摘要
目的探讨对妊娠中晚期缺碘孕妇实施量化碘营养补充方案的应用效果。方法将422例缺碘孕妇按时间段分为两组,分别进行碘营养补充。对照组采用常规碘营养补充方法,即每日服用玛特纳,或者自行食用海产品进行补碘;实验组根据孕妇尿碘水平对补碘剂量进行量化补碘。分别在补碘前及补碘后第4周测定尿碘值以及甲状腺功能指标。结果实验组补碘前后甲状腺功能指标改善(P<0.01或P<0.05)。补碘4周后,对照组25.89%、实验组77.78%的孕妇碘营养补充至理想水平,对照组45.54%、实验组13.13%孕妇缺碘,但缺碘严重程度有所改变;实验组碘超足量者少于对照组(P<0.01)。结论根据缺碘严重程度,量化后的补碘方案能更安全迅速地将碘营养补充至理想范围。
Objective To evaluate the effects of iodine supplementation in iodine deficiency women during the second or third trimester of pregnancy. Methods Totally,422 pregnant women with iodine deficient were divided into two groups according to time sequences. The control group was administrated with normal methods,namely taking one piece of Materna or having more sea food. The doses of iodine supplementation in the experimental group were quantified based on urine iodine status. Urine iodine and thyroid function were measured before and after 4 weeks of iodine supplementation. Results After 4 weeks' intervention,thyroid function in the experimental group was improved( P < 0. 01 or P < 0. 05). After 4 weeks' iodine supplementation,25. 89% of patients in control group and 77. 78% in experimental group were in ideal iodine level. There were 45. 54% in the control group and 13. 13% in the experimental group still had iodine deficiency,but the iodine deficiency extant had changed. Patients in condition of above requirements in experimental group were less than in control group( P <0. 01). Conclusion According to the excent of iodine deficiency,the quantified methods based on the iodine status can be more safely and quickly to make the iodine deficiency pregnant women to iodine ideal level.
出处
《护理管理杂志》
2013年第11期812-814,共3页
Journal of Nursing Administration
关键词
妊娠
缺碘
科学补碘
pregnancy
iodine deficiency
scientific iodine supplementation
