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张庆兰, 吴民义, 江庆远, 周永林, 王培桦, 武鸣, 赵金扣. 甲状腺功能亢进症住院率与食盐碘含量关系[J]. 中国公共卫生, 2008, 24(4): 438-440. DOI: 10.11847/zgggws2008-24-04-34
引用本文: 张庆兰, 吴民义, 江庆远, 周永林, 王培桦, 武鸣, 赵金扣. 甲状腺功能亢进症住院率与食盐碘含量关系[J]. 中国公共卫生, 2008, 24(4): 438-440. DOI: 10.11847/zgggws2008-24-04-34
ZHANG Qing-lan, WU Min-yi, JIANG Qing-yuan, . Hospitalization rate and relative factors of hyperthyroidism in residents of Changzhou city[J]. Chinese Journal of Public Health, 2008, 24(4): 438-440. DOI: 10.11847/zgggws2008-24-04-34
Citation: ZHANG Qing-lan, WU Min-yi, JIANG Qing-yuan, . Hospitalization rate and relative factors of hyperthyroidism in residents of Changzhou city[J]. Chinese Journal of Public Health, 2008, 24(4): 438-440. DOI: 10.11847/zgggws2008-24-04-34

甲状腺功能亢进症住院率与食盐碘含量关系

Hospitalization rate and relative factors of hyperthyroidism in residents of Changzhou city

  • 摘要: 目的 探讨城市居民甲状腺功能亢进症(甲亢)住院率及其关联因素。方法 收集江苏省常州市区1991~2004年甲亢患者住院病历;抽查1995~2004年市售食盐,以直接滴定法检测食盐碘含量,用描述流行病学方法进行比较分析。结果 1993年甲亢年住院率最低,为1.46/10万;实施全民食盐加碘(USI)后,甲亢年住院率曲线表现为一过性升高,1999年达峰值,为27.74/10万,随后逐步下降到2004年的8.83/10万。年住院率女性与男性之比危险度(RR)为3.175(95%CI=2.90~73.460);40岁及以上与40岁以下比较,相对危险度(RR)为2.321(95%CI=2.152~2.503);USI前后比较,RR为4.658(95%CI=4.116~5.270)。结论 甲亢住院率变化与全民食盐加碘关联最明显,应加强对碘所致甲亢病例的监测。

     

    Abstract: Objective To exploit the hospitalization rate and its associated factors of hyperthyroidism in urban residents.Methods Hyperthyroidism records were collected retrospectively among urban Changzhou citizens between 1991 to 2004.Data was analyzed using descriptive statistical method.Iodine level of salt was surveyed during 1995 to 2004 in the method of direct titration of standard Na2S2O3 solution.Results Hospitalization of hyperthyroidism(HH)in the area was in a low level of 1.46 per million in 1993.After the universal salt iodization(USI),HH incr eased to a peak of 27.74 per million in 1999,and then droped to 8.83 permillion in 2004.Adjusted by other factors,RR of female against male is 3.175(95%CI:2.907-3.460),RR of the age≥40 against<40 is 2.321(95%CI:2.152-2.503),and RR after USI against before USI is 4.658 (95%CI:4.116-5.270).Conclusion Hospitalization of hy perthyroidism is probably related to USI,and hyperthy roidism induced by iodine should be more closely monitored.

     

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