2000～2004年新疆库尔勒市妇尿碘水平观察

目的 掌握新疆库尔勒市孕妇群体碘营养状况. 方法 2000～2004年期间采集库尔勒市各医院实施围产期保健的孕妇尿样,采用国家规定的检测方法测定尿碘. 结果 孕妇尿碘中位数分别为287.0μg/L,253.9μg/L,234.8μg/L,217.0μg/L,189.8μg/L,呈逐年回落趋势;结合2000～2004年期间生产企业的碘盐监测结果,其碘盐合格率均在100%以上,2000年碘盐浓度调整前均数为49.1mg/kg,2001～2004年调整后分别为36.5 mg/kg,39.0 mg/kg,29.1 mg/kg,28.3 mg/kg,比调整前分别下降了25.7%,20.6%,40.7%,42.4%. 结论 库尔勒市孕妇群体尿碘水平在国家调整碘盐浓度后仍维持在国家推荐的最佳尿碘值范围内,其整体碘营养状况良好.     

2000~2004年新疆库尔勒市孕妇尿碘水平观察

目的掌握新疆库尔勒市孕妇群体碘营养状况。方法2000~2004年期间采集库尔勒市各医院实施围产期保健的孕妇尿样,采用国家规定的检测方法测定尿碘。结果孕妇尿碘中位数分别为287.0μg/L,253.9μg/L,234.8μg/L,217.0μg/L,189.8μg/L,呈逐年回落趋势;结合2000~2004年期间生产企业的碘盐监测结果,其碘盐合格率均在100%以上,2000年碘盐浓度调整前均数为49.1mg/kg,2001~2004年调整后分别为36.5 mg/kg,39.0 mg/kg,29.1 mg/kg,28.3 mg/kg,比调整前分别下降了25.7%,20.6%,40.7%,42.4%。结论库尔勒市孕妇群体尿碘水平在国家调整碘盐浓度后仍维持在国家推荐的最佳尿碘值范围内,其整体碘营养状况良好。     

2001年新疆库尔勒市孕妇尿碘水平监测报告

尿碘是碘缺乏病监测的重要指标 ,能直接反映机体碘营养水平 ,确定缺碘程度和评价防治效果。为了解新疆库尔勒市孕妇尿碘水平 ,2 0 0 1年我站与库尔勒市各大医院合作 ,对本市孕妇进行了尿碘检测 ,现报告如下。1　内容与方法1.1　对象 :在全市各医院行围产期保健体检的孕妇 ,通过宣传采取自愿原则 ,采集随意尿样共计 1345份。1.2　方法 :采用酸消化砷铈催化分光光度法测定尿碘 ,碘摄入量的估算按 Dum尿碘 10 0μg/ L相当于 15 0μg/ d摄入量的方法 ,以尿碘中位数推算碘摄入量 ,全部数据经 PEMS医学统计软件处理。2　结果与分析本次共检测孕…     

1995～2004年新疆8～10岁儿童尿碘水平动态观察

1995～1999年以来,新疆维吾尔自治区连续三次对全区8～10岁儿童尿碘进行监测,现将结果分析如下. 1材料与方法 1. 1监测对象:按照<全国碘缺乏病防治监测方案>pps法在全疆抽取30个县的在校小学生.采用触诊法检查30所在校8～10岁小学生儿童甲状腺,每个学校抽取40名儿童,男女各半.每所小学随机抽取12名儿童进行尿碘测定分析.应用章阳熙目标推导值计算[1].     

2000～2004年新疆库尔勒市碘盐监测报告

新疆库尔勒市从1994年底实施全民食用碘盐,由库尔勒市盐厂供应(盐厂统一加碘)。1995年对全市碘盐监测人员进行了技术培训,对实验室人员进行质控测试。监测工作按照《自治区碘缺乏病监测方案》的要求,进入了正规化,科学化的轨道,现将2000~2004年监测结果报告如下。1抽样和监测方     

