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The study on urine iodine, milk iodine and thyroid function of breast-feeding women after iodine supplementation in iodine deficiency area

齐全, 韩淑芬, 薛晓凤, 孙晶, 孙景芳, 杨伯林, 李宏志, 鲁延弟, 李雅文, 时锦环

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Abstract

目的了解缺碘地区食用合格碘盐的哺乳期妇女产后半年的碘代谢状况.方法对乳母及婴儿进行随访观察,测定尿碘,乳碘及甲状腺激素.结果产妇分娩时尿碘值为115.28~913.02μg/L,中位数423.58μg/L;由于围产期低盐饮食,90%产妇在产后半年内尿碘水平逐渐下降,婴儿尿碘随之变化;但绝大多数乳母和婴儿尿碘处于正常碘营养水平.乳碘始终处于较高水平;部分产妇的甲状腺激素TT4水平偏高,提示:产妇分娩前后甲状腺功能代偿性增强.结论在食用合格碘盐的条件下,哺乳期妇女碘营养基本处于正常水平.但由于饮食、生活习惯等诸因素影响,约20%乳母碘营养水平偏低.

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目的了解缺碘地区食用合格碘盐的哺乳期妇女产后半年的碘代谢状况.方法对乳母及婴儿进行随访观察,测定尿碘,乳碘及甲状腺激素.结果产妇分娩时尿碘值为115.28~913.02μg/L,中位数423.58μg/L;由于围产期低盐饮食,90%产妇在产后半年内尿碘水平逐渐下降,婴儿尿碘随之变化;但绝大多数乳母和婴儿尿碘处于正常碘营养水平.乳碘始终处于较高水平;部分产妇的甲状腺激素TT4水平偏高,提示:产妇分娩前后甲状腺功能代偿性增强.结论在食用合格碘盐的条件下,哺乳期妇女碘营养基本处于正常水平.但由于饮食、生活习惯等诸因素影响,约20%乳母碘营养水平偏低.

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Available abstract

目的了解缺碘地区食用合格碘盐的哺乳期妇女产后半年的碘代谢状况.方法对乳母及婴儿进行随访观察,测定尿碘,乳碘及甲状腺激素.结果产妇分娩时尿碘值为115.28~913.02μg/L,中位数423.58μg/L;由于围产期低盐饮食,90%产妇在产后半年内尿碘水平逐渐下降,婴儿尿碘随之变化;但绝大多数乳母和婴儿尿碘处于正常碘营养水平.乳碘始终处于较高水平;部分产妇的甲状腺激素TT4水平偏高,提示:产妇分娩前后甲状腺功能代偿性增强.结论在食用合格碘盐的条件下,哺乳期妇女碘营养基本处于正常水平.但由于饮食、生活习惯等诸因素影响,约20%乳母碘营养水平偏低.

Key concepts: Iodine, Iodine deficiency, Thyroid function, Endocrinology, Medicine, Breast milk, Internal medicine, Thyroid

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