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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。
Objective To assess the iodine nutrition level of naval officers and men and to analyze thyroid function and thyroid changes under ultrasound so as to find out whether the universal policy of iodine supplement applies to the Navy. Methods In June 2015, a sample survey of 285 officers and soldiers of a unit of the East China Sea in the Navy was conducted. Morning urine was collected to detect urinary iodine levels. Blood samples were collected for thyroid function tests and thyroid ultrasound examination. In addition, 296 Shanghai residents, who were routinely examined at the Changhai Hospital Physical Examination Center of the Second Military Medical University, were randomly selected to detect urinary iodine levels in the morning urine. SPSS 23.0 software for statistical analysis. Results The naval officers and soldiers were 285 cases, 278 males and 7 females, with an average age of (25.93 ± 4.90) years. The mean urinary iodine content was 119.934 μg / L, the median was 97.6 μg / L, urinary iodine <100 μg / L 147 (51.58%); thyroid function: 18 cases (6.32%) had abnormal thyroid antibody and 39 cases (13.68%) had abnormal ultrasound. There were 296 Shanghai residents, 59 males and 237 females, with an average age of (40.76 ± 28.61) years. The average urinary iodine content was 172.482 μg / L, with a median of 146.9 μg / L and urine iodine <100 μg / L 71 Example (23.99%). Urinary iodine content of naval officers and soldiers was lower than that of Shanghai residents (P = 0.001). Conclusion The navy officers and soldiers in the state of insufficient iodine intake accounted for 51.58%. Prompted iodization of salt through salt policy also applies to naval officers and men, and even appropriate to increase the total amount of iodine.