连山壮族瑶族自治县甲状腺疾病的患病调查

Investigation on thyroid diseases in lianshan Zhuang and Yao autonomous county

目的探讨连山壮族瑶族自治县甲状腺疾病的患病调查分析。方法调查2015年7月~2017年7月连山壮族瑶族自治县居民5998例,均进行血清中的游离三碘甲状腺原氨酸(FT3)、游离甲状腺素(FT4)、促甲状腺(TSH)水平检测和甲状腺彩超检查,分析甲状腺疾病的患病情况及其相关因素。结果本次调查中,甲状腺疾病患病600例(10.00%),其中甲状腺功能亢进120例(20.00%),甲状腺腺瘤105例(17.50%),结节性甲状腺肿100例(16.67%),单纯性甲状腺肿90例(15.00%),甲状腺癌75例(12.50%),亚急性甲状腺炎65例(10.83%),甲状腺功能减低45例(7.50%);单因素结果分析显示,甲状腺疾病与性别、年龄、心理压力、饮食习惯、食用加碘盐、烟酒嗜好、甲状腺疾病病史等有关(P<0.05)。Logistic多因素分析结果显示,不良饮食习惯、少食用加碘盐、甲状腺疾病病史是甲状腺疾病患病的独立影响因素(P<0.05)。结论连山壮族瑶族自治县甲状腺疾病的患病率较高,疾病种类以甲状腺功能亢进为主,其发病与多因素有关,尤其应重视饮食习惯、加碘盐食用、甲状腺疾病病史等人群的干预。

Objective To investigate the prevalence of thyroid diseases in Lianshan Zhuang and Yao autonomous county.Methods 5998 cases of Lianshan Zhuang and Yao autonomous county from July 2015 to July 2017 were investigated.Serum levels of free triiodothyronine(FT3),free thyroxine(FT4),thyroid stimulating hormone(TSH)and thyroid color Doppler ultrasound were examined.The prevalence of thyroid diseases and related factors was analyzed.Results In this investigation,there were 600 cases(10.00%)of thyroid diseases,including 120 cases(20.00%)of hyperthyroidism,105 cases(17.50%)of thyroid adenoma,100 cases(16.67%)of nodular goiter,90 cases(15.00%)of simple goiter,75 cases(12.50%)of thyroid cancer,65 cases(10.83%)of subacute thyroiditis,and 45 cases(7.50%)of hypothyroidism.The results of single factor analysis showed that thyroid diseases were related to sex,age,psychological stress,dietary habits,edible iodized salt,smoking and alcohol addiction,and the history of thyroid disease(P<0.05).The results of Logistic multivariate analysis showed that bad dietary habits,low consumption of iodized salt,and the history of thyroid disease were independent factors of the disease of thyroid disease(P<0.05).Conclusion The prevalence rate of thyroid diseases in Lianshan Zhuang and Yao autonomous county is relatively high.The disease type is mainly hyperthyroidism.Its incidence is related to many factors,especially the intervention of people such as diet habits,iodized salt consumption,and thyroid disease history should be paid attention to.