兰州大学学报（医学版）2026，Vol.52Issue(3)：38-43,6.DOI:10.13885/j.issn.2097-681X.M20251673
甘肃省陇南市人群教育程度及碘营养状况与甲状腺结节的关系
Association between educational level,iodine nutrition status and thyroid nodules in the population of Longnan,Gansu Province
摘要
Abstract
Objective To explore the correlation between the educational level,iodine nutritional status and thyroid nodules of residents in Longnan,Gansu Province.Methods A multi-stage stratified cluster random sampling method was employed to select the Han population in Longnan,Gansu Province as the study sub-jects.Data were collected through questionnaires,urine iodine detection and ultrasound examination to ana-lyze the prevalence status of thyroid nodules under different educational levels and iodine nutritional status,and to explore the influencing factors of thyroid nodules.Results The prevalence rate of thyroid nodules among residents in this city was 18.8%,and those for men and women were 13.8%and 22.9%respectively.The prevalence rate for women was higher than that for men(P<0.05).Regarding different educational attain-ment and median urinary iodine concentration groups,with the increase of educational attainment the median urinary iodine concentration showed a gradually increasing trend,the prevalence of thyroid nodules showed a gradually decreasing trend,and the proportion of the population with abnormal thyroid function gradually de-creased(P<0.05).Among patients with thyroid nodules,47.5%had abnormal thyroid function.Among pa-tients without thyroid nodules,31.9%had abnormal thyroid function(P<0.05).Advanced age and smoking history were important influencing factors for the occurrence and development of thyroid nodules.Conclu-sion The prevalence of thyroid nodules was the highest in iodine-deficient populations and the lowest in io-dine-excessive populations in Longnan,Gansu Province.Additionally,as education level increased,the prevalence of thyroid nodules gradually decreased.关键词
甲状腺结节/尿碘浓度/教育水平/血脂异常/患病率/流行病学/危险因素/甲状腺功能Key words
thyroid nodules/urinary iodine concentration/educational level/dyslipidemia/prevalence/epide-miology/hazard/thyroid function分类
医药卫生引用本文复制引用
王佳蕾,傅松波,路翔,赵彩芳,吴小银,余燕妮,李郁卓,马承旭,滕卫平,单忠艳..甘肃省陇南市人群教育程度及碘营养状况与甲状腺结节的关系[J].兰州大学学报（医学版）,2026,52(3):38-43,6.基金项目
国家重点研发计划资助项目(2023YFC3503400) （2023YFC3503400）
甘肃省内分泌疾病临床医学研究中心建设规划资助项目(20JR10FA667) （20JR10FA667）
甘肃省自然科学基金资助项目(22JR5RA914) （22JR5RA914）
甘肃省联合科研基金资助项目(23JRRA1490) （23JRRA1490）
兰州市科技发展指导性计划资助项目(2019-ZD-38) （2019-ZD-38）
中西医协同慢病管理研究资助项目(CXZH2024082) （CXZH2024082）
