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《Chinese Journal of Control of Endemic Diseases》 2014-01
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A typical investigation of thyroid nodules in adults of Juye county of Shandong province

CHEN Di-qun;MENG Fan-gang;LIU Li-xiang;ZHAO Ren-cheng;DU Yang;JIAO Li-sha;LIU Shou-jun;LIU Yuan;HUANG Ju-mei;WANG Xin;LIANG Na;SUN Guo-dong;XI Jian-guo;Institute o f Iodine Deficiency Disorders Control,Center for Endemic Disease Control of Chinese Center for Disease Control and Prevention, Harbin Medical University;  
Objective To investigate the detection rates of thyroid nodules and positive TPOAb in the areas with different iodine and fluoride intakes. Methods Thyroid ultrasound,thyroid peroxidase antibody( TPOAb) and urinary iodine examination were carried out in 396 adults aged over 23 years old from 3 rural areas in Juye county of Shandong province where the iodine concentration was normal and fluorine was low,the iodine was high and fluorine was low,the iodine and fluorine was high in drinking water. Results The median urinary iodine( MUI) in the three areas were 207. 1,383. 9 and 461. 7 μg / L. The detection rates of thyroid nodules were 16. 5%,22. 0% and 11. 5% respectively. The positive rates of TPOAb were 25. 9%,33. 7% and 12. 4% respectively. The detection rate of thyroid nodules in the high iodine and fluorine group was lower than that in the high iodine and low fluorine group( P 0. 05). The detection rate of thyroid nodules showed an upward trend with the advance of age,the highest above 60 years with 24. 4%,29. 2% and 18. 8% respectively. The trend chi-square test was significantly different( P 0. 05). The positive rate of TPOAb in the high iodine and fluorine group was significantly lower than that of the other two groups with the population of the normal thyroid ultrasound. Conclusions Within the water iodine range of 200 ~ 300 μg / L,if water fluoride rises from 0. 99±0. 29 mg / L to 1. 67±0. 19 mg / L,whether the detection rate of thyroid nodules or the positive rate of TPOAb is significantly reduced.
【Fund】: 国家自然科学基金资助课题(81172606)
【CateGory Index】: R581.3
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