碘盐浓度调整前后郑州市孕妇尿碘水平观察

为观察碘盐浓度调整前，后郑州市孕妇群体碘营养状况，采集调整前2000年9－10月和调整后2001年5－10碘盐和孕妇尿样，用国家规定的检测方法测定盐碘和尿碘，结果显示调整前，后碘盐的合格率均在95％以上，生产企业和用户两个层次碘盐含量均数调整后降至36.44mg/kg和30.45mg/km，下降了24．34％和17．75％，孕妇尿碘均数及中位数由378．18μg/L和295．87μg/L回落至289．22μg/L和216．00μg/L（P＜01），说明郑州市孕妇群体尿碘水平在碘盐浓度调整后仍维持在国家推荐的最佳尿碘值范围内，其整体的碘营养状况良好，调整措施取得明显效果。     

2000年新疆阿勒泰市8～10岁学生尿碘水平调查

为正确评价阿勒泰市儿童碘营养状况,确定防治工作重点,进而为制定防治措施提供科学依据,我们于2000年3月对本市学龄儿童尿碘水平进行了调查,现报告如下.     

2002年新疆乌鲁木齐市76名8～10岁儿童尿碘水平调查

20 0 2年 5～ 6月我们在乌鲁木齐市沙依巴克区、东山区各一所小学采集 8～ 10岁学龄儿童尿样 76份测定尿碘含量 ,现将实验结果报告如下。1　对象与方法1.1　调查对象 :选择乌鲁木齐市沙区第 2 6小学 36名、东山区大洪沟小学 4 0名在校学生一次随机尿样 ,用无碘处理后的玻璃瓶密封 ,带回实验室测定尿碘含量。1.2　检测方法 :尿中碘含量测定方法采用酸消化砷 -铈催化分光光度法测定。2　结果与讨论本次共检测尿样 76份 ,尿碘范围在 6 2 .88～ 4 71.10 μg/L,中位数 2 5 7.75 μg/L,均值为 2 5 7.2 0± 13.31μg/L。尿碘均值、中位数都达到了…     

2009年新疆塔城地区8～10岁儿童尿碘水平分析

目的为掌握新疆塔城地区儿童碘营养状况,评价防治效果,为今后碘缺乏病的防治提供科学依据。方法对食用碘盐进行抽样检测;采取随机抽样方法对儿童尿碘进行检测;儿童和家庭主妇进行碘缺乏病防治知识知晓率调查。结果合格碘盐食用率为97.59%,尿碘中位数为220.44μg/L,两项指标均达到了新疆控制碘缺乏病目标要求。结论塔城地区所采取的防治碘缺乏病措施是有效的,但还存在一些不足,特别是对农牧区的工作还有待进一步完善。     

2017年上海市松江区8～10岁儿童及孕妇碘营养水平分析

目的通过监测2017年上海市松江区8~10岁儿童与孕妇的盐碘和尿碘水平,了解该人群的碘营养状况,为科学制定预防措施提供依据。方法按照《2017年上海市人群碘营养状况监测方案》要求,对上海市松江区进行片区划分,对5个街道(镇)的210名8~10岁儿童和15个街道(镇)的100名孕妇进行盐碘、尿碘和甲状腺肿大率的检测。结果检测8~10岁儿童家庭食用盐210份,碘盐覆盖率为80.5%,合格碘盐食用率为67.6%,碘盐合格率为84.0%,非碘食盐率为19.5%;检测孕妇家庭食用盐100份,碘盐覆盖率为82.0%,合格碘盐食用率为68.0%,碘盐合格率为82.9%,非碘食盐率为18.0%。检测8~10岁儿童尿样210份,尿碘中位数为263.5μg/L,尿碘含量<50μg/L的占1.90%,<100μg/L的占10.00%,达到国家碘缺乏病消除标准,同时40.00%的儿童尿碘含量 >300μg/L;检测孕妇尿样100份,尿碘中位数为142.0μg/L。8~10岁儿童甲状腺肿大率为0。结论儿童和孕妇的盐碘盐覆盖率和合格碘盐食用率都处于偏低水平,均未达到碘缺乏病消除标准,8~10岁儿童尿碘中位数超过适宜量,但孕妇尿碘水平略低于适宜水平,应继续加强健康教育工作,合理科学食用碘盐。     

