不同碘营养状况与亚临床甲状腺病的相关性研究.docVIP

不同碘营养状况与亚临床甲状腺病的相关性研究 ［摘要］目的分析不同碘营养状况与亚临床甲状腺疾病的相关性，以便掌握对该类疾病的临 床特点与诊治方法。方法选取木院2011年4月至2012年4月期间于门诊接受健康体检的 人群共69例，对其饮食习惯与膳食情况进行问卷调杏。初步计算毎I I摄入体内的碘含量。 对所有人的每LI碘摄入量与血清屮甲状腺激索的水平变化进行对比，并采用超声对其甲状腺 进行检杳，了解其碘营养情况与甲状腺超声改变、亚临床甲状腺疾病的关联。结果碘摄入 量与其TSII、FT3、中状腺结节数最以及甲状腺体积均呈现明显相关，而对比碘摄入足最与 碘摄入适屮的人群可得，碘摄入适屮的人群其TSH较碘摄入足量的人明显降低，碘摄入足量 的出现亚临床甲状腺功能减退，而FT3则明显升高，差异有统计学意义(/K0. 05) o对比甲状 腺结节的数量与甲状腺体积可得，碘摄入适屮的人均明显低于碘摄入足量的人，差异有统计 学意义(尺0.05)。结论碘的摄入超出正常范|韦I，会抑制甲状腺功能，出现以业临床甲状腺 功能减退为主的功能异常症状，使甲状腺功能减退的患病率明显增加，碘过量时亚临床中亢 的患病危险减少。碘过量是亚临床甲减和临床甲减的独立危险因素。 ［关键词］碘；慢性碘营养；相关性；亚临床甲状腺病 Correlation analysis of the nutritional status of iodine and the subc linictil thyroid disease DengYun (The affiliated hospital of Yulin health school Department of nuclear medicine Yulin, Guangxi ,537000,) ［Abstract］ Objective Analysis of the correlation of differenl iodinc nutri Lio rial status and clinical thyropathy , in order to master clinical characteristics and t reatment met hod of this kind of disease. Method Select a crowd of 69 cases of accept the healthy check-up in our hospital during April 2011 - 2012 April. Survey clietary hab its and diet. A preliminary cal cula tion dai 1 y iod ine conte nt of taken in the body. Contrast daily iodine intake and the levels of serum thyroid hormone , ultrasonic check the thyroid gland, to understand iodine nutrition situation and thyroid ultrasonic change, association of subclinical thyroid diseases. ResuIt Iodine intake and its number of thyroid nodule, TSII FT3 and thyroid volume significantly related to . Moderate iodine intake of TSH a signi ficant decrease than Iodine is take n enough, Iodine is taken eno ugh subclinical hypothyroidism, FT3 sign ifica nlly increased (/K0?05). Contrast the number of thyroid nodule and thyroid volume, moderate iodine is taken significantly lower than the iodine is taken enough. Conclusion Todine is taken in the normnl range , eppear subclinical hypothyroidism? Iodine excess is subclinical JiaJian and clinical JiaJian independent risk factors (