碘摄入量对甲状腺结节性疾病影响的流行病学研究

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1、分类号：学号：2009212202广州医学院硕士学位论文碘摄入量对甲状腺结节性疾病影响的流行病学研究Epidemiologicalstudiesofiodineintakeonthyroidnodulardiseases硕士研究生：李杏导师：陶霖玉主任医师广州医学院广州二〇一二年五月1碘摄入量对甲状腺结节性疾病影响的流行病学研究Epidemiologicalstudiesofiodineintakeonthyroidnodulardiseases研究生姓名：李杏导师：陶霖玉主任医师学科专业：外科学研究方向：甲状腺乳腺外科院

2、系名称：广州医学院学号：2009212202申请学位级别：医学硕士学位类型：医学临床学位论文提交日期：2012年5月论文答辩日期：2012年5月答辩委员会主席：评阅人：广州医学院广州二〇一二年五月i目录中文摘要·····························································································1英文摘要·····························································

3、································3第一章前言··············································································5第二章资料与方法··············································································7第三章结果·······················································

4、······················10第四章讨论·············································································15第五章结论·············································································25参考文献····································································

5、························26附录1缩略词表··················································································29附录2流行病学调查表········································································30附录3中国碘位高低分布图···················································

6、···············31综述··································································································32致谢····························································································39原创性声明············································

7、·············································40ii中文摘要目的：本文通过检测患有甲状腺结节性疾病的患者、甲状腺结节性疾病术后患者及正常人群的尿碘含量，探讨碘摄入量对甲状腺结节性疾病的影响。方法：采用“尿碘定量检测法”检测2009年01月01日至2011年12月31日期间到深圳市南山人民医院甲乳外科就诊的患有甲状腺结节的人群130人的尿碘水平，及此期间在深圳市南山人民医院甲乳外科行甲状腺手术的人群114人的尿碘水平，和深圳市南山人民医院体检科体检的甲状腺正常的人群114人的尿碘

8、水平，对三组数据及相关的临床资料进行统计和分析。结果：1将术前组、术后组、正常对照组三组人群尿碘水平构成比进行比较，三组22尿碘水平构成比不同，采用χ检验（χ=105.941，P<0.001），差异具有统计学2意义；将三组人群尿碘水平构成比两两进行比较，采用χ检验，差异均具有统计学意义。2术前组尿碘中位