摘要
目的通过分析简阳地区不同孕期孕妇尿碘水平变化情况,为孕妇合理补充碘元素提供临床指导,提高新生儿出生质量。方法按孕周将孕妇分组,以健康非妊娠妇女作为对照组,采用氧化还原法进行尿碘水平的检测。结果2227例孕妇尿碘检测结果中位数为229.6μg/L,碘缺乏、碘适量、碘超适量及碘过量的比率分别为37.6%、30.1%、23.5%及8.8%,各年尿碘水平构成比差异无统计学意义(χ~2=4.236,P>0.05);孕早、中及晚期3组的孕妇尿碘中位数分别为226.5、231.1及221.4μg/L,各孕期孕妇尿碘水平构成比差异无统计学意义(χ~2=7.605,P>0.05);对照组与孕妇组各阶段尿碘水平构成比差异有学统计意义(χ~2=33.98,P<0.05)。结论简阳地区孕妇尿碘缺乏比例略低于其他地区,孕妇碘营养水平较正常人严重缺乏,尿碘水平的检测对孕妇科学合理补碘具有重要作用。
Objective To provide clinical guidance for pregnant women to supplement iodine reasonably and improve the birth quality of newborns by analyzing the changes of urine iodine levels in different pregnancies in Jianyang area.Methods Pregnant women were divided into groups according to gestational week,and healthy non-pregnant women were taken as control group.Urine iodine level was measured by redox process.Results In 2 227 pregnant women,the median level of was 229.6 μg/L.The ratios of iodine deficiency,moderate,more than moderate and excess were 37.6%,30.1%,23.5% and 8.8%.There was no statistically significant difference in urinary iodine levels among three years(χ~2= 4.236,P>0.05).The median urinary iodine of pregnant women in the early,middle and late stages were226.5,231.1 and 221.4 μg/L,respectively.There was no statistically significant difference in urinary iodine composition among pregnant women of different pregnancy groups(χ~2= 7.605,P>0.05).The composition ratio of urinary iodine in the control group and the pregnant group was statistically significant(χ~2= 33.98,P<0.05).Conclusion The proportion of urinary iodine deficiency in pregnant women in Jianyang is slightly lower than that in other areas.The iodine nutrition level of pregnant women is more serious lower than that of normal people.The detection of urine iodine level plays an important role in the supplement for pregnant women.
作者
李毓龙
付霞
余剑波
钟原胜
LI Yu-Long;FU Xia;YU Jian-Bo(Laboratory department of Jianyang People's Hospital,Chengdu,Sichuan 641400,China)
出处
《中国妇幼保健》
CAS
2020年第21期3939-3941,共3页
Maternal and Child Health Care of China
关键词
尿碘
孕妇
合理补碘
Urinary iodine
Pregnant woman
Reasonable complement iodine
