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Thyroid Nodule Prevalence and Iodine Nutrition:Influencing Factors in Coastal Areas
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作者 Lijin Wang Jiani Wu +5 位作者 Xiaoyan Wu Ying Lan Meng He Diqun Chen Zhihui Chen Muhua Wang 《Biomedical and Environmental Sciences》 SCIE CAS CSCD 2024年第10期1221-1226,共6页
Iodine is an essential trace element for human health.The thyroid gland uses iodine for the synthesis of thyroid hormones.Most iodine comes from food and drinking water,and approximately 85%is excreted through the uri... Iodine is an essential trace element for human health.The thyroid gland uses iodine for the synthesis of thyroid hormones.Most iodine comes from food and drinking water,and approximately 85%is excreted through the urine.Therefore,urinary iodine content is an important indicator for judging the iodine nutrition level of a population[1].A thyroid nodule is a discrete mass resulting from the abnormal proliferation of thyroid cells.Iodine deficiency in the general population has dramatically diminished after implementing universal salt iodization(USI)policies.However,the incidence of thyroid nodules has been reported to be increasing following the implementation of USI,leading some to question the plausibility of USI.This data from Zhao et al. 展开更多
关键词 iodine urine Influencing
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Simultaneous determination of fluorine and iodine in urine by ion chromatography with electrochemical pretreatment 被引量:4
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作者 Kang Kang Hu Wei Xiong Huang Yu Hua Su Rong Zong Hu 《Chinese Chemical Letters》 SCIE CAS CSCD 2009年第12期1483-1486,共4页
A new method for the simultaneous determination of fluorine and iodine in urine by ion chromatography (IC) with electrochemical pretreatment has been developed. The pretreatment was performed in a novel electrochemi... A new method for the simultaneous determination of fluorine and iodine in urine by ion chromatography (IC) with electrochemical pretreatment has been developed. The pretreatment was performed in a novel electrochemical oxidationneutralization device (EOND), in which iodide of the sample was oxidized to iodate and the alkaline digestion sample solution was neutralized. Under the optimized conditions, the limits of detection (LOD, S/N = 3) were 2.5 μg/L for fluoride and 20 μg/L for iodate, respectively. The recoveries were in the range of 93-102% for fluoride and 86-98% for iodate. 展开更多
关键词 FLUORINE iodine urine Electrochemical pretreatment Ion chromatography
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Right time to detect urine iodine during papillary thyroid carcinoma diagnosis and treatment:A case report
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作者 Shi-Chang Zhang Cheng-Jing Yan +3 位作者 Yun-Fei Li Ting Cui Mei-Ping Shen Jie-Xin Zhang 《World Journal of Clinical Cases》 SCIE 2022年第30期11010-11015,共6页
BACKGROUND This is the first documentation of a spontaneous and nonspecific chemical reaction of an iodinated contrast media with ammonium persulfate used in As3+-Ce4+catalytic spectrophotometry for urine iodine conce... BACKGROUND This is the first documentation of a spontaneous and nonspecific chemical reaction of an iodinated contrast media with ammonium persulfate used in As3+-Ce4+catalytic spectrophotometry for urine iodine concentration(UIC)detection.CASE SUMMARY We herein report an incidental case who had a dual source computed tomography examination for