2018-2022年广州市白云区儿童和孕妇尿碘监测结果分析  

Analysis of the monitoring results of urinary iodine in children and pregnant women in Baiyun District of Guangzhou from 2018 to 2022

作　　者：李国威 罗海英[1] 谭志科[1] 林静佳[1] 黄迪舜 朱海燕 LI Guowei;LUO Haiying;TAN Zhike;LIN Jingjia;HUANG Dishun;ZHU Haiyan(Baiyun District Center for Disease Control and Prevention,Gangzhou,Guangdong 510440,China)

机构地区：[1]广州市白云区疾病预防控制中心,广东510440

出　　处：《中国地方病防治》2024年第2期125-127,共3页Chinese Journal of Control of Endemic Diseases

摘　　要：目的 分析2018-2022年白云区儿童和孕妇尿碘结果,了解8~10岁儿童和孕妇碘营养情况,掌握碘缺乏病防治效果,为白云区后续碘缺乏病防治工作提供参考依据。方法 每年根据监测方案,从辖区内抽取8~10岁学龄儿童200名和孕妇100名,并收集尿液,采用电感耦合等离子体质谱法测定尿碘含量。结果 2018-2022年共抽取1 004名儿童尿样和500名孕妇尿样,儿童尿碘中位数为199.5μg/L,孕妇尿碘中位数为162.1μg/L,均在碘摄入量适宜范围内。5年儿童尿碘中位数分别为186.5、190.5、199.2、244.0、204.0μg/L,差异有统计学意义(H=19.958,P<0.05),其中2021年与2022年尿碘中位数属于超适宜范围。5年孕妇尿碘中位数分别为134.2、180.7、223.2、151.5、153.1μg/L,差异有统计学意义(H=19.315,P<0.05),2018年尿碘中位数处于碘摄入不足范围。结论 2018-2022年白云区8~10岁学龄儿童和孕妇碘营养水平总体处于适宜水平,但仍需加强人群碘缺乏病知识宣教工作。Objective To analyze the urinary iodine results of children and pregnant women in Baiyun District from 2018 to 2022,the iodine nutrition status of children aged 8-10 and pregnant women,and master the effectiveness of iodine deficiency disorders(IDD)prevention and control,so as to provide a reference basis for the subsequent prevention and control of IDD in Baiyun District.Methods According to the monitoring plan,200 school-age children aged 8-10 and 100 pregnant women were selected from the jurisdiction to collect urine samples every year,and the urine iodine was measured using inductively coupled plasma mass spectrometry.Results From 2018 to 2022,1004 urine samples from children and 500 urine samples from pregnant women were collected,the median urine iodine of children was 199.5μg/L,and median urine iodine of pregnant women was 162.1μg/L,which were all within the appropriate range of iodine intake.The median urine iodine of children in 5 years were 186.5,190.5,199.2,244.0,204.0μg/L,there were significant difference in the median urinary iodine of children in 5 years(H=19.958,P<0.05),but the median urinary iodine in 2021 and 2022 exceeded the appropriate range.The median urine iodine of pregnant women in 5 years were 134.2,180.7,223.2,151.5,153.1μg/L,there were significant difference in the median urinary iodine of pregnant women in 5 years(H=19.315,P<0.05),and the median urinary iodine of pregnant women in 2018 was being the range of insufficient iodine intake.Conclusion The iodine nutrition levels of children aged 8-10 years and pregnant women in Baiyun District were generally at an appropriate level.However,the education of IDD knowledge still needs to be strengthenerl among the crowd.

关 键 词：尿碘 儿童 碘缺乏病 孕妇 

分 类 号：R591.1[医药卫生—内科学]