江门市新会区甲状腺功能检测结果的调查分析

Survey of Detected Result of Thyroid Fuction in Xinhui Area of Jiangmen City

目的初步探讨新会地区甲状腺疾病的发病情况。方法对近3年(2001年11月～2004年10月)该区三家综合性医院共15648例体检者、门诊病人和住院病人的甲状腺功能检测结果进行调查,以甲状腺功能检测异常值结合临床诊断来判断甲状腺疾病的发病率及与性别、年龄的关系,并以三个时间段来估价其发病趋势。结果各种甲状腺疾病在总被检人数中的比例是:甲亢的发病率占12.9%,甲减占3.6%,亚临床甲亢占6.6%,亚临床甲减占6.7%,其他甲状腺疾病占2.0%;各种甲状腺疾病在总发病例数中的比例是:甲亢的发病率为40.6%,甲减为11.5%,亚临床甲亢为20.7%,亚临床甲减为21.1%,其他甲状腺疾病为6.2%。甲状腺疾病发病率男女之比是1∶2.60,其中以甲亢差别最大、男女之比是1∶4.03。甲状腺疾病发病年龄以中青年(20～49岁)居多。在受检人群中甲状腺疾病总发病率是31.7%,其中2001.11～2002.10为28.1%,2002.11～2003.10为32.9%,2003.11～2004.10为33.8%。结论甲亢发病率远高于甲减,亚临床甲亢发病率与亚临床甲减差不多,其他甲状腺疾病发病率比较低。该区3年来甲状腺疾病的发病稍有递增趋势。

Objective To investigate the status of thyroid diseases in Xinhui area. Methods The thyroid function of total of 15 648 cases of regular check up individuals, outpatients and inpatients in 3 general hospitals in the last 3 years were tested. Individuals showing abnormal in the test were followed with clinical diagnosis to confirm the incidence of thyroid diseases and to study the correlation of the disease with sex and age. The trends of the thyroid diseases in the population were analyzed in three periods. Results Among all the thyroid diseases detected in the whole study, the incidence of hyperthyroidism was 12.9%, hypothyroidism was 3.6%, subclinical hyperthyroidism was 6.6%, subclinical hypothyroidism was 6.7%, and other thyroid diseases was 2.0%. The proportions of different types of thyroid diseases detected were： hyperthyroidism 40.6%, hypothyroidism 11.5%, subclinical hyperthyroidism 20.7%, subclinical hypothyroidism 21.1%, and other thyroid diseases 6.2%. The proportion between male and female is 1：2.60 for incidence of thyroid diseases. The ratio incidence of hyperthyroidism in male to that in female was 1：4.03. The prevalence of thyroid diseases was the highest in the age group of 20~49 years old. The total incidence of thyroid diseases was 31.7% and it was slightly increased from 2001 to 2004 （28.1% in 2001-11~2002-10, 32.9%in 2002- 11-2003-10, 33.8% in 2003-11-2004-10） Conclusions The incidence of hyperthyroidism was higher than that of hypothyroidism. The incidence of subclinical hyperthyroidism and subclinical hypothyroidism was about the same. The incidences of other thyroid diseases were lower. There was a tendency of increase in the incidence of thyroid diseases in Xinhui area in the last three years.