我国四地区正常孕妇的尿碘水平分析

目的 以世界卫生组织(WHO)推荐的标准作依据,分析我国正常孕妇的尿碘水平,推荐作为评价孕妇人群碘营养状况的参考值,用于孕期碘营养监测及其相关研究.方法 在横断面调查中选择健康、碘营养充足、甲状腺功能正常、甲状腺自身抗体阴性的604名孕妇和192名当地非妊娠妇女作为本次研究对象,采用标准方法检测饮水、食盐、尿液的碘含量,采用化学发光免疫测定方法检测血清TSH、FT4、FT3、甲状腺过氧化物酶抗体(TPOAb)、甲状腺球蛋白抗体(TgAb).结果 (1)平均饮水碘含量为3.0μg/L,提示饮水提供的碘量很低.(2)平均食盐碘含量为31.7mg/kg,推测每日至少从食盐中获得240μg碘(按每人每日摄盐10 g计算,再减去烹饪过程可能丢失20%碘量),足以满足孕妇对碘的需求量.(3)604名孕妇的尿碘中位数为173.1μg/L,早、中、晚孕期分别为174.5、167.0和180.7μg/L,均达到了WHO推荐的150～249μg/L适宜水平,但未超过200μg/L.非妊娠妇女尿碘中位数为240.2μg/L,达到了WHO推荐的成人200-299 μg/L"超需要量"水平.(4)这些妇女都是甲状腺功能正常及抗体阴性者,但孕期TSH水平明显低于非妊娠妇女,以孕早期为最低;FT4及FT3,也低于非妊娠妇女,并随孕期进展而逐渐降低.结论 WHO推荐的孕妇适宜尿碘中位数水平(150-249μg/L)适用于我国孕期妇女,但我国孕妇尿碘偏低,位于150-200μg/L之间;同地区的非妊娠妇女尿碘水平偏高,建议市场可以供应不同浓度碘盐以满足不同人群的需求.

Abstract：

Objective To analyze the median urinary iodine(MUI)level in normal pregnant women based on World HeMth Organization(WHO) recommended criterion,and to provide the MUI reference values for monitoring and evaluating iodine nutrition during pregnancy and related studies.Methods Total 604 normal pregnant and 192 non-pregnant women(as a comparison)were selected from a cross-sectional survey.These women were all healthy,iodine sufficient,with normal thyroid function,and negative anti-thyroid antibodies.The iodine content in drinking water,edible salt,and urine was determined by standard methods,and serum TSH,FT4,FT3,thyroid peroxidaseantibody(TPOAb),and thyroglobulin antibody(TgAb)were measured using chemiluminescent immunoassay.Resuits (1)The iodine in drinking water was 3.0μg/L indicating such small amount of iodine could be neglected for daily iodine intake.(2)All women consumed iodized salt with the median iodine in salt of 31.7 mg/kg.The daily iodine intake of at least 240 μg could be roughly estimated if an average of 10 g salt was taken per person per day and further subtracted by 20%iodine lost during cooking,which could meet the iodine needs during pregnancy.(3)The MUI of 173.1μg/L was calculated from 604 pregnant women having 174.5,167.0,and 180.7 μg/L during the first,second,and third trimesters,respectively,reaching the optimal level of 150-249 μg/L recommended by WHO for pregnant women.However,our data showed relatively lower levels,not reaching 200μg/L.The MUI of 240.2μg/L was calculated from 192 non-pregnant women,reaching the level of"above requirement"(200-299μg/L) recommended by WHO for adults.(4)All women were euthyroid and antibody-negative,but the TSH level in pregnant women was lower than that in non-pregnant women,in particular during the first trimester,while FT4 and FT3 were considerably decreased compared with the non-pregnant(with an exception of FT4 in the first trimester),and both gradually declined with the gestational age.Conclusions The optimal MUI level of 150-249 μg/,L recommended by WHO can be applied to pregnant Chinese women,but our data provided a relatively low range of 150-200μ/L throughout pregnancy.The higher MUI of 240.2μg/L in non-pregnant women indicated that iodized salt with different contents should be supplied on market to meet the requirement of different groups of population.     

