文献类型：期刊文献

中文题名：甘南藏区人群血清甲状腺激素水平分析

英文题名：Analysis on the Serum Thyroid Hormon es Levels in Crowd of Gannan Tibetan Areas

作者：赵建刚[1];白洲霞[2];杨建英[1];赵朝文[3]

第一作者：赵建刚

机构：[1]甘肃省疾病预防控制中心,兰州730000;[2]甘肃中医学院附属医院,兰州730000;[3]甘肃平凉医学高等专科学校,甘肃平凉744000

第一机构：甘肃省疾病预防控制中心,兰州730000

年份：2013

卷号：27

期号：5

起止页码：29

中文期刊名：中国初级卫生保健

外文期刊名：Chinese Primary Health Care

语种：中文

中文关键词：甲状腺激素;流行病学;甘南藏区

外文关键词：thyroid hormones; epidemiology; Tibetan areas

摘要：目的了解甘南藏族聚集区不同人群甲状腺激素水平,为进一步开展藏族聚集区人群健康状况调查和健康教育提供帮助。方法分别对甘南藏族聚居区农区和牧区10岁以上高年级小学生、育龄妇女和成年男性进行分层随机抽样,空腹抽取肘静脉血检测血清总三碘甲状腺原氨酸(TT3)、血清总甲状腺素(TT4)、血清游离三碘甲状腺原氨酸(FT3)、血清游离甲状腺素(FT4)和促甲状腺素(TSH)水平并进行分析。结果牧区儿童TT3水平低于农区儿童,TT4水平高于农区儿童,差异有统计学意义(P<0.05);牧区育龄妇女TT3、TT4、FT4和TSH水平均低于农区育龄妇女(P<0.01);牧区成年男性TT3和FT3水平高于农区成年男性(P<0.05),其他各项激素水平无显著性差异(P>0.05)。另外,在各人群中的各项甲状腺激素水平偏高者多于偏低者。结论甘南藏族聚居区农区和牧区人群甲状腺激素水平现状不容乐观,应进一步加大对该地区人群进行健康检查和健康教育的力度。
OBJECTIVE To investigate the serum thyroid hormones levels among different stages of people in Tibetan areas of Gannan, and to provide help for further health survey and health education of Tibetans. METHODS To investigate the people from high grade pupils above 10 years old, fertile women and adult males in pastoral areas and in agricultural areas separately who were drew blood for total triiodothyronine（T]＇3）~ total thyroxine（Tl＇4）, thyroid hormones free triiodothyronine（~3）~ free thyroxine（]~＇Y4） and thyroid stimulating hormone（TSH） by stratified random sampling. RESULTS The TF3 levels of pastoral areas children were significantly lower than those in agricultural areas, while the TF4 levels were higher than those in agricultural areas, there were significantly differences between pastoral areas children and agricultural areas children（P〈0.05）; the TY3 ~ TF4 ~ FT4 and TSH levels of pastoral areas fertile woman were significantly lower than those in rural areas（P〈0.01）, the TF3 and FE3 levels of pastoral areas adult males were significantly higher than those in agricultural areas, and there were not significantly differences in others serum thyroid hormones levels between pastoral areas people and agricultural areas people（P〉0.05）. In addition, the people in higher thyroid hormones levels more than those in lower thyroid hormones levels. CONCLUSIONS the cognitive status of the serum thyroid hormones levels in pastoral areas and in agricultural areas remains not satisfactory, It is necessary to further strengthen health examination and heath education in Tibetan areas.