papillary thyroid carcinoma diagnosis.Serial spot urine specimens were collected during her hospitalization and were measured by As3+-Ce4+catalytic spectrophotometry on a Beckman Coulter AU5800.The reacted solutions were“brownish”,and the results showed extremely high iodine concentrations despite serial dilutions.The patient claimed no dietary habit of iodized salt or iodine-containing medical history,which strongly pointed to iodinated contrast media(ICM)via intravenous injection.Even with 0.01%ICM,its interruption is still profound on the desired urine iodine reaction with ammonium persulfate,leading to inaccurate UIC and possibly inappropriate treatment.CONCLUSION The following laboratory suggestions should be considered:(1)As3+-Ce4+catalytic spectrophotometry is only suitable for UIC measurement after confirmed ICM renal clearance;(2)A mass spectrometry-based method can be applied as an alternative during the ICM clearance period;and(3)The UIC baseline can be confirmed after ICM injection by consecutive detection for at least 2 mo. 展开更多
关键词 Papillary thyroid carcinoma urine iodine concentration iodinated contrast media As^(3+)-Ce^(4+)catalytic spectrophotometry
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Effects of Oral Administration of Camel Milk and Urine on Gut Microbiota: Biochemical and Microbiological Profiling in Rats
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作者 Samah O. Noor Manal S. Alenini 《American Journal of Molecular Biology》 2018年第1期1-12,共12页
Human intestinal tract contained a diverse number of microbial communities which performed a significant role in human health. The presence of gut microbiota was affected mainly by diet. Camel milk is the source of nu... Human intestinal tract contained a diverse number of microbial communities which performed a significant role in human health. The presence of gut microbiota was affected mainly by diet. Camel milk is the source of nutrition and provides all the essential nutrients for growth. It has great significance in the treatment of liver, spleen, and anemic infections. Camel urine has also many medical advantages. In this study we examined the effect of camel milk and urine and a mixture of both (milk + urine) on the growth of Gut microbiota using an in vivo animal model. Fresh fecal samples were collected before and after administration of the tested materials. After that, the microbial analysis was conducted via culturing, denaturing gradient gel electrophoresis and metabolic analysis via high-performance liquid chromatography (HPLC). The result indicated that the numbers of bacterial groups were increased after the first dose. Coliform group have significant increase when given a mix of milk and urine compared to control group with P < 0.05. Bifidobacterium group have significant increase in their number in the Milk and Mix groups compared to control group with P < 0.05. The concentration of Short-chain fatty acids in fecal samples was increased in Milk and Mix groups compared to control group. In conclusion, drinking camal milk, urine or a mix of both increased the growth of Gut microbiota. 展开更多
关键词 Camal milk urine GUT Microbioa HPLC DGGE
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Protective Activity of Camel’s Milk and Urine Mixture (<i>Camelus dromedaries</i>) against Ethanol-Induced Hepatotoxicity in Rats
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作者 Ahmed E. Elhag F. Bernard Samia M. A. El Badwi 《Advances in Bioscience and Biotechnology》 2017年第10期378-387,共10页
