唐山地区三地妊娠妇女尿碘水平探究.doc

唐山地区三地妊娠妇女尿碘水平探究 　　DOI：10.16662/j.cnki.1674-0742.2017.07.001 [摘要] 目的 调查唐山地区不同地域及不同孕期孕妇的尿碘水平，以对该地区孕妇的碘摄入进行指导。 方法 于2016年5―10月方便收集遵化市、乐亭县、唐山市三地的296名孕妇尿碘数据。将所得尿碘数据按地域和孕期各分为3组，对各组数据进行统计学分析。 结果 不同地域及不同孕期间孕妇尿碘水平的多组比较均显示差异无统计学意义（P0.05）。所有孕妇的整体尿碘中位数为166.4 μg/L，碘缺乏孕妇占整体比例为40.6%。各分组中遵化市和孕早期孕妇的尿碘中位数偏低（分别为156.9 μg/L和151.2 μg/L），且该两组碘缺乏孕妇所占比例较高（46.1%和49.5%）。结论 不同地域及不同孕期间孕妇的碘?I养状况均没有明显差别。孕妇的总体尿碘中位数在足量范围，但在足量范围下限附近。建议该地孕妇尤其是遵化市和孕早期的孕妇应加强补碘 [关键词] 妊娠；尿碘；碘营养 [中图分类号] R5 [文献标识码] A [文章编号] 1674-0742（2017）03（a）-0001-03 Research on Urinary Iodine Level of Pregnant Women in the Three Regions in Tangshang Region QU Shu-jun1， LI Hong-hai2， LI Guang-ping2， TIAN Wei2 1.Department of Clinical Laboratory， Zunhua Peoples Hospital， Tangshan， Hebei Province， 064200 China；2.Department of Clinical Laboratory， Tangshan Workers Hospital， Tangshan， Hebei Province， 063000 China [Abstract] Objective To survey the urinary iodine level of pregnant women in different pregnant periods and different regions in Tangshan region in order to guide the iodine intake of pregnant women in this region. Methods The urine iodine data of 296 cases of delivery women in Zunhua， Leting and Tangshan were conveniently between May to October 2016 collected and divided into three groups according to the regions and pregnant periods， and the data in each group were statistically analyzed. Results The difference in the urinary iodine level of pregnant women in different regions and pregnant periods had no statistical significance by comparison（P0.05）， the median of overall urine iodine of all patients was 166.4 μg/L， and the pregnant women who lacked iodin accounted for 40.6% in all， and the urine iodine medians of pregnant women in Zunhua and early pregnancy stage were lower（respectively 156.9 μg/L and 151.2 μg/L），and the ratio of the pregnant women who lacked iodin of the two groups was the higher （46.1% and 49.5%）. Conclusion There is no obvious difference in the iodine nutrition status between the pregnant w