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[学龄儿童甲状腺状态与膳食碘摄入量改善的关系变化]

[Changes in the thyroid status of school children in relation to improved dietary iodine intake].

作者信息

Einenkel D, Stach B, Bauch K, Költzsch V

机构信息

Kinderklinik, Medizinischen Versorgungsbereiches Erlabrunn.

出版信息

Padiatr Grenzgeb. 1990;29(4):331-8.

PMID:2216529
Abstract

Five years after the introduction of the iodine prophylaxis examinations on the reaction of the thyroidal state were carried out in 150 children, 9 to 15 years of age in a district of the Erzgebirge in the south of the GDR. The results of the T3-, T4- and TSH-concentrations within the serum demonstrated in all the children an euthyroid metabolic condition. The medium renal iodine elimination of 37.3 +/- 4.7 micrograms iodine/g creatinine still resulted in an ionic deficiency of 2nd degree. The thyroid volumes too measured by sonography and the thyroid masses figured out were significantly more voluminous than those of children of the same age in countries with a sufficient iodine supply since years. The incidence rate of struma in 13-15-year-old children amounted to 21 per cent. The systematic accomplishment of interdisciplinary iodine prophylactic measures will further on be essential during the next years in the GDR.

摘要

在民主德国南部厄尔士山脉某地区,对150名9至15岁儿童进行了碘预防检查,以观察甲状腺状态反应,五年后得出如下结果。血清中T3、T4和TSH浓度结果显示,所有儿童的甲状腺代谢状况均正常。肾脏平均碘排泄量为37.3±4.7微克碘/克肌酐,仍导致二级离子缺乏。通过超声测量的甲状腺体积以及计算出的甲状腺质量,明显大于多年来碘供应充足国家中同龄儿童的甲状腺。13至15岁儿童甲状腺肿的发病率为21%。在未来几年,系统地实施跨学科碘预防措施在民主德国仍将至关重要。

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