2018年江苏省东台市0~12岁儿童尿碘检测结果分析  

Analysis of urinary iodine detecting results of children aged from 0 to 12 in Dongtai City,Jiangsu Province in 2018

作　　者：崔媛 高蓉[1] 周兴军[3] 开学俊 郎睿 仲慧[2] Cui Yuan;Gao Rong;Zhou Xingjun;Kai Xuejun;Lang Rui;Zhong Hui(School of Public Health,Nanjing Medical University,Nanjing 211166,China;Department of Clinical Laboratory,Dongtai Center for Disease Control and Prevention,Dongtai 224200,China;Department of Prevention and Treatment of Chronic Infectious Diseases,Dongtai Center for Disease Control and Prevention,Dongtai 224200,China)

机构地区：[1]南京医科大学公共卫生学院,211166 [2]东台市疾病预防控制中心检验科,江苏东台224200 [3]东台市疾病预防控制中心慢性传染病防治科,江苏东台224200

出　　处：《中华地方病学杂志》2020年第7期495-499,共5页Chinese Journal of Endemiology

摘　　要：目的分析江苏省东台市青春期前(0~12岁)儿童尿碘水平,了解当前儿童的碘营养状况,为青春期前儿童合理的碘营养摄取提供科学的参考依据。方法以《全国碘缺乏病监测方案》(2016版)为指导,将东台市按东、西、南、北、中划分为5个片区,每个片区选择乡镇医院和预防保健所的健康体检的0~7岁儿童,采集尿样,进行尿碘检测;每个片区抽取1个乡镇,每个乡镇各抽取1所小学,每所小学至少抽取8~12岁儿童90人(男女各半),采集尿样,进行尿碘检测。比较分析不同性别、年龄、区域儿童尿碘水平。结果共采集尿样2934份,尿碘中位数为191.9μg/L,范围为1.4~627.9μg/L,尿碘<50μg/L的占5.5%(162/2934),50~99μg/L的占10.9%(319/2934),100~199μg/L的占37.4%(1096/2934),200~299μg/L的占28.3%(829/2934),≥300μg/L的占18.0%(528/2934)。男童和女童尿样分别为1535、1399份,尿碘中位数分别为202.3、177.7μg/L,两者比较差异有统计学意义(Z=-5.487,P<0.05);婴儿期(0~12个月)、幼儿期(1~3岁)、学龄前期(4~6岁)、学龄期(7~12岁)儿童尿样分别为106、1539、753、536份,尿碘中位数分别为169.8、189.6、169.9、243.7μg/L,不同年龄儿童尿碘中位数比较差异有统计学意义(H=127.395,P<0.05);不同区域(东、西、南、北、中)儿童尿样分别为642、699、422、738、433份,尿碘中位数分别为194.2、172.7、196.8、200.5、196.6μg/L,不同区域儿童尿碘中位数比较差异有统计学意义(H=29.461,P<0.05)。结论东台市0~12岁儿童总体碘营养适宜,但尿碘值超过200μg/L的人群较多,需根据实际情况实施合理的碘营养计划。此外,个体碘营养缺乏和过量也需引起重视。Objective To understand the iodine nutrition states of children in Dongtai City Jiangsu Province by analyzing the urinary iodine level of children aged 0-12 years old(prepubescent children),so as to provide scientific reference for prepubescent children's reasonable iodine nutrition intake.Methods Under the guidance of the"National Iodine Deficiency Disorders Monitoring Program"(2016),Dongtai City was divided into 5 districts according to the east,west,south,north and middle locations.In each district,children aged 0-7 years old who underwent physical examination in township hospitals and prevention and health centers were selected to collect urine samples for urine iodine testing.One township was selected from each district,and one primary school was selected from each township.At least 90 children aged 8 to 12(half boys and half girls)were selected from each primary school to collect urine samples for urine iodine testing.The urinary iodine levels of children of different genders,ages and regions were compared and analyzed.Results A total of 2934 urine samples were collected.The median of urinary iodine was 191.9μg/L,ranging from 1.4 to 627.9μg/L,the proportion of urine iodine content<50μg/L was 5.5%(162/2934),the proportion of 50-99μg/L was 10.9%(319/2934),the proportion of 100-199μg/L was 37.4%(1096/2934),the proportion of 200-299μg/L was 28.3%(829/2934),and the proportion of≥300μg/L was 18.0%(528/2934).A total of 1535 and 1399 urine samples of boys and girls were collected.The medians urinary iodine of boys and girls were 202.3 and 177.7μg/L,respectively,and the difference was statistically significant(Z=-5.487,P<0.05).There were 106,1539,753 and 536 cases of infants(0-12 months old),early childhood(1-3 years old),preschool children(4-6 years old),and school-age children(7-12 years old),the medians urinary iodine were 169.8,189.6,169.9 and 243.7μg/L,respectively,the difference was statistically significant(H=127.395,P<0.05).There were 642,699,422,738 and 433 cases in different regions(east,west,so

关 键 词：尿 碘 儿童 营养 

分 类 号：R723.2[医药卫生—儿科]