马启玲,吴艺捷,时立新,杨里福,杨青
Ma Qiling,et al Department of Endocrine of Affiliated Hospital, Guiyand Medical College

• 1:贵阳医学院附院内分泌科

摘要(Abstract)：

对贵阳市３００例新生儿进行了ＴＳＨ筛查，同时对９６４名８～１０岁儿童进行甲状腺肿大率检查，２１６名８～１０岁儿童作了尿碘测定，２４０户居民家的碘盐进行了监测。结果表明：１．ＴＳＨ值＞５ｍＩＵ／Ｌ者占３３．３％，其中＞１０ｍＩＵ／Ｌ者占１６．７％，＞２０ｍＩＵ／Ｌ者占４．３％，＞３０ｍＩＵ／Ｌ者占１．７％，表现向高值方向偏移。２．甲状腺肿大率平均为１１．４％。３．尿碘中位数值虽均大于１００μｇ／Ｌ，但仍有１．７％～２５．８％儿童尿碘达不到１００μｇ／Ｌ。４．碘盐浓度＞２０ｍＩＵ／Ｌ只占７０．４％。该结果提示贵阳市居民仍有碘摄入不足。以新生儿ＴＳＨ水平为判定人群碘营养状态指标最为敏感、可靠
We screened 964 neonatal TSH levels, examined the thyroid enlargement rate of 964 children aged 8～10 year, measured the urinary iodine values of 216 children aged 8～10 year and the iodine content in salt of 240 inhabitants The results showed:1 The percentage of TSH levels greater than 5 mIU/L was 33 3%, greater than 10 mIU/L 16 7%, greater than 20 mIU/L 4 3% and greater than 30 mIU/L 1 7% These indicated that the TSH levels drifted toward higher level 2 The mean thyroid enlargement rate was 11 4% 3 Although the medium of urinary iodine values was greater than 100 μg/L, there were still 1 7%～25 8% of children whose urinary iodine values can not reach 100 μg/L 4 The percentage of iodine content in salt greater than 20 mg/kg was only 70 4% The results demonstrate that the inhabitants of Guiyang also can not intake enough iodine The neonatal TSH level for monitoring population nutrition status is the most sensitive and reliable index

关键词(KeyWords)： 新生儿,地方性甲状腺肿,甲状腺刺激激素
infant, newborn; goiter, endemic; thyroid stimulating hormone

Abstract:

Keywords:

基金项目(Foundation): 资金由联合国儿童基金

作者(Author): 马启玲,吴艺捷,时立新,杨里福,杨青
Ma Qiling,et al Department of Endocrine of Affiliated Hospital, Guiyand Medical College

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DOI: 10.19367/j.cnki.1000-2707.1997.01.012

参考文献(References)：

• 1阎玉芹，译．WHO与ICCIDD制定的碘缺乏病防治标准方法．中国地方病学杂志，1990，5：1792时钟孚，等．贵州省碘缺乏病病区新生儿TSH筛查五年监测结果．中国地方病学杂志，1995，14：13DelangeF．Requirementofiodineinhumans．IDDNewsLetten，1993，9（1）：2

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