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新疆是一个地理环境气候条件非常复杂的地区,外环境严重缺碘,同时许多地区有高氟引起的地方性氟中毒。本文选择了全疆21个伴有高氟危害的碘缺乏病区,对两种疾病之间可能的相互关系进行了分析。结果表明碘缺乏病主要影响因素为缺碘,而高氟对甲状腺的影响在现场流行病学上还不明显。这是由于氟对甲状腺的影响表现是复杂的,此外补碘防治碘缺乏病工作的深入也使在病区氟的可能作用受到干扰,氟只能加重缺碘造成的危害。由于新疆环境地理的复杂性,影响碘缺乏病的因素多样性,应注意划分病区类型,采用符合病区特点的防治措施才可达到预期目的。
Xinjiang is a region with a very complicated geographical environment and climatic conditions. It has a serious iodine deficiency in its external environment, and endemic fluorosis caused by high fluoride in many areas. In this paper, 21 cases of iodine deficiency disorders with high fluoride exposure in Xinjiang were selected and the possible interrelationships between the two diseases were analyzed. The results show that the main influencing factor for iodine deficiency disorders is iodine deficiency, and the impact of high fluoride on the thyroid gland is not obvious in the field of epidemiology. This is because the effects of fluoride on thyroid performance is complex, in addition iodine deficiency prevention and treatment of iodine deficiency disease in depth also make the possible role of fluorine in the ward interference, fluoride can only aggravate the harm caused by iodine deficiency. Due to the complexity of environmental geography in Xinjiang and the diversity of factors affecting iodine deficiency disorders, we should pay attention to the classification of ward types and adopt the prevention and control measures that conform to the characteristics of ward in order to achieve the desired goal.