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目的了解珠海市不同孕期的碘营养水平,为该地区的孕妇科学补碘提出科学依据。方法在各医疗机构妇产科门诊随机抽取671名符合条件的不同孕期的孕妇,采集日间随意一次尿液,按砷铈催化分光光度法(WS/T107-2006)进行尿碘测定,同时进行碘营养相关知识问卷调查。结果珠海市孕妇尿碘中位数为121μg/L,其中孕早期尿碘中位数为129μg/L,孕中期121μg/L,孕晚期120.5μg/L,各期尿碘均低于WHO推荐水平,属于轻度缺碘水平;孕妇对碘相关知识知晓率平均75.2%。结论珠海市早中晚孕妇均处于轻度缺碘状况状态,孕妇对碘相关知识知晓程度偏低,建议孕妇使用专用加碘盐,以满足孕妇碘营养需求,加强碘知识的宣传力度,提高孕妇碘缺乏病预控意识。
Objective To understand the iodine nutrition of different pregnant women in Zhuhai city and to provide a scientific basis for scientific iodine supplementation in pregnant women in this area. Methods A total of 671 pregnant women of different pregnancy who met the criteria were randomly selected from obstetrics and gynecology clinics of various medical institutions. Random urine was collected during the day and urinary iodine determination was performed according to arsenic cerium catalytic spectrophotometry (WS / T107-2006) Knowledge about iodine nutrition questionnaire. Results The median urinary iodine of pregnant women in Zhuhai was 121μg / L, the median urinary iodine in early pregnancy was 129μg / L, the second trimester was 121μg / L and the third trimester was 120.5μg / L, the urinary iodine in each stage was lower than the WHO recommended level , Which belonged to mild iodine deficiency. The awareness of iodine-related knowledge in pregnant women was 75.2% on average. Conclusion Early, middle and late pregnant women in Zhuhai are in a state of mild iodine deficiency. Pregnant women are less aware of iodine-related knowledge. It is recommended that pregnant women use iodized salt to meet the iodine nutrition needs of pregnant women, strengthen the publicity of iodine knowledge and improve pregnant women Precontrol awareness of iodine deficiency disorders.