【摘要】 目的调查舟山地区近远海作业海员的甲状腺状况及影响因素差异。方法在2014年海员体检中随机抽取512名,对其进行问卷调查,砷铈催化分光光度法检测尿碘,化学发光法检测其三碘甲腺原氨酸(TT3)、血清总甲状腺素(TT4)、游离三碘甲腺原氨酸(FT3)、血清游离甲状腺素(FT4)、促甲状腺素(TSH),Logistic回归分析其甲状腺超声检查的危险因素。结果 B超共检出异常173例(33.79%),其中单发或多发结节108例、囊肿57例、弥漫性肿大8例。Logistic回归分析模型发现,B超下甲状腺异常的危险因素是工种中的远海组[OR值4.36(95%CI:1.63~8.22)]和年出海时间的>6月组[OR值3.35(95%CI:1.66~7.59)](P<0.01)。结论加强出海海员尤其是远海海员的甲状腺健康状况监控,有助于海员内分泌紊乱疾病的防治。更多还原

【Abstract】 Objective To investigate the differences of thyroid hearth status and influence factors between coastal seamen and deepsea seamen in Zhoushan. Methods 512 seamen for physical examination in 2014 were selected,who were investigated by questionary. Urinary iodine was detected by arsenic cerium catalytic spectrophotometry. Serum levels of TT3,TT4,FT3,FT4,and TSH were detected by Chemiluminescence method,logistic regression was performed to analyze the risk factors of thyroid ultrasonography. Results 173 abnormal cases were detected by B- ultrasound( 33. 79%) which contained 108 thyroid nodule,57 thyroid cyst,8 thyroid anthorisma were detected. The risk factors for thyroid abnormalities mainly existed in the deepsea seamen group [OR value 4. 36( 95% CI: 1. 63- 8. 22) ] and sailing time per year( 6 month group) [OR value 3. 35( 95% CI:1. 66- 7. 59) ]( P < 0. 01). Conclusion Strengthen monitoring of endocrine condition in seamen,especially for deepsea seamen,is helpful for the prevention of endocrine disease.更多还原