This study was implemented at the University of Khartoum to investigate the protective effect of camel milk mixed with camel urine against alcohol-induced liver damage in Wistar albino rats. The reasons for combining ... This study was implemented at the University of Khartoum to investigate the protective effect of camel milk mixed with camel urine against alcohol-induced liver damage in Wistar albino rats. The reasons for combining camel milk and urine together are because that in Sudan this combination is used extensively in traditional medicine and they claimed that this combination cures a lot of diseases including liver disease and jaundice;25 Wister Albino rats of both sexes were brought and divided into 5 groups. Group 1 (control group) received normal saline, group 2 received ethanol 10% at dose of (0.5 g/100g body weight) and group 3 rats received Silymarin (5 mg/100g body weight) plus ethanol 10% (0.5 g/100g). Group 4 received a mixture of camel milk and urine (1:1) at the rate of 2 ml/100g and group 5 rats were administered with the mixture of camel’s milk and urine as in group 4 plus ethanol 10% (0.5 g/100g). All treatments given by an oral intubation, experiment lasts for 28 days, rats were euthanized, serum samples and liver sections obtained. Oral administration of 10% ethanol (0.5 g/100g) induced liver damage which was clear in group 2 in a form of generalized necrosis, fatty change and congestion, beside high elevation of serum enzymes (AST, ALT, and ALP). Giving camel’s milk and urine mixture to group 5 with ethanol 10% (0.5 g/100g), resulted in significant reduction of levels of serum enzymes (AST, ALT, and ALP) and in stabilization of serum metabolites (total protein, albumin and bilirubin). The degree of reduction was lower when significantly compared to (Silymarin + ethanol) group, and all results were verified by the histopathological changes. Hepatoprotective effects of camel’s milk and urine mixture were recorded and this could be attributed to antioxidant activity or to its chelate effects on toxicants. Drinking raw camel milk and urine mixture, it was used extensively in traditional medicine in Sudan and it was found safe without any ill effect. 展开更多
关键词 Camel milk and urine ETHANOL Hepatoprotection RATS
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Validation and Comparison of Two Calibration Methods for the Measurement of Stable Iodine in the Urinary Matrix by ICP-MS:Standard Addition vs.External Calibration
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作者 Geraldine Landon Celine Bouvier-Capely +7 位作者 Alexandre Legrand Thibaud Sontag Gregory Finance Mailie Saint-Hilaire Francois Rebiere Xavier Millot Valerie Renaud-Salis Michelle Agarande 《American Journal of Analytical Chemistry》 2017年第4期245-263,共19页
Background: In the context of a nuclear reactor accident, thyroid is the main target organ of radioactive iodines. To avoid as much as possible thyroid disorders or even cancer development, it is recommended to admini... Background: In the context of a nuclear reactor accident, thyroid is the main target organ of radioactive iodines. To avoid as much as possible thyroid disorders or even cancer development, it is recommended to administer a single dose of potassium iodide to people at risk of exposure. Nevertheless, the Fukushima Dai-ichi disaster has pointed out many questions about the conditions of stable iodine prophylaxis implementation highlighting the need for reflection further revision of the actual “iodine