2014年济南市历下区、天桥区和章丘市3种重点人群碘营养调查  

A survey on iodine nutrition in 3 groups of target population in Lixia,Tianqiao district and Zhangqiu city of Jinan in 2014

作　　者：焦海涛[1] 刘仲[1] 翟明霞[1] 张瑛[1] 刘雪慧[1] 刘素萍[1] 

机构地区：[1]济南市疾病预防控制中心,山东济南250021

出　　处：《现代预防医学》2015年第20期3687-3689,共3页Modern Preventive Medicine

摘　　要：目的 调查济南市历下区、天桥区和章丘市3种重点人群的碘营养现状,为不同地区、不同人群补碘提供依据。方法 2014年在济南市历下区、天桥区和章丘市随机抽取8~10岁儿童607名,孕妇150名,哺乳期妇女150名,采集尿样检测碘含量。结果 8~10岁儿童、孕妇和哺乳期妇女尿碘中位数均达到150μg/L以上;1.32%儿童、1.33%孕妇和2.00%哺乳期妇女尿碘含量低于100μg/L,9.23%儿童尿碘含量高于300μg/L、0.67%孕妇和哺乳期妇女尿碘含量高于500μg/L;历下区（198.9μg/L）分别与天桥区（160.9μg/L）、章丘市（162.0μg/L）儿童尿碘中位数差异有统计学意义（Z=-5.735,P〈0.05;Z=-4.756,P〈0.05）,历下区（171.7μg/L）、天桥区（138.8μg/L）和章丘市（187.2μg/L）孕妇尿碘中位数差异有统计学意义（χ^2=22.213,P〈0.05）,历下区（169.0μg/L）与天桥区（213.8μg/L）哺乳妇女尿碘中位数差异有统计学意义（Z=-3.402,P〈0.05）;孕妇（163.1μg/L）分别与儿童（170.5μg/L）、哺乳期妇女（188.4μg/L）尿碘中位数差异有统计学意义（Z=-2.130,P〈0.05;Z=-3.285,P〈0.05）。结论 济南市历下区、天桥区和章丘市8~10岁儿童、孕妇和哺乳期妇女尿碘水平适中,但呈碘缺乏、碘适宜和碘过量并存的现象,需根据不同地区的不同人群制定补碘政策。Objective This work was to learn the iodine nutrition status of school children of 8 to 10 years old, pregnant and lactating women in Lixia, Tianqiao district and Zhangqiu city, so as to provide a scientific basis for iodine supplementation for different target population in different regions. Methods The random one-time urine samples of 607 school children, 150 pregnant women and 150 lactating women were collected in Lixia, Tianqiao district and Zhangqiu city in 2014, then detected for urinary iodine. Results School children, pregnant and lactating women with urinary iodine lower than 100 μg/L accounted for 1.32%,1.33%, 2.00% of the total subjects, respectively. School children with urinary iodine higher than 300 μg/L accounted for 9.23%.Pregnant and lactating women with urinary iodine higher than 500 μg/L accounted for 0.67% and 0.67%. Children＇s urinary iodine median level in Lixia district（198.9 μg/L） was different from that in Tianqiao district（160.9 μg/L） and Zhangqiu city（162.0 μg/L）（Z=-5.735, P〈0.05; Z=-4.756, P 0.05, respectively）. Pregnant women＇s urinary iodine median level differed significantly in different districts, with 198.9 μg/L in Lixia district, 160.9 μg/L in Tianqiao district and 162.0 μg/L in Zhangqiu city（χ^2=22.213,P〈0.05）. Similarly, lactating women＇s urinary iodine median level was significantly different, with 169.0 μg/L in Lixia and 213.8μg/L in Tianqiao district（Z=-3.402, P〈0.05）. The median level of urinary iodine in pregnant woman was 163.1 μg/L, which was also different from that in children（170.5 μg/L） and lactating women（188.4 μg/L）（Z=-2.130, P 0.05; Z=-3.285, P 0.05,respectively）. Conclusion Current iodine nutritional level is basically sufficient in these three groups of target population, but insufficient and excessive iodine intake still exist. We should formulate iodine supplement measures according to different target population in different districts.

关 键 词：儿童 孕妇 哺乳期妇女 碘营养 

分 类 号：R151.43[医药卫生—营养与食品卫生学]