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目的及时掌握孕妇、哺乳期妇女、新婚育龄妇女、8~10岁儿童和0~2岁婴幼儿最易受到缺碘危害的重点人群碘营养状况,为制订有针对性的碘缺乏病防治措施提供依据。方法在每个县(市)、区分类抽取孕妇、哺乳期妇女、新婚育龄妇女、8~10岁儿童和0~2岁婴幼儿各30名,用过硫酸铵消化-砷铈催化分光光度法(WS/T107-2006)检测尿碘。结果 8~10岁儿童尿碘中位数为155.0μg/L;0~2岁婴幼儿尿碘中位数为188.6μg/L;新婚育龄妇女尿碘中位数为169.0μg/L;哺乳期妇女尿碘中位数为131.2μg/L,尿碘<100.0μg/L的比例占34.4%;孕妇尿碘中位数为135.3μg/L,尿碘<150.0μg/L的比例占54.5%,叶县、舞钢市等7个县(市)、区孕妇尿碘中位数均<150.0μg/L。结论平顶山市5类重点人群中8~10岁儿童、0~2岁婴幼儿和新婚育龄妇女碘营养适宜;哺乳期妇女尿碘水平整体适宜,但碘营养不足的比例超过1/3;孕妇尿碘水平总体偏低。建议将孕妇和哺乳期妇女碘营养监测纳入日常监测工作中,同时要加强健康教育,持续消除碘缺乏危害。
Objective To grasp the iodine nutrition status of pregnant women, lactating women, newly married women of childbearing age, children aged 8-10 years and infants aged 0 ~ 2 years who are most vulnerable to iodine deficiency, so as to provide targeted prevention and treatment measures for iodine deficiency disorders in accordance with. Methods In each county (city), 30 pregnant women, lactating women, newlywed women of childbearing age, 8 to 10 years old children and 0 to 2 years old infants and young children were selected for each category. Arsenic and cerium catalytic spectrophotometry (WS / T107-2006) urine iodine test. Results The median urinary iodine of children aged 8 to 10 years was 155.0 μg / L. The median urinary iodine of infants aged 0 ~ 2 years old was 188.6 μg / L. The median urinary iodine of newly born women of childbearing age was 169.0 μg / L. The median urinary iodine was 131.2 μg / L, the urinary iodine <100.0 μg / L was 34.4%, the median urinary iodine was 135.3 μg / L, urinary iodine <150.0 μg / L was 54.5% Ye County, Wugang City, seven counties (cities), pregnant women urinary iodine median <150.0μg / L. Conclusion The iodine nutrition of 8 to 10 years old, 0 to 2 years old infants and newlywed women of childbearing age in Pingdingshan is suitable for five kinds of key population. Urinary iodine level is suitable for lactating women, but iodine deficiency ratio is more than 1/3; The overall level of iodine is low. It is recommended that iodine nutrition monitoring for pregnant women and lactating women should be integrated into routine monitoring and health education should be stepped up to eliminate the iodine deficiency endangerment.