孕妇甲状腺功能减退症与尿碘的关系  

Relationship between hypothyroidism of pregnant woman and the urinary iodine

作　　者：李建宁[1] 赵迎春[1] 周黎黎[1] 何岚[2] 高显兰 张永红[4] 王新荣 

机构地区：[1]新疆克拉玛依市中心医院内分泌科,新疆克拉玛依834000 [2]西安交通大学第一附属医院内分泌科,陕西西安710061 [3]新疆克拉玛依市人民医院妇产科,新疆克拉玛依834000 [4]新疆克拉玛依市中心医院妇产科,新疆克拉玛依834000 [5]新疆独山子石化医院妇产科,新疆克拉玛依834000

出　　处：《中国现代医学杂志》2010年第24期3823-3825,3829,共4页China Journal of Modern Medicine

摘　　要：目的明确孕妇甲状腺功能减退症(甲减)与尿碘的关系。方法对266例育龄妇女及2 076例孕妇进行甲状腺功能及尿碘测定。结果①育龄妇女及孕妇甲状腺功能的分布情况为:正常245例(92.1%)、甲状腺激素减低3例(1.1%)、甲减18例(6.8%)及正常1 836例(88.4%)、TSH减低130例(6.3%)、甲减110例(5.3%)。②育龄妇女甲减组尿碘显著升高,两组高尿碘的发生率显著性升高。结论育龄妇女及孕妇的碘摄入量增加使甲状腺功能减退症的患病率增加。【Objective】To evaluate the relationship between hypothyroidism of pregnant woman and the urinary iodine.【Methods】Levels of thyroid hormones and iodine in urine,were measured at 266 cases of gestational age women and 2 076 cases of pregnant women.【Results】①Among subjects with normal thyroid function,those with hyperthyroidism and those with hypothyroidism were 245（92.1%）,3（1.1%） and 18（6.8%） at 266 cases of gestational age women,respectively.Among subjects with normal thyroid function,those with hyperthyroidism and those with hypothyroidism were1836（88.4%）,130（6.3%） and 110（5.3%） at 266 cases of gestational age women,respectively.②Urinary iodine at 266 cases of gestational age women and incidence of high urinary iodine in two group were significantly increased in hypothyroidism.【Conclusion】Excessive iodine intake may lead to hypothyroidism at gestational age of women and pregnant women.

关 键 词：尿碘 甲状腺功能减退症 孕妇 

分 类 号：R581.2[医药卫生—内分泌]