| 摘要: |
| 目的 评估海军官兵的碘营养水平，并结合甲状腺功能以及超声下甲状腺改变进行分析，了解全民普遍补碘的政策是否适用于海军。方法 于2015年6月抽样调查海军东海某部官兵285例，留取晨尿检测尿碘水平，抽血检测甲状腺功能指标，同时行甲状腺超声检查。另随机选取同期在第二军医大学长海医院体检中心常规体检的上海居民296例，检测晨尿尿碘水平。采用SPSS 23.0软件进行统计分析。结果 海军官兵285例，男278例，女7例；年龄（25.93±4.90）岁；尿碘含量平均值为119.934μg/L，中位数为97.6μg/L，尿碘含量<100μg/L者147人（51.58%）；甲状腺功能：甲状腺抗体异常者18例（6.32%），超声异常者39例（13.68%）。上海居民296例，男59例，女237例；年龄（40.76±28.61）岁；尿碘含量平均值为172.482μg/L，中位数为146.9μg/L，尿碘含量<100μg/L者71例（23.99%）。海军官兵尿碘含量低于上海居民（P=0.001）。结论 海军官兵中碘摄入水平处于不足状态者占51.58%。提示通过食盐补碘的政策同样适用于海军官兵，甚至于要适量增加其补碘的总量。 |
| 关键词: 尿碘 甲状腺功能 抗体 超声检查 |
| DOI：10.16781/j.0258-879x.2016.07.0895 |
| 投稿时间：2015-12-10修订日期：2016-05-03 |
| 基金项目:第二军医大学医学专项课题（2013JS19）. |
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| Survey of iodine nutrition and thyroid function in servicemen of Chinese Navy |
| YAO Zhi-wei1,WANG Zhi-ping2,LI Shu-guang2*,HU Wei1* |
(1. Department of Thyroid and Breast Surgery, Changhai Hospital, Second Military Medical University, Shanghai 200433, China;
2. No. 411 Hospital of PLA, Shanghai 200081, China
* Corresponding author) |
| Abstract: |
| Objective To evaluate the iodine nutrition level of Chinese naval soldiers, and to know whether the universal iodization policy is suitable for naval soldiers by examining their thyroid function and thyroid ultrasonography changes. Methods In June 2015, we examined the morning urine iodine and blood sample for thyroid function in 285 soldiers from the East Sea Fleet of Chinese Navy; the participants also underwent thyroid ultrasonography test. At the same time, we also detected the morning urine iodine of 296 randomly selected residents who lived in Shanghai and were taking a routine check-up in the same hospital. SPSS 23.0 was used for statistical analysis. Results The 285 naval soldiers included 278 males and 7 females, with an age of (25.93±4.90) years. Their mean urinary iodine level was 119.934 μg/L, with the median level being 97.6 μg/L. There were 147 naval soldiers with urine iodine level <100 μg/L(51.58%). Thyroid function examination showed that thyroid antibody was abnormal in 18 cases (6.32%) and thyroid ultrasonography was abnormal in 39 cases (13.68%). The 296 Shanghai residents included 59 males and 237 females, with an age of (40.76±28.61) years old; the mean level of urinary iodine was 172.482 μg/L (median was 146.9 μg/L), which was significantly higher than that of naval soldiers (P=0.001). There were 71 residents with urine iodine level <100 μg/L (23.99%). Conclusion It has been found that 51.58% of the Chinese naval soldiers have insufficient iodine intake, indicating that the policy of iodized salt is also suitable for the Navy soldiers, and their iodine intake should be even more. |
| Key words: urinary iodine thyroid function antibody ultrasonography |
