孕妇、0～2岁婴幼儿及其母亲尿碘调查分析  

Study on the urine iodine of pregnant women,children aged 0 to 2 and their mot hers

作　　者：周端华[1] 王鸣[1] 彭志丽[1] 冯月菊[1] 章达明[1] 

机构地区：[1]广州市疾病预防控制中心,广州510080

出　　处：《中国地方病防治》2002年第6期367-369,共3页Chinese Journal of Control of Endemic Diseases

基　　金：广东省医学科研基金立项课题(项目编号B2001098)

摘　　要：目的了解广州市孕妇、0～2岁婴幼儿及其母亲碘营养现状和规律。方法在所辖12个区、县抽样调查孕妇、0～2岁婴幼儿及其母亲、非妊娠育龄妇女尿碘。结果非妊娠育龄妇女、孕妇、0～2岁婴幼儿母亲的尿碘中位数分别为250.3μg/L、212.8μg/L和198.3μg/L;尿碘<100μg/L者分别占9.9%、14.9%和16.2%;尿碘≥800μg/L者分别占5.8%、3.2%和1.6%。统计检验上述三人群尿碘均值相互间差异有显著性。0～2岁婴幼儿的尿碘中位数为260.8μg/L,高于800μg/L者占10.1%;其中0～1岁(含1周岁)尿碘中位数为266.2μg/L,其低于50μg/L者占1.8%;1～2岁的尿碘中位数为242.8μg/L,其低于100μg/L者占13.3%。在0～1岁婴幼儿中,母乳喂养子女尿碘高于非母乳者,差异有显著性;不管何种喂养方式,母子尿碘相关。孕期尿碘变化呈孕中期略低。结论广州市孕妇、0～2岁婴幼儿及其母亲碘营养是充足的,但孕妇、母亲尿碘低于非妊娠育龄妇女,其低尿碘比例也高于非妊娠育龄妇女,提示要加强孕妇、母亲的碘营养。特别要关注孕中期碘营养,防止出生前缺碘损伤。Objective To investigate the iodine nutritional status and regular ity for three groups of people-pregnant women,children aged 0 to 2 and their mo thers in Guangzhou city.Methods Sampling was taken from four groups of pelple-n on-pregnant women,pregnant women,children aged 0 to 2 and their mothers from 12 districts and counties in Guangzhou city,and the urine iodine of the sampling p ersons was tested.Results The medians of urine iodine of non-pregnant women,pre gnant women,mothers of children aged 0 to 2 were 250.3 ìg/L,212.8 ìg/L and 198 .3 ìg/L,respectively.The percentages of low urine iodine (<100 ìg/L) were 9.9 %,14.9%and 16.2%,respectively.The percentages of higher urine iodine(≥80 ìg /L) were 5.8%,3.2%and 1.6%,respectively. Statistics showed significant differ ence between these 3 groups.The median of urine iodine in children aged 0 to 2 w as 260.8 ìg/L.The values of urine iodine in children with breast-feeding were significantly higher than those of children without breast-feeding .But the val ues of urine iodine in wet-nurse were lower than that in non-breast-feeding m others.The urine iodine leves of children aged 0 to 1 were correlated with their mothers.The urine iodine in mid-pregnancy was relatively low.Conclusions The v alues of urine iodine in pregnant women and mothers are sufficient,but lower tha n those in non-pregnant women.This indicates that IDD prevention should focus o n the pregnant women(especially in mid-pregnancy) and mothers of children aged 0 to 2 (especially wet-nurse).

关 键 词：孕妇 婴幼儿 母亲 尿碘调查 碘营养 

分 类 号：R172[医药卫生—妇幼卫生保健]