100例正常新生儿尿碘及行为神经评估  

Assessing Urine Iodine and Neurobehavior in 100 Normal Neonates

作　　者：贺湘英[1] 纳志云[1] 程时珏[1] 马婉君[1] 黄永坤[1] 

机构地区：[1]昆明医学院第一附属医院儿科

出　　处：《昆明医学院学报》1998年第2期56-58,共3页Journal of Kunming Medical College

摘　　要：对昆明市１００例新生儿进行尿碘及行为神经测定，以了解其碘营养状况及行为神经发育状况．结果：１００例正常新生儿尿碘中位数为９４５３μｇ／Ｌ，有４５％的新生儿尿碘值达到现推荐标准１００μｇ／Ｌ将所测有完整资料的新生儿８２例以尿碘１００μｇ／Ｌ为标准分为正常尿碘组（４０例）及低尿碘组两组（４２例），均以鲍秀兰建立的我国新生儿２０项行为神经评分法（ＮＢＮＡ）进行评分，发现总２０项评分中低碘组稍低于正常尿碘组，但组间无统计学差异（Ｐ＞００５）．而在行为能力评估中对格格声反应、对红球视反应及对说话的人脸反应三项中，低碘组三项评分比正常尿碘组低，组间具有显著性差异（Ｐ＜００１）．Urine iodine and neurobehavior were determined in 100 neonates from Kunming in order to find out about their urine iodine nutrition and neurobehavior. Result: urine iodine was 94.53 ug/L in 100 normal neonates, 45% of whom reached the recommended standard urine iodine value of 100 ug/L. Then 82 cases with complete data were divided by 100 ug/L standard into two: normal urine iodine group and low urine iodine group. They were all assessed by 20-item Neonate Neurobehavior Assessment designed by Bao Xiulan. It was found that under the 20 items the low urine iodine group scored less than the normal urine iodine group, but there was no statistic difference between the groups. When such behavior abilities as 'giggle response', 'red-ball visual response', and 'speaker's face response' were tested, the low urine iodine group scored less than the normal urine iodine group, but there was no marked variance between the groups (P<0.01). The results suggested that iodine deficiency has certain effect on neonates' behavior and ability.

关 键 词：新生儿 尿碘 碘缺乏 行为神经评估 

分 类 号：R725.911[医药卫生—儿科]