CAJ | 학술논문

目的了解海产品对妇女尿碘水平的影响,为寻求其他的适宜补碘途径提供依据.方法 2006年在新疆伊宁县妇幼保健院,选择参加体检的孕妇和非孕妇女,年龄20～40岁,记录食入海产品的种类及食入频次,采集日间随意尿样和家庭食用盐.尿碘测定采用砷铈分光光度法,盐碘测定采用直接滴定法.结果共调查了198位妇女,其中孕妇148人,非孕妇50人,尿碘中位数为87.51μg/L.在基本不食用、很少食用、经常食用海产品的妇女中,尿碘中位数分别为83.49、91.52、166.45μg/L.组间比较差异有统计学意义(χ2=6.202,P<0.05).食用海产品的非孕妇尿碘中位数(90.94μg/L)高于孕妇(84.79μg/L),二者比较差异有统计学意义(U=3318.00,P<0.05).在孕妇中,很少食用海产品的妇女尿碘中位数(94.46μg/L)与基本不食用海产品的妇女(83.28μg/L)比较,差异有统计学意义(U=1257.5,P<0.05);在孕晚期,基本不食用、很少食用、经常食用海产品妇女尿碘中位数分别为81.93、97.97、140.18μg/L,组间比较差异有统计学意义(χ2=6.80,P<0.05).结论孕妇每周食入一定量的海产品.就可使尿碘水平得到相应提高,食入频次越多,尿碘水平也相应越高,建议在碘盐推广困难的地区,对孕妇多进行食用海产品的宣传,减少克汀病患儿的出生.
목적 료해해산품대부녀뇨전수평적영향,위심구기타적괄의보전도경제공의거.방법 2006년재신강이저현부유보건원,선택삼가체검적잉부화비잉부녀,년령20～40세,기록식입해산품적충류급식입빈차,채집일간수의뇨양화가정식용염.뇨전측정채용신시분광광도법,염전측정채용직접적정법.결과 공조사료198위부녀,기중잉부148인,비잉부50인,뇨전중위수위87.51μg/L.재기본불식용、흔소식용、경상식용해산품적부녀중,뇨전중위수분별위83.49、91.52、166.45μg/L.조간비교차이유통계학의의(χ2=6.202,P<0.05).식용해산품적비잉부뇨전중위수(90.94μg/L)고우잉부(84.79μg/L),이자비교차이유통계학의의(U=3318.00,P<0.05).재잉부중,흔소식용해산품적부녀뇨전중위수(94.46μg/L)여기본불식용해산품적부녀(83.28μg/L)비교,차이유통계학의의(U=1257.5,P<0.05);재잉만기,기본불식용、흔소식용、경상식용해산품부녀뇨전중위수분별위81.93、97.97、140.18μg/L,조간비교차이유통계학의의(χ2=6.80,P<0.05).결론 잉부매주식입일정량적해산품.취가사뇨전수평득도상응제고,식입빈차월다,뇨전수평야상응월고,건의재전염추엄곤난적지구,대잉부다진행식용해산품적선전,감소극정병환인적출생.
Objective To investigate the effect of seafood intake on the urinary iodine level in women for exploring an alternative to iodine supplementation.Methods Healthy pregnant women and non-pregnant women, aged 20～40 years,were selected during their health examination in local women'S health care in 2006.The types of seafood and its intake frequency were recorded from these women.and urine and kitchen salt samples were collected for iodine determination.Results A total of 198 women including 148 pregnant and 50 non-pregnant women were recmitod for this study;they had a median level of urine iodine of 87.51 mg/L.The median levels of urine iodine of83.49,91.52,166.45μg/L in three group women classified as hardly,seldom and often intake of see food showed significant difference(X2=6.202,P<0.05).Urine iodine level in non-pregnant women taking seafood (90.94μg/L)was higher than that in pregnant women(84.79μg/L),the difference being statistically significant (U=3318.00,P<0.05).The urine iodine in pregnant women with seldom intake of seafood(94.46 μg/L)was significantly higher than that in the hardly intake women(83.28 μg/L),the difference being statistically significant (U=1257.5,P<0.05).During late period of gestation,the urinary iodine in the women ofthree statUS of hardly. Seldom and often intake of seafood were 81.93,97.97 and 140.18 μg/L,respective,with significant differences among them.Conclusions A certain amount of seafood taken every week Can increase urine iodine levels,and a direct relationship Was observed.Therefore,we suggest that it is necessary to advocate taking seafood to pregnant women for prevention of cretinism,particularly in the air.as where iodized salt was difficult to implement.