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目的了解2016年株洲市9个县/区内孕妇尿碘含量水平,为疾控工作者及妇产科医生提供科学指导,同时为上级部门制定相关政策提供科学依据。方法对整个辖区2016年度900名孕妇的尿碘根据《WS/T107-2006尿中碘的砷铈催化分光光度测定方法》进行检测,统计分析。结果 2016辖区孕妇尿碘中位值158μg/L,均值194μg/L,虽然总体均值在正常范内,但中位值明显偏低;395例缺碘,缺碘率为43.89%,其中最低值仅为34μg/L;46例碘过量,占人数5.11%,其中最高值达1 044μg/L;碘适宜281例,占孕妇31.22%;有178例超过适宜量但未达过量标准,占孕妇19.78%。结论孕妇缺碘、碘过量是由多种因素造成,只有找出其真正原因,才能纠正缺碘或者碘过量。同时加强对孕妇补碘知识的宣传,妇幼保健部门把尿碘作为围生期必检项目,疾控中心把孕妇尿碘常态开展,这样才能及时发现缺碘、碘过量孕妇,才能科学采取预防措施,减少弱智儿的出生率,达到优生优育,最终实现提高全民族的素质之目的。
Objective To understand the level of urinary iodine in pregnant women in 9 counties / districts in Zhuzhou City in 2016, to provide scientific guidance to disease control workers and obstetricians and gynecologists, and to provide scientific basis for the formulation of relevant policies by higher authorities. Methods The urinary iodine of 900 pregnant women in 2016 was detected and statistically analyzed according to “WS / T107-2006 urinary arsenic and cerium catalytic spectrophotometry”. Results The median urinary iodine value was 158 μg / L in pregnant women in 2016 area, with an average of 194 μg / L. Although the overall mean was within the normal range, the median was significantly lower; 395 iodine deficiency and iodine deficiency rates were 43.89%, of which the lowest was only (34μg / L); 46 cases of iodine excess, accounting for 5.11%, of which the highest value of 1 044μg / L; 281 cases of iodine suitable for pregnant women, accounting for 31.22%; 178 cases exceeded the appropriate but not excessive standard, accounting for 19.78% . Conclusion Pregnant women lack of iodine, iodine excess is caused by many factors, only to find out the real reason, in order to correct iodine deficiency or iodine excess. At the same time to strengthen knowledge of iodine in pregnant women, maternal and child health departments to urinary iodine as a perinatal inspection project, CDC pregnant urinary iodine normal development, in order to timely detection of iodine deficiency, iodine excess pregnant women, to take scientific precautionary measures , Reduce the birth rate of mentally handicapped children and achieve prenatal and postnatal care and eventually achieve the goal of improving the quality of the entire nation.