摘要
目的 为探讨轻度缺碘地区人群食用碘盐后，在碘营养状况得以改善的同时，是否诱发甲亢。方法 比较补碘前后医院甲亢病例变化情况，同时对生活环境碘含量和人体碘代谢水平采用微量碘分析法进行测定。结果 显示杭州市食盐加碘后，居民每日从生活环境中摄入的碘量从７０μｇ 上升到２２０～３３０μｇ，人群碘营养状况得到明显改善。但甲亢病人较食用碘盐前有所增加，发病高峰年龄集中在２０～５４ 岁之间，且女性较男性为高，而其尿碘值与正常人群无异，表明碘摄入量的增加，即使适碘状况，仍使部分敏感人群诱发甲亢。结论 建议在轻度缺碘地区实施全民补碘措施后，应开展人群的甲亢病情监测，以便为更科学地防治碘缺乏病提供依据。
Objective To investigate that whether hyperthyroidism would be caused by the iodine nutrition whic was improved among iodine supplied population of low grade iodine deficiency area.Methods The cases of hyperthyroidism were contrasted in pro and post supplement of iodine.The environmental iodine value and iodine metabolism level of human were determined by iodine microanalysis.Results It showed that the quantity of daily iodine of the population increased from 70μg to 220~300μg since the iodine salt had been supplied.The cases of hyperthyroidism were more than before since the iodine nutrition of population had been improved.Most of the cases' age were 20~54 years old.Female was more than male.There were no difference between the hyperthyroids and the general population in urine iodine.It indicated even the iodine was supplied properly,the hyperthyroidism still would be attacked among some high risk populatin.Conclusions It suggested that the surveillance of hyperthyroidism should be carried out after supplying iodine to all population in lwo grade iodine deficiency area.So that it would provide a scienctific basis to IDD control measures. [
出处
《中国地方病学杂志》
CAS
CSCD
1999年第6期453-455,共3页
Chinese Jouranl of Endemiology
关键词
碘缺乏
补碘
尿碘
甲状腺机能亢进
Iodine deficiency
Iodine supplement
Urine iodine
Hyperthyroidism
