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2018年内蒙古自治区孕妇碘营养现况分析

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目的 了解内蒙古自治区孕妇碘营养状况,为妊娠期科学补碘提供依据.方法 2018年,在内蒙古自治区103个旗(县、市、区),每个旗(县、市、区)按照东、西、南、北、中各抽取1个片区,每个片区抽取1个苏木(乡镇、街道),每个苏木(乡镇、街道)抽取20名孕妇,采集家中食用盐和1次随意尿样,直接滴定法检测盐碘,砷铈催化分光光度法检测尿碘.按照不同孕期、年龄、地区类型对孕妇碘营养水平进行分析.结果 共调查9809名孕妇,盐碘中位数为23.4 mg/kg,碘盐覆盖率为98.03%(9616/9809),合格碘盐食用率为93.32%(9154/9809);尿碘中位数为167.20μg/L.不同孕期、不同年龄孕妇合格碘盐食用率比较,差异无统计学意义(P均>0.05);而不同类型地区间比较,差异有统计学意义(P<0.05).不同年龄孕妇间尿碘中位数比较,差异无统计学意义(P>0.05);不同孕期、不同类型地区间比较,差异有统计学意义(P均<0.05).结论 内蒙古地区当前孕妇碘营养水平适宜,能够满足其自身、胎儿的生理需要.不同类型地区孕妇碘营养水平不同.
Analysis of current status of iodine nutrition in pregnant women in Inner Mongolia in 2018
Objective To understand the current iodine nutritional status of pregnant women in Inner Mongolia, and provide scientific basis for iodine supplementation during pregnancy. Methods In 103 banners (counties, cities and districts) of Inner Mongolia Autonomous Region, 5 townships were randomly selected according to their sub-area positions of east, west, south, north and center in each banner (county, city and district) in 2018. Twenty pregnant women in each township were sampled to collect edible salt and a random urine samples. The iodine in salt was determined by direct titration. Urinary iodine was detected by As3+-Ce4+catalytic spectrophotometry. According to different pregnancy, maternal age and regional type, the iodine nutrition level of pregnant women was analyzed. Results Totally 9809 pregnant women were investigated, the median of salt iodine was 23.4 mg/kg, iodized salt coverage rate was 98.03%(9616/9809), qualified iodized salt consumption rate was 93.32%(9154/9809), and the median of urinary iodine was 167.20 μg/L. Between different pregnancy and different age groups, there were no significant differences in qualified iodized salt consumption rate (P > 0.05). But the difference between different regions was statistically significant(P<0.05). Between different age groups, there was no significant difference in the median of urinary iodine(P > 0.05). In both different pregnancy and different regions, there were statistically significant differences between groups (P < 0.05). Conclusions The current iodine nutrition level of pregnant women in Inner Mongolia is suitable to meet the physiological needs of themselves, and the fetus. But pregnant women in different regions have different levels of iodine nutrition.

Pregnant womenIodineNutritionSaltsUrine

郭宏宇、郭威、左媛媛、乔佳楠、贾海澄、王翠秀

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孕妇 营养 盐类 尿

2019

中华地方病学杂志
中华医学会,哈尔滨医科大学

中华地方病学杂志

CSTPCDCSCD北大核心
影响因子:1.503
ISSN:2095-4255
年,卷(期):2019.38(7)
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