不同孕期尿碘水平的测定变化与分析
,??s???,??s???,??????,??????,???t??
(?????????????l?????????????????A????,?????????l??,830000)
??s???:????s????????x?????/?g???<???????????????,???9s(????s????????<??????????????(????????)??????
??????s(????s?2168??????????????????????21115??118168?g/L,?????????i????????24316??126138?g/Ls(?????????d
?????/??1008?g/L????????2116%,?????i????????1512%s(?????<s,?d???<???????<???????????????5??????,?/??
1008?g/L???????????[???6??????s(????s??????k???i???7??????????,???????<?)???,???????????????F?????1??????
?????9????,???????<?????F???9????,???????<?????????????k???<??????????????????????s(
???O??:????????;????;???<
?d???)????:R714114s?s?s????O?:???,:As?s?s??????9??:1006-9534(2006)09(S)-0016-02
s?s??????????????<???????x?%???????????B,???n?k?l??
???a10??18w???????????<
[1]
s(?J???????]????????????
??????,???a?????????????h??????????????????????????
????????????,???????????????????????,???i????,???F
???<?????F?????????9????,???????????:?????<????,??
?<????????????????????????s(?????;????2004??2006??
???;???????<???????????/?g???<????????????????????
???)??,???)???????????5s(
?????L????
1.????
????2004??1?2??2006??7?2???;???????<?????A?i ?????/?l????????2168??????????????????(12w??)s,?d ??(12??28w)s,????(28??40w)????????,?g??????500???? ???i?????o????????????????s(
2.????????
?l?????S?<?<?9???k?1???????????????<?????????? ????(????????)????????????,?????????h???1???????L?? ??s(???????3?)???lt??????8?
2
????s(
????
1.????????????????
2168??????????????????27.6??2.68??,???????? 211.5??118.68?g/L,500???i??????????????26.7??4.69 ??,????????243.6??126.38?g/L,?B???????????????????? ?????????((P>0.05),?g???????????????[???(????(P <0.01)s(?????????d?????/??1008?g/L????????21.6% (468/2168),?g?i????????????15.2%(76/500),?B?0???? ?????(????(P<0.01)s(
2.?/?g???<??????????????
??????????????s,?d??s,???????x???????????)?n?? 852s,795s,521??,?/?g???<???????????????????L???????? ????(P<0.01),?/??1008?g/L???????????[?????????? (P<0.01);?????<s,?d???<???????<???????????????5?? ????,?3?<???????????????1???????((<),?/?? 8?L???????????l?/?g???<???[???6??????,?3?<???/ ??8?L???????????1???????((<),?3??????
???????3?????????????((P>0.05),???????5????s( ??s??/?g???<???????????????,????????
???<
????
????
????????
????(8?g/L)
(?x??SD)
????
?????/??
1008?g/Ls?(%)
????s?85227.9??3.12220.5??103.616919.8
?d??s?79527.3??2.91211.6??112.517521.7
????s?52127.6??2.62202.3??109.712423.3
??????50026.7??4.69243.6??126.37615.2
(?i??????)
????
?a??2168??????????????????????211.5??118.68?g/L, ?????????i????????243.6??126.38?g/Ls(?????????d???? ?/??1008?g/L????????21.6%,?????i????????15.2%s( ???k?J?????????????]??????s,?d?<?????????????/?ks,?? ?????%?????x????,?x?%?????????/??;???????????????< ?????????S?????x,???????<?????????S????s(???1?????? ???????<?????????????x????????,???????M?l?????k?x?% ??????????????????
[2]
s(
?????????d?/?g???<?????????,????,??????s,?ds,???? ?<?????????????5????????,?/??1008?g/L???????????[?? ?6??????,?1????????,?????????F???????5???k???i?%?? ?????5
[3]
,?l???x????3?i?2,???????????]?/???2?%????
?????x,???<???????;????FT3s,FT4?]?????????????????? ??????????????????????s(?s?????x?d???<,???????????? ???%?%?%??,???????????????5?w?;????????????????,?? ???<?????L???????????????????a????,???????????????? ????,?J???????????????2?%?????????????????????? ?x
[2]
s(?g?????x?<???????????????x??????????,???????? ???????M?l????,?x?%????????????s(?????????????????? ?????????%?%????,???????????????M?l?????????%?%?? ??,?????????F?????)???%?%?5??????s(
???6????,?????k???i???7??????????,???????<?)?? ?,???????????????F?????1???????????9????,???????<?? ???F???9????,???????<?????????????k???<???????????? ??????????s(
(?5???a5??)
