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目的:了解威宁县育龄妇女碘营养现状,开展县级重点人群碘营养监测,评价和推动县级实现碘缺乏病目标,提供参考数据。方法:根据卫生部疾病预防控制局《关于卫生部与联合国儿童基金会2007年度预防碘缺乏病监测》要求,选择威宁县9个乡(镇)18～49岁育龄妇女采集随机一次性尿样,用砷铈催化分光光度法检测尿碘。结果:检测尿碘144份,尿碘中位数为242.6μg/L,尿碘大于50μg/L小于100μg/L占2.8%(4份),大于100μg/L小于200μg/L占32.6%(47份),大于200μg/L小于300μg/L占34.0%(49份),大于300μg/L小于400μg/L占22.9%(33份),大于400μg/L小于500μg/L占2.8%(4份),500μg/L以上占4.9%(7份)。结论:威宁县9个乡(镇)育龄妇女碘营养充足。因育龄妇女碘营养超适宜量的比例较大,应引起相关部门的重视,加强碘缺乏病的防治现状的监测,选择适宜当地居民食用的碘盐,防治碘过低或过量所引起的危害。
Objective: To understand the iodine nutrition status of women of childbearing age in Weining County, monitor the iodine nutrition of key population at county level, evaluate and promote the goal of iodine deficiency disease at county level, and provide reference data. Methods: According to the requirements of “Ministry of Health and UNICEF Preventing Iodine Deficiency Disorder Prevention in 2007”, 9 randomly selected women of childbearing age from 18 to 49 in Weining County were selected to collect random one-time urine samples, Urinary iodine was detected by arsenic and cerium catalytic spectrophotometry. Results: Urinary iodine was detected in 144 samples with a median urinary iodine of 242.6 μg / L, urine iodine more than 50 μg / L less than 100 μg / L and 2.8% (4), more than 100 μg / L less than 200 μg / L accounting for 32.6% (49.0%), more than 300μg / L less than 400μg / L accounted for 22.9% (33), more than 400μg / L less than 500μg / L accounted for 2.8% (4) , More than 500μg / L accounted for 4.9% (7 copies). Conclusion: Nine women of childbearing age in Weining County have sufficient iodine nutrition. Due to the large proportion of iodine nutrition super-fit women of childbearing age, should pay attention to the relevant departments to strengthen the status of iodine deficiency disorders prevention and treatment monitoring, selection of suitable for local residents of iodized salt, iodine prevention and control of low or excessive harm.