论文部分内容阅读
对５７例新生儿及其孕母配对研究ＴＳＨ、尿碘水平及相关分析。结果：新生儿ＴＳＨ＞５ｍＩＵ／Ｌ者占３２．７％，向高值方向偏移，表明该地区新生儿仍有碘缺乏。新生儿尿碘值与其自身ＴＳＨ水平呈高度负相关（ｒ＝－０．７１，Ｐ＜０．０１），孕母尿碘值与新生儿ＴＳＨ值呈负相关（ｒ＝－０．３４，Ｐ＜０．０５），新生儿尿碘值与其孕母尿碘值呈高度正相关（ｒ＝０．８２，Ｐ＜０．０１）。孕母尿碘值与新生儿尿碘值无显著差异。孕母尿碘值基本反映新生儿尿碘水平。因此，若采用孕母尿碘值作为ＩＤＤ监测指标，可直接反映胎儿和新生儿的碘营养水平，而胎儿和新生儿时期更需要足够碘供应，以保护脑发育，故若采用孕母尿碘值作为ＩＤＤ监测指标更有意义。
Paired with 57 newborns and their pregnant women TSH, urinary iodine levels and correlation analysis. Results: The percentage of newborns with TSH> 5mIU / L was 32.7%, which shifted to higher values, indicating that there was still iodine deficiency in neonates in this area. Neonatal urinary iodine value and its own TSH level was highly negatively correlated (r = -0.71, P <0.01), prenatal urinary iodine value and neonatal TSH value was negatively correlated (r = -0.34, P <0.05). Neonatal urinary iodine value was positively correlated with urinary iodine value (r = 0.82, P <0.01). Urinary iodine value of pregnant women and newborn urinary iodine value was no significant difference. Urinary iodine value of pregnant women basically reflects the level of urinary iodine in newborn. Therefore, the use of prenatal urinary iodine value as an indicator of IDD can directly reflect the fetal and neonatal iodine nutrition levels, while the fetus and neonatal need more adequate supply of iodine to protect the brain development, so if the use of prenatal urinary iodine Value as an indicator of IDD more meaningful.