doctrine”. Therefore, providing useful data is required notably through the implementation of animal experiments to strengthen current knowledge and to edit new recommendations. Methods: Urinary iodine constitutes a very good indicator to investigate the function of thyroid, its interpretation demands reliable analyses. Prior to perform animal experiments, two calibration methods were designed by our lab and compared together (standard addition and external calibration) to assess the urinary concentration of stable iodine in urine by ICP-MS. They were validated based on several key parameters especially linearity, accuracy and limits of detection (LOD) and quantification (LOQ). Results: The results were nicely satisfying. Indeed, both calibration methods have indicated very good coefficients of correlations, accuracies with low expanded relative uncertainties were obtained. The estimated LOD in the sample for standard addition method and external calibration were fully acceptable, 0.39 μg·L-1 and 0.35 μg·L-1, respectively. All performance criteria have been thus fulfilled successfully. The established methods were proven to be accurate, robust and sensitive. Once validated, both calibration methods were applied to rat urine samples and the results of z-score and Wilcoxon W test concluded that there were no statistically significant differences between both methods. 展开更多
关键词 Stable iodine urine Standard Addition External Calibration VALIDATION
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Prevalence of Thyroid Nodules and Its Relationship with Iodine Status in Shanghai:a Population-based Study 被引量:27
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作者 SONG Jun ZOU Shu Rong +8 位作者 GUO Chang Yi ZANG Jia Jie ZHU Zhen Ni MI Ming HUANG Cui Hua YU Hui Ting LU Xi RUAN Ye WU Fan 《Biomedical and Environmental Sciences》 SCIE CAS CSCD 2016年第6期398-407,共10页
Objective This study was designed to evaluate the prevalence of thyroid nodules(TNs) and its relationship with urine iodine concentrations(UICs) after the regional rapid economic growth and lifestyle changes. Meth... Objective This study was designed to evaluate the prevalence of thyroid nodules(TNs) and its relationship with urine iodine concentrations(UICs) after the regional rapid economic growth and lifestyle changes. Methods A cross-sectional survey was conducted in the general population aged 15-69 years. A questionnaire regarding general and personal characteristics and relevant information was administered. Ultrasonography of the thyroid was performed, and serum triiodothyronine(T3), tetraiodothyronine(T4), serum thyroid stimulating hormone(TSH), free triiodothyronine(FT3), free tetraiodothyronine(FT4), thyroglobulin antibody(Tg Ab), thyroid peroxidase antibody(TPOAb), and TSH receptor antibody(TRAb) levels were measured for each individual subject. Results The prevalence rates of TNs in the whole population, females and males were 27.76%, 34.04%, and 21.60%, respectively. The prevalence of multiple nodules increased with age, whereas the prevalence peaks differed between males and females. The median UICs in the whole population and females with non-TNs were higher than those of subjects with TNs(P=0.0035, P=0.0068). The median UICs in subjects with a single TN were higher than those in subjects with multiple TNs(P=0.0164, P=0.0127). The result showed a U-shaped curve relationship between UIC and prevalence of TNs. The prevalence of TNs was the lowest when the UIC was 140-400 μg/L. Conclusion The prevalence of TNs was nearly 30% and increased with age. The relationship between UIC and prevalence of TNs is U-shaped, with an increase in risk when the UIC was 〈140 μg/L and 〉400 μg/L. Very low or high UIC levels need attention and correction. 展开更多
