碘充足地区不同形式甲状腺功能障碍的发生率及其程度。

Thyroidology Pub Date : 1994-08-01
J C Galofré, R V García-Mayor, E Fluiters, L Fernàndez-Calvet, A Rego, C Pàramo, M A Andrade
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引用次数: 0

摘要

研究目的:本研究的目的是确定碘充足地区(西班牙西北部加利西亚的维戈市)甲状腺功能障碍的发生率。设计:为期3年(1990-1992)的病例调查研究。受试者:从人群中随机抽取FT4、敏感tsh或抗甲状腺自身抗体检测结果异常的受试者。测量方法:超声检查甲状腺大小。FT4由RIA;放射性受体测定TSA抗体;通过IRMA测定TSH, Tg Ab和TMS Ab。主要结果:甲状腺功能障碍的总发病率为97.96 / 10万/年(CI 95% 78.86-117.06);女性162.45,男性17.44。甲状腺机能亢进的发病率为52.37 / 10万/年(CI 95%, 38.41 ~ 66.36);格雷夫斯病24.24,结节性甲状腺机能亢进11.63,医源性甲状腺机能亢进13.57,其他原因2.90。甲状腺功能减退的发病率为45.58 / 10万/年(CI为95%,32.55 ~ 58.620)。甲状腺功能减退:自身免疫性甲状腺炎27.15例,术后甲状腺功能减退8.72例,杂项性甲状腺功能减退4.89例,胺碘酮性甲状腺功能减退1.93例,继发性甲状腺功能减退2.90例。结论:本研究提供了在碘充足地区临床和亚临床甲状腺功能障碍及其不同形式的发生率的广泛数据。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Incidence of different forms of thyroid dysfunction and its degrees in an iodine sufficient area.

Study objective: The aim of the study was to determine the incidence of thyroid dysfunction in an iodine sufficient area (Vigo city, Galicia, North-West of Spain).

Design: Case-finding study during a 3-year (1990-1992) period.

Subjects: Subjects from a random sample of the population with abnormal results on FT4, sensitive-TSH or antithyroid autoantibodies.

Measurements: Thyroid size by ultrasound study. FT4 by RIA; TSA Ab by radio receptor assays; TSH, Tg Ab and TMS Ab by IRMA.

Major results: Overall incidence of thyroid dysfunction was 97.96 per 100,000 per year (CI 95% 78.86-117.06); female 162.45, male 17.44. Incidence rate of hyperthyroidism was 52.37 per 100,000 per year (CI 95% 38.41-66.36); 24.24 for Graves' disease, 11.63 for nodular hyperthyroidism, 13.57 for iatrogenic hyperthyroidism and 2.90 for others causes. Incidence rate of hypothyroidism was 45.58 per 100,000 per year (CI 95% 32.55-58.620 27.15 for hypothyroid autoimmune thyroiditis, 8.72 for postoperative hypothyroidism, 4.89 for miscellaneous hypothyroidism, 1.93 for amiodarone induced hypothyroidism and 2.90 for secondary hypothyroidism.

Conclusions: This investigation provides extensive data on incidence of clinical and subclinical thyroid dysfunction and its different forms in an iodine sufficient area.

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