中国医药科学
中國醫藥科學
중국의약과학
CHINA MEDICINE AND PHARMACY
2014年
14期
48-50
,共3页
甲状腺功能%尿碘%孕期
甲狀腺功能%尿碘%孕期
갑상선공능%뇨전%잉기
Thyroid function%Urinary iodine%Pregnancy
目的：探讨孕早期、孕中期及孕晚期孕妇尿碘水平与甲状腺功能的关系。方法采用单纯随机抽样法抽取本地区孕妇405例进行调查，孕早期136例，孕中期141例，孕晚期128例，按甲状腺功能是否正常分为甲状腺功能正常组383例，甲状腺功能异常组22例。结果孕早期、孕中期甲状腺功能正常率明显高于孕晚期，甲状腺功能异常率低于孕晚期，差异有统计学意义（P＜0.05），甲状腺功能正常组孕早期尿碘分级＜100μg/L妇女比例明显低于甲状腺功能异常组孕早期妇女，尿碘分级为100～300μg/L妇女比例明显高于甲状腺异常组孕早期妇女，差异有统计学意义（P＜0.05）。结论尿碘监测对孕早期的孕妇具有重要的意义，建议对尿碘分级＜100μg/L或100～300μg/L的孕妇进行甲状腺功能筛查。
目的：探討孕早期、孕中期及孕晚期孕婦尿碘水平與甲狀腺功能的關繫。方法採用單純隨機抽樣法抽取本地區孕婦405例進行調查，孕早期136例，孕中期141例，孕晚期128例，按甲狀腺功能是否正常分為甲狀腺功能正常組383例，甲狀腺功能異常組22例。結果孕早期、孕中期甲狀腺功能正常率明顯高于孕晚期，甲狀腺功能異常率低于孕晚期，差異有統計學意義（P＜0.05），甲狀腺功能正常組孕早期尿碘分級＜100μg/L婦女比例明顯低于甲狀腺功能異常組孕早期婦女，尿碘分級為100～300μg/L婦女比例明顯高于甲狀腺異常組孕早期婦女，差異有統計學意義（P＜0.05）。結論尿碘鑑測對孕早期的孕婦具有重要的意義，建議對尿碘分級＜100μg/L或100～300μg/L的孕婦進行甲狀腺功能篩查。
목적：탐토잉조기、잉중기급잉만기잉부뇨전수평여갑상선공능적관계。방법채용단순수궤추양법추취본지구잉부405례진행조사，잉조기136례，잉중기141례，잉만기128례，안갑상선공능시부정상분위갑상선공능정상조383례，갑상선공능이상조22례。결과잉조기、잉중기갑상선공능정상솔명현고우잉만기，갑상선공능이상솔저우잉만기，차이유통계학의의（P＜0.05），갑상선공능정상조잉조기뇨전분급＜100μg/L부녀비례명현저우갑상선공능이상조잉조기부녀，뇨전분급위100～300μg/L부녀비례명현고우갑상선이상조잉조기부녀，차이유통계학의의（P＜0.05）。결론뇨전감측대잉조기적잉부구유중요적의의，건의대뇨전분급＜100μg/L혹100～300μg/L적잉부진행갑상선공능사사。
Objective To investigate the relationship between maternal urinary iodine levels and thyroid function at early pregnancy, second trimester and third trimester. Methods We used the simple random sampling method to investigate 405 cases of pregnant women, of which 136 cases of early pregnancy, 141 cases of second trimester, 128 cases of third trimester, divided 383 cases of normal thyroid function group, 22 cases of thyroid dysfunction according to whether it was normal thyroid function. Results The normal thyroid function rate at early pregnancy, second trimester were significantly higher than at third trimester, thyroid dysfunction was lower than at third trimester, the difference was statistically significant(P<0.05), the proportion of urine iodine grading <100μg/L of women in normal thyroid function group at early pregnancy was significantly lower than the proportion of abnormal thyroid function of women at early pregnancy, the proportion of urinary iodine rating with 100-300μg/L of women was significantly higher than the proportion of women in thyroid abnormalities group at early pregnancy, the difference was statistically significant(P<0.05). Conclusion Urinary iodine monitoring for pregnant women at early pregnancy has important significance, urinary iodine rating < 100μg/L or with 100-300μg/L of pregnant women should be proposed to screen for thyroid function.
