环青海湖地区重点人群投服碘油丸前后碘营养状况的调查  

Comparison of iodine nutrition level of major crowds living around Qinghai Lake before and after taking iodine-oil pill

作　　者：李勇[1] 文海[1] 李生梅[1] 熊传龙[1] 马晓翠[1] 喇翠玲[1] 许伟 王军清 伊国举 玉兰 白秀梅 陈祖培[7] 

机构地区：[1]青海省地方病预防控制所,西宁811602 [2]青海省乌兰县疾病预防控制中心 [3]青海省德令哈市卫生局 [4]青海省德令哈市疾病预防控制中心 [5]青海省天峻县疾病预防控制中心 [6]青海省共和县疾病预防控制中心 [7]天津医科大学内分泌研究所

出　　处：《中国地方病学杂志》2006年第2期182-184,共3页Chinese Jouranl of Endemiology

基　　金：ICCIDD基金资助项目(2003)

摘　　要：目的了解青海省环湖地区重点人群的碘营养状况,以及服用碘油丸后的变化情况,为今后在青海省推广碘盐困难地区和边远地区对重点人群投放碘油丸提供可靠的理论依据。方法盐碘检测采用半定量方法进行;尿碘检测采用WS／T 107-1999标准进行:水碘检测采用砷铈氧化还原法;8-10岁学龄儿童甲状腺检查采用触诊法进行。结果环湖地区孕妇、哺乳妇女尿碘中位数分别为96．0、90．6μg／L,8-10岁儿童、育龄妇女的尿碘中位数虽高于100μg／L,但<50μg／L的比例均>20％;服碘油丸前农牧区儿童、妇女的碘营养水平较城镇低,尿碘中位数均<80 μg／L。服药后5组重点人群的尿碘水平均有不同程度的提高,以农牧区的提高最明显。结论青海省环湖地区5组重点人群的碘营养状况不理想,以孕妇、哺乳妇女缺碘最严重,8-10 岁儿童的尿碘水平不能完全反映其他重点人群的碘营养水平。Objective To study the iodine nutrition state of major crowds around Qinghai Lake and the changes after taking iodine-oil pill, in order to provide theoretical basis for supplying iodine-oil pill to people living in areas with difficulty in popularizing iodized-salt as well as remote areas. Methods Salt iodine content was determined by semi-quantity method. The iodine content of urine was detected according to standard （WS/T 107- 1999）. The goiter of children from 8 to 10 years old was examined by palpation. Results The urine iodine median of pregnant and lactating women living around the lake was 96.0 and 90.6 μg/L respectively, those of children from 8 to 10 years old and child-bearing-age women were over 100μg/L, more than 20% of whom, however had an urine iodine median less than 50 μg/L, Before taking the pill, the iodine nutrition level of children and women in rural areas, being 80 μg/L, was lower than that in city with a significant difference, After taking the pill, the urine iodine level of five groups of major crowds went up in different degrees, with that of major crowds living in rural areas raising the most obviously. There was a marked difference between the data before and after taking the pill. Conclusions The 5 groups of major crowds around Qinghai Lake are not in good nutrition of iodine. The pregnant and lactating women seriously lack iodine. The urine iodine level of children from 8 to 10 years old do not necessarily reflect other major crowd＇s iodine nutrition.

关 键 词：妇女 婴儿 儿童 碘 营养 碘化油 

分 类 号：R599[医药卫生—内科学]