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目的了解舟山地区海员甲状腺现况,为海员甲状腺疾病防治提供依据。方法在2014年体检海员中抽取512人进行问卷调查,并进行尿碘、甲状腺激素检测和甲状腺超声检查。结果 512人中,甲状腺超声异常173人,异常检出率为33.79%;其中单发或多发结节108人、胶质囊肿57人和弥漫性肿大8人。50岁~组海员尿碘水平为170.20(120.90~209.10)μg/L,高于其他年龄组(P<0.05);远海海员尿碘水平和甲状腺过氧化物酶抗体(ANTI-TPO)分别为181.05(125.43~211.45)μg/L和1.78(0.60~2.35)IU/m L,均高于近海和岸勤人员(P<0.05)。结论加强50岁及以上、远海海员的尿碘、ANTI-TPO检测和甲状腺超声检查,有助于海员甲状腺疾病防治。
Objective To understand the thyroid status of seafarers in Zhoushan area and provide the basis for the prevention and treatment of thyroid diseases in seafarers. Methods A total of 512 people were sampled from seafarers in 2014 for questionnaire survey and urine iodine, thyroid hormone test and thyroid ultrasound examination. Results Among the 512 patients, there were 173 abnormal thyroid ultrasound and 33.79% abnormal detection rate. Among them, 108 were single or multiple nodules, 57 were glial cysts and 8 were diffusely enlarged. The urinary iodine level of seamen in the age group of 50 years old was 170.20 (120.90 ~ 209.10) μg / L, higher than that of other age groups (P <0.05). Urinary iodine level and ANTI-TPO in distant sea seafarers were 181.05 (125.43 ~ 211.45) μg / L and 1.78 (0.60 ~ 2.35) IU / m L, respectively, which were higher than that of offshore and shore-based personnel (P <0.05). Conclusion Enhancing urinary iodine, ANTI-TPO and thyroid ultrasound in sea fighters over the age of 50 and over are helpful for the prevention and treatment of thyroid diseases in seafarers.