论文部分内容阅读
目的调查济南市历下区、天桥区和章丘市3种重点人群的碘营养现状,为不同地区、不同人群补碘提供依据。方法 2014年在济南市历下区、天桥区和章丘市随机抽取8~10岁儿童607名,孕妇150名,哺乳期妇女150名,采集尿样检测碘含量。结果 8~10岁儿童、孕妇和哺乳期妇女尿碘中位数均达到150μg/L以上;1.32%儿童、1.33%孕妇和2.00%哺乳期妇女尿碘含量低于100μg/L,9.23%儿童尿碘含量高于300μg/L、0.67%孕妇和哺乳期妇女尿碘含量高于500μg/L;历下区(198.9μg/L)分别与天桥区(160.9μg/L)、章丘市(162.0μg/L)儿童尿碘中位数差异有统计学意义(Z=-5.735,P<0.05;Z=-4.756,P<0.05),历下区(171.7μg/L)、天桥区(138.8μg/L)和章丘市(187.2μg/L)孕妇尿碘中位数差异有统计学意义(χ2=22.213,P<0.05),历下区(169.0μg/L)与天桥区(213.8μg/L)哺乳妇女尿碘中位数差异有统计学意义(Z=-3.402,P<0.05);孕妇(163.1μg/L)分别与儿童(170.5μg/L)、哺乳期妇女(188.4μg/L)尿碘中位数差异有统计学意义(Z=-2.130,P<0.05;Z=-3.285,P<0.05)。结论济南市历下区、天桥区和章丘市8~10岁儿童、孕妇和哺乳期妇女尿碘水平适中,但呈碘缺乏、碘适宜和碘过量并存的现象,需根据不同地区的不同人群制定补碘政策。
Objective To investigate the status of iodine nutrition among three key populations in Lixia District, Tianqiao District and Zhangqiu City in Jinan City, and provide basis for iodine supplement in different regions and different populations. Methods In 2014, 607 children aged 8-10 years, 150 pregnant women and 150 lactating women were randomly selected from Lixia District, Tianqiao District and Zhangqiu City in Jinan City to collect iodine for urine samples. Results The median urinary iodine of children aged 8-10 years, pregnant women and lactating women reached above 150μg / L. The urinary iodine content was less than 100μg / L in 1.32% of children, 1.33% of pregnant women and 2.00% of lactating women, 9.23% of children with urine Urinary iodine content was higher than 300μg / L in 0.67% pregnant women and lactating women; Lixia District (198.9μg / L) was associated with 160.9μg / L in Tianqiao District, 162.0μg / / L), there was significant difference in urinary iodine median (Z = -5.735, P <0.05; Z = -4.756, P <0.05), Lixia District (171.7μg / L) L, and 187.2μg / L in Zhangqiu City were significantly lower than those in the control group (χ2 = 22.213, P <0.05) ), The median of urinary iodine of lactation women was statistically significant (Z = -3.402, P <0.05); pregnant women (163.1μg / L) were respectively associated with children (170.5μg / L), lactation women (188.4μg / L) The median urinary iodine difference was statistically significant (Z = -2.130, P <0.05; Z = -3.285, P <0.05). Conclusion Urinary iodine is moderate in 8-10 year-olds, pregnant women and lactating women in Lixia District, Tianqiao District and Zhangqiu City, Jinan City. However, the iodine deficiency, iodine deficiency and iodine excess coexist. According to different groups of people in different regions Formulate iodine policy.