【摘要】 目的 探讨厦门市8～10岁儿童甲状腺容积校正方法，为评价甲状腺容积校正最佳方法提供依据。方法 厦门市所辖6区，按东、南、西、北、中5个片区分别抽取1所小学8～10岁的非寄宿儿童，分别检测尿碘、盐碘、甲状腺容积，再依次用体质容积指数(body mass volume index,BMIV)、身高容积指数(height volume index,HVI)、体重身高容积指数(weight height volume index,WHVI)和体表面积容积指数(body surface volume index,BSAV)法对甲状腺容积进行校正。结果 厦门市8～10岁儿童尿碘中位数为164.01μg/L，盐碘中位数为24.10 mg/kg，合格碘盐食用率为91.50%，甲状腺肿大率为2.61%; 8～10岁儿童甲状腺容积正常值分别为4.36、4.89和6.52 m L; HVI、WHVI、BMIV和BSAV四种方法校正后8～10岁儿童甲状腺容积差异均有统计学意义(P均<0.001); HVI和BSAV校正后甲状腺容积与年龄、身高、体重、BMI、BSA及原始容积V均呈正相关(P均<0.001)，其中BSAV校正后甲状腺容积与原始容积相关性较高，r为0.916，且能兼顾身高和体重的影响。结论 建议采用BSAV法校正厦门市8～10岁儿童甲状腺容积。更多还原

【Abstract】 Objective To explore the methods of thyroid volume correction for children aged 8-10 years in Xiamen City,and provide the basis for evaluating the best method of thyroid volume correction.Methods Non-boarding students aged 8-10 from a primary school were selected from six districts of Xiamen City,according to five districts of east,south,west,north and middle,their urine iodine,salt iodine and thyroid volume were measured respectively,and then body mass volume index( BMIV),height volume index( HVI),weight height volume index( WHVI) and body surface volume index( BSAV) were used to correct thyroid volume.Results For 8-10-year-old students in Xiamen City, the median urinary iodine was 164. 01 μg/L, the median salt iodine was 24.10 mg/kg,the consumption rate of qualified iodized salt was 91.50%,the goiter rate was 2.61%; the normal values of thyroid volume in children aged 8-10 years were 4.36,4.89 and 6.52 m L; there were significant differences in thyroid volume among children aged 8-10 years after correcting by HVI,WHVI,BMIV and BSAV( P<0.001); the thyroid volume was positively correlated with age,height,weight,BMI,BSA and original volume V after HVI and BSAV correction( P< 0.001); the correlation between thyroid volume and original volume was high( r = 0.916) after BSAV correction,and the influence of height and weight could be taken into account.Conclusion It is suggested that BSAV method shoud be used to correct thyroid volume of children aged 8-10 in Xiamen City.更多还原