Mendes Henrique, Zagalo-Cardoso J A
Centro de Saúde de Miranda do Corvo-SRS de Coimbra, Faculdade de Psicologia e de Ciências da Educação da Universidade de Coimbra, Coimbra.
Acta Med Port. 2002 Mar-Apr;15(2):101-11.
This research was carried out in the county of Oleiros, which integrates the only defined endemic goiter zone in Portugal, since 1969. We intend to characterize, from the epidemiological point of view, the prevalence of the endemic goiter by the observation of all students (N=699) and by the determination of the iodine urinary excretion in a sample of them (n=43). The prevalence value was of 27.5% (192 in 699), corresponding to 21.6% and to 5.9%, respectively for the total cases of degree 1A and degrees 1B and 2. No cases of degree 3 were found. Prevalence was of 36.4% (116 in 319) for females, and 20% (76 in 380) for males (proportion of about 2:1). The iodine urinary excretions presented 20% of the values out of the normal limits, and about 10% of them below minimum. These results allow us to classify the region as one of low to moderate endemic severity. However, in order to eradicate, among us, the endemic goiter, it is essential to proceed with the prophylactic program.
这项研究在奥莱罗斯县开展，自1969年以来，该县是葡萄牙唯一确定的地方性甲状腺肿病区。我们打算从流行病学角度，通过观察所有学生（N = 699）以及测定其中一部分学生（n = 43）的尿碘排泄量，来描述地方性甲状腺肿的患病率。患病率为27.5%（699例中有192例），其中1A度病例占21.6%，1B度和2度病例占5.9%。未发现3度病例。女性患病率为36.4%（319例中有116例），男性患病率为20%（380例中有76例）（比例约为2:1）。尿碘排泄量有20%超出正常范围，其中约10%低于最低值。这些结果使我们能够将该地区归类为地方性严重程度低至中度的地区。然而，为了在我们当中根除地方性甲状腺肿，开展预防计划至关重要。
