摘要
目的探究包头地区孕妇碘营养状况分析及其对新生儿足跟血促甲状腺激素水平的影响。方法采用随机分层按比例抽样的方法,于2017年1月—2018年1月选取包头市城市和农村共260名孕妇进行尿碘测定,并追踪测定其分娩的新生儿足跟血促甲状腺激素值。结果3组孕妇尿碘在<150μg/L、150～300μg/L、>300μg/L占比分别为53.86%、30.71%、15.43%,差异无统计学意义(P>0.05),不同尿碘指标(<150μg/L、150～300μg/L、>300μg/L)的孕妇所生新生儿在血促甲状腺激素水平分别为(2.15±0.23)、(2.13±0.25)、(1.91±0.19)μIU/mL,差异有统计学意义(P<0.05),在新生儿血促甲状腺激素水平>5 mU/L的比例占比上,虽不同尿碘指标的孕妇所生新生儿之间差异无统计学意义(P>0.05),但<150μg/L的孕妇所产的新生儿有部分高于3%。结论包头地区孕妇碘缺乏现象较为普遍,临床应针对性给予相关措施,扩大宣教力度,将尿碘检测纳入孕期常规检测,根据检验情况适量补充,以提升人口素质,减少新生儿智力发育异常等问题。
Objective To investigate the iodine nutritional status of pregnant women in Baotou area and its effect on neonatal heel thyroid hormone levels. Methods A random stratified proportional sampling method was used to select 260 pregnant women in urban and rural areas of Baotou City for urinary iodine determination, and to track the neonatal heel thyroid stimulating hormone values. Results The urinary iodine levels of the three groups were 〈150 μg/L, 150-300 μg/L, and 〉300μg/L, respectively, which were 53.86%, 30.71%, and 15.43%, respectively. There was no significant difference（P〉0.05）,and different urinary iodine indicators（〈150 μg/L, 150～300 μg/L, and 〉300 μg/L） the blood thyroid stimulating hormone levels of neonates born to pregnant women were（2.15±0.23）μIU/mL,（2.13±0.25）μIU/mL,（1.91±0.19）μIU/mL, respectively,P〈0.05, in the proportion of neonatal blood thyroid hormone levels 〉5 mU/L, although there was no significant difference between the newborns born to pregnant women with different urinary iodine indicators（P〉0.05）, but 〈150 μg/L the proportion of newborns born to pregnant women was higher than 3%. Conclusion The iodine deficiency in pregnant women in Baotou area is more common. The clinical measures should be targeted to expand the education. The urine iodine test should be included in the routine test during pregnancy, and supplemented according to the test to improve the quality of the population and reduce the mental development of newborns.
作者
籍凤宇
韩蓓
徐耀辉
JI Feng-yu;HAN Bei;XU Yao-hui(Department of Obstetrics and Gynecology,the First Affiliated Hospital of Baotou Medical College,Inner Mongolia University of Science and Technology,Baotou,Inner Mongolia,014010 China)
出处
《中外医疗》
2018年第30期80-81,97,共3页
China & Foreign Medical Treatment
关键词
碘营养
新生儿
孕妇
新生儿足
血促甲状腺激素水平
Iodine nutrition
Newborn
Pregnant women
Newborn feet
Blood thyroid hormone levels
