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于1988年对日照沿海地区3218名7~14岁儿童进行甲状腺肿调查。甲状腺肿大者56例,总患病率1.74%,各年龄组患病率随年龄增加呈上升趋势,有显著统计学差异;男女间无显著差异。单纯性甲状腺肿55例,轻型甲亢1例,城乡间患病率差异极显著,城镇1.06%,乡村2.99%。城乡儿童在含碘食物摄入量上无显著差异;而在家庭人均经济收入与父母文化水平方面有极显著性差异。在膳食结构上城镇儿明显较乡村儿合理,乡村儿童中低蛋白质、低能量、维生素缺乏的现象较城镇儿童普遍而多见。经膳食指导半年后,大部分患儿的甲状腺肿与症状明显减轻或消失,轻型甲亢患儿复查甲状腺功能转为正常。提示,在非缺碘地区学龄儿甲状腺肿的发病因素中不平衡膳食占有一定地位。
In 1988, 3218 children aged 7-14 years in the coastal area of Rizhao were investigated for goiter. Goiter in 56 cases, the total prevalence rate of 1.74%, the prevalence of each age group increased with age, there was a statistically significant difference between men and women was no significant difference. Simple goiter in 55 cases, 1 case of mild hyperthyroidism, urban and rural prevalence were significantly different, 1.06% of towns and villages 2.99%. There was no significant difference in the intake of iodine-containing foods between urban and rural children, but there was a significant difference between the per capita income of the families and their parents’ cultural level. In the dietary structure, the urban children are obviously more reasonable than the rural children, and the low protein, low energy and vitamin deficiency among the rural children are more common than the urban children. After six months of dietary guidance, the majority of children with goiter and symptoms significantly reduced or disappeared, thyroid function in children with mild hyperthyroidism review turned normal. Tip, non-iodine-deficient school-age children goiter in the incidence of unbalanced diet occupies a certain position.