2004～2005年八道江区孕妇尿碘监测结果分析

为进一步掌握八道江区孕妇的碘营养状况,笔者于2004~2005年对八道江区的孕妇进行了尿碘检测,现将结果报告如下。1对象与方法对居住在八道江区的孕妇,在孕期检查时均采集尿样,用过硫酸铵消化砷铈催化分光光度法进行尿碘含量测定,将检测数据输入微机进行统计处理。2结果2004~2005     

乌鲁木齐市部分孕妇尿碘水平调查

目的了解乌鲁木齐市孕妇碘营养现状.方法采用砷铈催化分光光度法测定在乌鲁木齐市抽样调查的698份孕妇尿碘.结果孕妇的尿碘中位数为157.37μg/L ;小于50μg/L者32份(4.6%);小于100μg/L者147份(21.06%). 结论乌鲁木齐市仍然有孕妇存在碘缺乏状况,对孕妇开展尿碘检测很有必要.     

我国四地区正常孕妇的尿碘水平分析

Objective To analyze the median urinary iodine(MUI)level in normal pregnant women based on World HeMth Organization(WHO) recommended criterion,and to provide the MUI reference values for monitoring and evaluating iodine nutrition during pregnancy and related studies.Methods Total 604 normal pregnant and 192 non-pregnant women(as a comparison)were selected from a cross-sectional survey.These women were all healthy,iodine sufficient,with normal thyroid function,and negative anti-thyroid antibodies.The iodine content in drinking water,edible salt,and urine was determined by standard methods,and serum TSH,FT4,FT3,thyroid peroxidaseantibody(TPOAb),and thyroglobulin antibody(TgAb)were measured using chemiluminescent immunoassay.Resuits (1)The iodine in drinking water was 3.0μg/L indicating such small amount of iodine could be neglected for daily iodine intake.(2)All women consumed iodized salt with the median iodine in salt of 31.7 mg/kg.The daily iodine intake of at least 240 μg could be roughly estimated if an average of 10 g salt was taken per person per day and further subtracted by 20%iodine lost during cooking,which could meet the iodine needs during pregnancy.(3)The MUI of 173.1μg/L was calculated from 604 pregnant women having 174.5,167.0,and 180.7 μg/L during the first,second,and third trimesters,respectively,reaching the optimal level of 150-249 μg/L recommended by WHO for pregnant women.However,our data showed relatively lower levels,not reaching 200μg/L.The MUI of 240.2μg/L was calculated from 192 non-pregnant women,reaching the level of"above requirement"(200-299μg/L) recommended by WHO for adults.(4)All women were euthyroid and antibody-negative,but the TSH level in pregnant women was lower than that in non-pregnant women,in particular during the first trimester,while FT4 and FT3 were considerably decreased compared with the non-pregnant(with an exception of FT4 in the first trimester),and both gradually declined with the gestational age.Conclusions The optimal MUI level of 150-249 μg/,L recommended by WHO can be applied to pregnant Chinese women,but our data provided a relatively low range of 150-200μ/L throughout pregnancy.The higher MUI of 240.2μg/L in non-pregnant women indicated that iodized salt with different contents should be supplied on market to meet the requirement of different groups of population.     

