石家庄市妊娠期妇女尿碘水平调查分析  

Survey on pregnant women's iodine nutrition level in Shijiazhuang city

作　　者：冯佩[1] 马志辉[1] 郭爱静[1] 王可[1] 张海红[1] 

机构地区：[1]石家庄市疾病预防控制中心,河北050011

出　　处：《医学动物防制》2016年第2期197-199,共3页Journal of Medical Pest Control

摘　　要：目的了解石家庄市妊娠期妇女碘营养状况,为碘缺乏病防治工作提供参考依据。方法按照《全国碘缺乏病监测方案》中的抽样和检测方法,在随机抽样中选择石家庄市10个区县,共抽检500名妊娠期妇女尿样,采用过硫酸铵消化砷铈催化分光光度法测定尿碘。结果 500名妊娠期妇女尿碘中位数为160.0μg/L,尿碘值〈150μg/L者占46.2%,150~249μg/L之间者占25.8%,250~499μg/L之间者占25.8%,≥500 ug/L者占2.2%;裕华区、赵县、无极县妊娠期妇女尿碘中位数〈150μg/L;孕早期尿碘中位数为143.4μg/L,其中〈150μg/L构成比为51.4%,低于碘含量适宜范围;不同孕期、不同年龄组之间妊娠期妇女各尿碘水平所占比率差异无统计学意义。结论石家庄市妊娠期妇女存在碘营养摄入不足与超适宜量并存的情况,特别是孕早期妊娠期妇女存在碘摄入量不足情况,同时个别地区未达到尿碘值适宜范围,相关部门应定期对特殊人群进行尿碘检测,合理补碘。Objective To master status and the condition of iodine nutritional status survey on pregnant women in Shijiazhuang City,to provide a reference basis for the city IDD prevention and treatment. Methods According to the the National Iodine Deficiency Disorders Monitoring Program,to select iodized nutrition from 10counties（ city,area）. Sampling a total of 500 pregnant women,using the method of ammonium persulfate digestion arsenic cerium catalytic spectrophotometry to determine urine iodine. Results In 500 pregnant women,urine iodine median is 160. 0 ug / L,in line with the iodine nutrition value range for 150 ug / L. Urine iodine value 150 ug / L accounted for 46. 2%,between 150 ~ 249 ug / L accounted for 25. 8%,between250 ~ 499μg / L accounted for 25. 8%,urinary iodine value≥500 ug / L accounted for 2. 2%. Yuhua District,Zhaoxian County, Wuji County median urinary iodine 150 ug / L; early pregnancy urine iodine median143. 4 ug / L,which 150 ug / L composition ratio was 51. 4%,lower than the iodine content in the appropriate range; at different stages of pregnancy and between different age groups pregnant women during the urinary iodine level accounted for the difference in the ratio of no statistical significance. Conclusions Pregnant women iodine nutrition deficiencies and super appropriate amount both exist in Shijiazhuang City,relevant departments should conduct detection of urine iodine for special crowd on a regular basis,to do iodine supplement reasonable.

关 键 词：妊娠期妇女 尿碘 中位数 构成比 

分 类 号：R153.1[医药卫生—营养与食品卫生学]