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目的为了掌握和评价亳州市孕妇人群碘营养状况。方法通过对亳州市各县区2012年孕妇人群的尿碘水平进行监测,以世界卫生组织(WH0)推荐的标准作依据,评价孕妇人群碘营养状况。结果经检测400名孕妇尿碘分布范围是11.08~624.93μg/L,尿碘测定结果<150.00μg/L的占36.75%(147/400);在150.00~249.00μg/L之间的占36.25%(145/400);在250.00~499.00μg/L之间的占26.00%(104/400);>500.00μg/L的占1.00%(4/400)。早、中、晚孕期孕妇的尿碘中位数分别为155.02、183.17、183.04μg/L,经统计学分析各组的尿碘值差异无统计学意义(P>0.05);各县区孕妇尿碘中位数分别是190.78、182.61、181.34和176.56μg/L,各县区的尿碘值经比较差异无统计学意义(P>0.05)。结论本次调查孕妇的尿碘中位数为182.61 ug/L,达到了消除碘缺乏病标准,但仍有部分孕妇尿碘值偏低及少数孕妇碘超量摄入,因此可认为亳州市孕妇的碘营养状况并不理想。建议有关部门加强孕妇碘营养水平监测,对碘营养存在问题的孕妇进行及时有效地干预,以便有效防治孕妇碘营养不良。
Objective To grasp and evaluate the iodine nutrition status of pregnant women in Bozhou city. Methods By monitoring the urinary iodine levels of pregnant women in counties of Bozhou in 2012, the iodine nutrition status of pregnant women was evaluated based on the criteria recommended by the World Health Organization (WH0). Results The urinary iodine distribution ranged from 11.08 to 624.93 μg / L in 400 pregnant women and 36.75% (147/400) in urine iodine determination <150.00 μg / L, 36.25% in 150.00-2449.00 μg / L, (145/400); 26.00% (104/400) between 250.00-499.00 μg / L and 1.00% (4/400)> 500.00 μg / L. The median urinary iodine of pregnant women in early, middle and late pregnancy were 155.02,183.17,183.04μg / L, respectively. There was no statistically significant difference in urinary iodine value between groups (P> 0.05) The median iodine levels were 190.78, 182.61, 181.34 and 176.56 μg / L, respectively. There was no significant difference in urinary iodine value among all counties (P> 0.05). Conclusion The median urinary iodine of pregnant women in this survey was 182.61 ug / L, which reached the standard of eliminating iodine deficiency deficiency. However, some pregnant women still had low urinary iodine value and excessive intake of iodine in a few pregnant women, so pregnant women in Bozhou City The nutritional status of iodine is not ideal. It is recommended that relevant departments should strengthen the monitoring of iodine nutrition level of pregnant women and timely and effectively intervene the pregnant women with the problems of iodine nutrition so as to effectively prevent iodine malnutrition in pregnant women.