摘要
目的调查研究某地区哺乳期妇女碘营养及甲状腺功能状况。方法对南京大厂地区2008～2009年842名产后6～8周哺乳期妇女为研究组;采集血、尿标本,酸消化砷铈接触分光光度法测定尿碘水平。电化学发光免疫分析法测定血清FT3、FT4、TSH水平,与45名该地区非哺乳期健康女性进行比较。结果 1)研究组哺乳期妇女尿碘中位数为176.5μg/L,低于WHO推荐值,哺乳期妇女缺碘率高达30.16%。2)尿碘值<100μg/L的哺乳期妇女血清FT3、FT4水平虽低于对照组,但差异无统计学意义(P>0.05);血清TSH水平高于对照组,差异有统计学意义(P<0.05)。结论必须采取多种干预措施,加强对哺乳期妇女碘营养知识的健康教育,以减少哺乳期妇女碘缺乏对婴幼儿的损害,促进妇幼健康。
Objective To investigate the status of iodine nutrition and thyroid function of lactating women. Methods The blood and urinary samples of 842 lactating women at 6-8 weeks postpartum in Dachang Area of Nanjing city were studied during 2008 to 2009. The contact spectrophotometry of acid digesting arsenic-cerium was applied to detect the urinary iodine and the electro-chemiluminescence immunoassay method was applied to detect FT3, FT4 and TSH in serum. The result was compared with that of 45 non-lactating heahhy women in this area. Results 1 ） The median level of urinary iodine of lactating women was 176.5 μg /L, lower than the WHO recommended value, and the ratio of iodine deficiency among lactating women was up to 30.16%. 2） FT3 and FT4 levels of the lactating women whose urinary iodine 〈 100μg / L was relatively lower than the control group, though this difference had no statistical significance （P 〉 0.05）; while serum TSH level was higher compared with control group （P 〈 0.05）; Conclusion A variety of interventions must be adopt to improve the lactating women＇s knowledge of iodine nutrition as to reduce the damage of iodine deficiency to the lactating women and their infants.
出处
《职业卫生与应急救援》
2010年第3期142-144,共3页
Occupational Health and Emergency Rescue
关键词
哺乳期
甲状腺功能
尿碘
Lactating women
Thyroid function
Urinary iodine