我国四地区正常孕妇的尿碘水平分析

Objective To analyze the median urinary iodine(MUI)level in normal pregnant women based on World HeMth Organization(WHO) recommended criterion,and to provide the MUI reference values for monitoring and evaluating iodine nutrition during pregnancy and related studies.Methods Total 604 normal pregnant and 192 non-pregnant women(as a comparison)were selected from a cross-sectional survey.These women were all healthy,iodine sufficient,with normal thyroid function,and negative anti-thyroid antibodies.The iodine content in drinking water,edible salt,and urine was determined by standard methods,and serum TSH,FT4,FT3,thyroid peroxidaseantibody(TPOAb),and thyroglobulin antibody(TgAb)were measured using chemiluminescent immunoassay.Resuits (1)The iodine in drinking water was 3.0μg/L indicating such small amount of iodine could be neglected for daily iodine intake.(2)All women consumed iodized salt with the median iodine in salt of 31.7 mg/kg.The daily iodine intake of at least 240 μg could be roughly estimated if an average of 10 g salt was taken per person per day and further subtracted by 20%iodine lost during cooking,which could meet the iodine needs during pregnancy.(3)The MUI of 173.1μg/L was calculated from 604 pregnant women having 174.5,167.0,and 180.7 μg/L during the first,second,and third trimesters,respectively,reaching the optimal level of 150-249 μg/L recommended by WHO for pregnant women.However,our data showed relatively lower levels,not reaching 200μg/L.The MUI of 240.2μg/L was calculated from 192 non-pregnant women,reaching the level of"above requirement"(200-299μg/L) recommended by WHO for adults.(4)All women were euthyroid and antibody-negative,but the TSH level in pregnant women was lower than that in non-pregnant women,in particular during the first trimester,while FT4 and FT3 were considerably decreased compared with the non-pregnant(with an exception of FT4 in the first trimester),and both gradually declined with the gestational age.Conclusions The optimal MUI level of 150-249 μg/,L recommended by WHO can be applied to pregnant Chinese women,but our data provided a relatively low range of 150-200μ/L throughout pregnancy.The higher MUI of 240.2μg/L in non-pregnant women indicated that iodized salt with different contents should be supplied on market to meet the requirement of different groups of population.     

海岛学龄儿童尿碘水平分析

在碘缺乏病(IDD)防治及监测中，尿碘水平是衡量人群碘营养状况的重要指标。随着IDD防治工作的不断深入，尿碘监测已成为IDD监测的常规指标。为适时监测与评估海岛IDD防治现状，1995—2001年连续7年对舟山市进行IDD抽样调查，现将7年来8～lO岁学龄儿童尿碘监测结果分析报告如下。     

海岛学生2000～2002年碘营养状况动态观察

目的描述加服碘盐后海岛轻度缺碘地区学生的碘营养状况,评价加服碘盐的效果.方法设加碘盐组和非碘盐组,从8岁追踪观察到10岁,连续3年分别检测尿碘、盐碘和甲肿率.结果尿碘中位数,加碘盐组为170～225.37 pg/L,高于非碘盐组125.48～134.29μg/L,(u=1.97,P＜0.05).两组甲肿率经卡方检验无显著性.结论加服碘盐5～8年后,加碘组尿碘中位数＞100μg/L的占84.21%,而非碘盐组仍占66.13%,两者差别有非常显著的统计学意义(x2=19.50,P＜0.01).表明加碘组学生碘营养已属基本适宜,而非碘盐组1/3学生碘摄入量少于120μg/d指标,属轻度缺碘.     

2000～2004年库尔勒市霍乱流行及预防控制

霍乱是由霍乱弧菌引起的急性传染病,是发病急、传播快、波及面广、危害严重的甲类传染病,也是当前3种国际检疫传染病中最严重的1种。新疆从1964年发生霍乱以来至今已40余年,先后经历了6次不同程度的流行。疫情波及了全疆9个地州的49个县市,在全国属重流行区。1库尔勒市霍乱流行概况库尔勒市于1983首次发现霍乱带菌者,1988年发现5例霍乱病人,且分布广泛,分别在铁克其乡、兰干乡、和什力克乡、恰尔巴克乡、上户乡。2001年6月18日在粪检中查出4例霍乱病人,分别为兰干乡文拉提村2例,塔指1例,兰干乡兰干村1例。2003年7月在托不力其下牙村一组粪检…     

长期食用碘盐后儿童尿碘水平调查

目的全面了解儿童在食用合格碘盐后是否还存在缺碘现象.方法采集8～10岁儿童当日随机1次尿样.用尿碘快速定量检测试剂盒,检测尿中碘离子含量.结果 1999和2002年儿童尿碘中位数分别为280.62和270.84μg/L.＜100μg/L的比例分别为1.63%和2.76%.结论全面落实食盐加碘是防治碘缺乏病最经济最有效的方法.     

食用合格碘盐儿童尿碘水平调查

根据“实现消除碘缺乏病阶段目标评估方案”的要求，我们于2000年5月对黑龙江省铁力、汤原、桦南等市、县分别进行了考核评估，调查了碘盐、甲肿、尿碘等指标，现将学龄儿童尿碘结果报告如下。