??61???d???w?<?L???x????2006???a14???a9?<(?7??) P0.01
100g/
100g/P0.011
,???4??,??s??ts?(?????????????l????????????,830000) ??s???:????s??????????????????????????<?????)?o??????????s(????s??)????98???
????)?%??????(????????
?????????/)?L??????(???l??????????????s,??????s,??????????),?????B???l?????L????
?????????????J????s(??
??s??????????????i?????L???w????????s(????s??????????????????<?????????????
4s(
???O??:??????????;???<????????????
?d???)????:R722117s?s?s????O?:???,:Bs?s?s??????9??:1006-9534(2006)09(S)-0051-
01
s?s????<?????<?L?J???????????????]s,???????????/?? ??s,???????????????????????????x?<?%???]s(??????s,?? ?os,?J??s,???d??s,?????????9????????s,?<????,???7?????? ???9?????1????????
[1]
,?????l????????????????s(?;????
???????x???F????,?l?????????g??,???l?????????????? ???<??????,???????4,?????????5s(
?????L????
1.????????
????2005??12?2??2006??5?2?l?;???????????<?????? ???x????????,??98??,???????????m?2???)?o????????(?<?L 24h??????????,?????x>1028?mol/L:??????>2578?mol/L;???2 ??>2218?mol/L
[2]
)s(?????l?????????x??????????(?J???a
Minolta?????<??).?????)??2??,??????56??,??31??,??25 ??,??????3.5??28d,????12ds(???<????2810??360g,????38.1 ??4.5ws(????????:?<???o???x34??,?????o???x11??,?????9 ???x(????????,????????)6??,???????x5??s(?13??ABO?? ????,???<?L???l24h??????????s(??????42??,??25??,??17 ??,????4.9??28d,????11.2ds(???<????2910??450g,????37.7 ??5.1ws(????????:?<???o???x24??,?????o???x12??,???? ?9???x3??,???????x3??s(
2.????????
??????:???l????????,B?????????;B?????????;?????? ??5mg/(kgd)s,????????100mg/(kgd),???/3??4d;B????? ???x??????,??????s,??????;???????3??s(??????:?l?????? ???????6???l??????????,lg/?D,???/,????3?D,???54??5ds(
????
??1s??B??????????s,??????????(?x??s)
n????????(?M)????????(?M)
??????563.68??0.488.10??1.06
??????427.69??1.1914.09??2.17
s?s??L????????P<0.01
????
???<?????<??,????????????,???2?????x?/???????? ?%????????????????,?l?????<??s,????s,???d????,???<?? ?????/??,???-?????;,?????????????2?????x???????;,?? ????????8?-???3???????????n???],???o??,???????)?? ?2?????x?)???%?(???o?i???2?????x,???<?????????????? ????????,?x?%???????x????,????,?????????x????,???; ???????J?%?????????1??????????????s(
?????????????d?%??,?n??????????s,??????????s,???? ?[s,????????????,???????1?0???M??s,???????????ls(???? ????s,?o??,???1?0???M??s,?????????????ls(???????1?0?? ????s,?????????????ls(
???????)?A?????L????s,????s,?????d?]???%?)???1?? ??s,?M???????l,?6???1???????/,?????????0?M???????? ?l,???????1?0?????????l????????,???g???s?0??s,????, ?M???????????l,?????M??s,?,???????????-??,?????????? ?l,???g???;?????x??????????,?????????x????,???????? ???x???????<??,???;?????x?;???????<s(?????????????? ???????l,?]?l?????<???3???????-????????(???9?????? ??),???????4s(
???????????L???????????2???l,???1???<?????x?) ??,?????????x?????????l,?l?????<?????????????????? ??????????,????????s(
???8???O
[1]???D??,?7????.??????[M].?a6??,???;???<??????,2004. 134.
[2]??????,??????,???g??.???l???<????[M]s(?a2??,1997.215. ???????<:2006-07-12
s?s?(?6???a16??)
???8???O
[]?????????????????x???h??s,?<?)???????4??[M]?a???? ????????????,3
[2]??????,??????,?w????,??.?????????L???????h???????????? ??????????[J].?d???s????????????,2000,15(2):106. [3]??????,??????,????,??.?????????<???????????A??D?4218?? ?????????)??[]?d???w?<?L???x????,,6(5)
???????<6
??15???d???w?<?L???x????2006???a14???a9?<(?7??) 1..1.
1982.22.
J.1998:1.
:200-08-14