003]
　HAN Xiao-li.Study on the Clinical Effect of Fluoride Foam in Preventing Deciduous Dental Decay in Children[J].Journal of Medical Information,2018,31(21):7.[doi:10.3969/j.issn.1006-1959.2018.02.003]
[2]唐朝.儿童先天性脊柱侧弯诊疗现状的临床研究[J].医学信息,2018,31(01):61.[doi:10.3969/j.issn.1006-1959.2018.01.022]
　TANG Chao.Clinical Study on Diagnosis and Treatment of Congenital Scoliosis in Children[J].Journal of Medical Information,2018,31(21):61.[doi:10.3969/j.issn.1006-1959.2018.01.022]
[3]李 娟,田 鹏,刘 琦,等.血清降钙素原在儿童发热性疾病中的应用价值分析[J].医学信息,2018,31(04):102.[doi:10.3969/j.issn.1006-1959.2018.04.034]
　LI Juan,TIAN Peng,LIU Qi,et al.Analysis of the Value of Serum Procalcitonin in Children with Febrile Diseases[J].Journal of Medical Information,2018,31(21):102.[doi:10.3969/j.issn.1006-1959.2018.04.034]
[4]郭 朋,罗 聪.儿童扁平足病因、检测方法和治疗现状[J].医学信息,2018,31(05):56.[doi:10.3969/j.issn.1006-1959.2018.05.020]
　GUO Peng,LUO Cong.The Cause,Detection Method and Treatment Status of Children's Flat Foot[J].Journal of Medical Information,2018,31(21):56.[doi:10.3969/j.issn.1006-1959.2018.05.020]
[5]许海泉.生酮饮食治疗儿童难治性癫痫的临床研究[J].医学信息,2018,31(06):83.[doi:10.3969/j.issn.1006-1959.2018.06.026]
　XU Hai-quan.Clinical Study of Ketogenic Diet in Children with Refractory Epilepsy[J].Journal of Medical Information,2018,31(21):83.[doi:10.3969/j.issn.1006-1959.2018.06.026]
[6]许海泉.生酮饮食治疗儿童难治性癫痫合并智力低下的研究[J].医学信息,2018,31(07):57.[doi:10.3969/j.issn.1006-1959.2018.07.019]
　XU Hai-quan.Study on the Ketogenic Diet in the Treatment of Refractory Epilepsy in Children with Mental Retardation[J].Journal of Medical Information,2018,31(21):57.[doi:10.3969/j.issn.1006-1959.2018.07.019]
[7]许海泉.生酮饮食对不同病因及发作形式儿童难治性癫痫 疗效差异的临床观察[J].医学信息,2018,31(08):88.[doi:10.3969/j.issn.1006-1959.2018.08.027]
　XU Hai-quan.Clinical Observation of the Effect of Ketogenic Diet on the Efficacy of Children with Refractory Epilepsy Due to Different Causes and Attacks[J].Journal of Medical Information,2018,31(21):88.[doi:10.3969/j.issn.1006-1959.2018.08.027]
[8]阙禧韬.咬合诱导在牙源性错牙合畸形中的早期应用分析[J].医学信息,2018,31(10):184.[doi:10.3969/j.issn.1006-1959.2018.10.064]
　QUE Xi-tao.Early Application of Occlusal Induction in Odontogenic Malocclusion[J].Journal of Medical Information,2018,31(21):184.[doi:10.3969/j.issn.1006-1959.2018.10.064]
[9]李振宏,施海龙,林思名,等.伴中央颞区棘波的儿童良性癫痫与 微量元素的关系研究[J].医学信息,2018,31(12):90.[doi:10.3969/j.issn.1006-1959.2018.12.027]
　LI Zhen-hong,SHI Hai-long,LIN Si-ming,et al.Study on the Relationship between Children's Benign Epilepsy and Trace Elements in the Central Temporal Spikes[J].Journal of Medical Information,2018,31(21):90.[doi:10.3969/j.issn.1006-1959.2018.12.027]
[10]胡 帅,张 蕾,罗荣华.呼出气一氧化氮浓度检测在儿童咳嗽变异性哮喘中的应用[J].医学信息,2018,31(13):91.[doi:10.3969/j.issn.1006-1959.2018.13.026]
　HU Shuai,ZHANG Lei,LUO Rong-hua.Determination of Exhalation Nitric Oxide Concentration in Children with Cough Variant Asthma[J].Journal of Medical Information,2018,31(21):91.[doi:10.3969/j.issn.1006-1959.2018.13.026]

更新日期/Last Update: 1900-01-01