关键词 Thyroid Nodules PREVALENCE urine iodine EPIDEMIOLOGY
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盐业体制改革前后厦门市810岁儿童碘营养状况分析
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作者 陈友兰 李蕾 +4 位作者 池家煌 张金华 刘玉文 黄淑英 伍啸青 《中国初级卫生保健》 2024年第10期32-34,50,共4页
目的:分析盐业体制改革前后厦门市8~10岁儿童碘营养状况,为碘缺乏病防控策略调整和制定提供科学依据。方法:在盐业体制改革前(2016年)和改革后(2022年),采用横断面调查和分层整群抽样方法,选择厦门市下辖的6个区为调查点。抽样检测8~10... 目的:分析盐业体制改革前后厦门市8~10岁儿童碘营养状况,为碘缺乏病防控策略调整和制定提供科学依据。方法:在盐业体制改革前(2016年)和改革后(2022年),采用横断面调查和分层整群抽样方法,选择厦门市下辖的6个区为调查点。抽样检测8~10岁儿童家中盐碘、随意1次尿碘和甲状腺肿大情况,并对检测结果进行比较分析。结果:盐业体制改革前和改革后,厦门市8~10岁儿童甲状腺肿大率由1.9%(8/423)上升至2.8%(36/1265),但差异无统计学意义(χ^(2)=1.138,P>0.05);8~10岁儿童碘盐覆盖率从98.4%(1213/1233)下降为96.0%(1215/1265),合格碘盐食用率从95.9%(1183/1233)下降为93.3%(1180/1265),改革后均低于改革前,差异均有统计学意义(χ^(2)值分别为17.382、8.669,P<0.05);非碘盐率从1.6%(20/1233)上升至4.0%(50/1265),改革后高于改革前,差异有统计学意义(χ^(2)=17.392,P<0.01);8~10岁儿童尿碘中位数从216.1μg/L下降为183.4μg/L,改革后低于改革前,差异有统计学意义(Z=4.732,P<0.01)。结论:厦门市持续保持消除碘缺乏病目标,但盐业体制改革后合格碘盐食用率降低,非碘盐率上升,碘缺乏危害风险加大。应坚持科学补碘,强化碘缺乏病防治各项干预措施,保障碘营养安全。 展开更多
关键词 缺乏症 儿童 尿 甲状腺肿 盐类
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妊娠早、中期妇女尿碘/尿肌酐比值与亚临床甲状腺功能减退症合并自身抗体阳性的相关性
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作者 梁愿 王青 +3 位作者 吴芳 余红岚 许小红 周佳敏 《黑龙江医学》 2024年第8期927-930,共4页
目的:探讨妊娠早、中期妇女尿碘/尿肌酐比值(UIC/UCr)与亚临床甲状腺功能减退症(SCH)合并自身抗体阳性的相关性。方法:回顾性选取2018年1月—2021年6月贵阳市第一人民医院进行孕检的妊娠早、中期SCH孕妇作为研究对象,依据甲状腺自身抗... 目的:探讨妊娠早、中期妇女尿碘/尿肌酐比值(UIC/UCr)与亚临床甲状腺功能减退症(SCH)合并自身抗体阳性的相关性。方法:回顾性选取2018年1月—2021年6月贵阳市第一人民医院进行孕检的妊娠早、中期SCH孕妇作为研究对象,依据甲状腺自身抗体检测结果,将其分为:妊娠早、中期甲状腺抗体阳性组;妊娠早、中期甲状腺抗体阴性组;另选取同时期进行检查的妊娠早、中期健康孕妇作为对照组,每组各100例,共计300例,观察甲状腺过氧化物酶抗体(TPOAb)、甲状腺球蛋白抗体(TgAb)、UIC/UCr、促甲状腺激素(TSH)、游离三碘甲状腺原氨酸(FT3)、血清游离甲状腺素(FT4)等指标。结果:妊娠早期三组孕妇一般临床资料比较,差异无统计学意义(P>0.05),妊娠中期三组孕妇收缩压(SBP)、舒张压(DBP)比较,差异有统计学意义(F=7.024、11.357,P<0.05);UIC/UCr分析显示,与其他组别比较,妊娠早、中期阳性组孕妇均值和百分位分布数值最低;甲状腺激素及抗体水平比较,除FT3和FT4外,妊娠早、中期阳性组孕妇UIC/UCr、TPOAb、TgAb和TSH水平与健康组和阴性组比较,差异有统计学意义(F=71.710、279.102、130.017、275.949、22.991、220.702、288.882、184.459,P<0.001);相关性分析结果显示,UIC/UCr与TSH、TgAb、TPOAb水平呈负相关;多元线性回归分析结果发现,UIC/UCr、TSH是TPOAb、TgAb的主要影响因素。结论:妊娠早、中期SCH合并自身抗体阳性孕妇,UIC/UCr显著偏低且与TPOAb、TgAb关系密切,建议在临床中加强UIC/UCr指标观察。 展开更多
关键词 妊娠早、中期 尿碘尿肌酐比值 亚临床甲状腺功能减退症 甲状腺自身抗体阳性
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血清E2、25(OH)D3及尿碘水平对分化型甲状腺癌的预测价值
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作者 杨福洲 宋锦丽 +1 位作者 颜中 李明燕 《分子诊断与治疗杂志》 2024年第5期872-876,共5页
目的分析血清雌二醇(E2)、25-羟基维生素D3[25(OH)D3]及尿碘水平对分化型甲状腺癌(DTC)的预测价值。方法选取2021年9月至2022年9月雅安市人民医院收治的并经病理组织学确诊的190例DTC患者作为恶性组,并选取本院同期收治的125例甲状腺良... 目的分析血清雌二醇(E2)、25-羟基维生素D3[25(OH)D3]及尿碘水平对分化型甲状腺癌(DTC)的预测价值。方法选取2021年9月至2022年9月雅安市人民医院收治的并经病理组织学确诊的190例DTC患者作为恶性组,并选取本院同期收治的125例甲状腺良性病变患者作为良性组,另选取甲状腺形态正常的健康体检者100名作为健康对照组,比较三组血清E2、25(OH)D3及尿碘水平,并比较不同临床特征的DTC患者血清E2、25(OH)D3及尿碘水平,采用ROC曲线分析血清E2、25(OH)D3及尿碘水平对DTC的预测价值。结果血清E2、尿碘水平:恶性组>良性组>健康对照组,25(OH)D3水平:恶性组<良性组<健康对照组,差异均有统计学意义(P<0.05)。血清E2、尿碘水平:肿瘤低分化程度患者>肿瘤中分化程度患者>肿瘤高分化程度患者;尿碘水平:T3-T4浸润深度患者>T1-T2浸润深度患者,淋巴结转移患者>无淋巴结转移患者;血清25(OH)D3水平:肿瘤低分化程度患者<肿瘤中分化程度患者<肿瘤高分化程度患者,T3-T4浸润深度患者<T1-T2浸润深度患者,淋巴结转移患者<无淋巴结转移患者,差异均有统计学意义(P<0.05)。ROC曲线分析显示,血清E2、25(OH)D3及尿碘水平联合预测DTC的敏感度、特异度、AUC为94.74%、92.80%、0.978,高于三指标单独检测(P<0.05)。结论血清E2、25(OH)D3及尿碘水平与DTC发生及病情进展有关,且三者联合对DTC的预测价值更高。 展开更多
关键词 分化型甲状腺癌 雌激素 25-羟基维生素D3 尿碘
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桥本甲状腺炎患者尿碘水平的分析
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作者 李晓蝶 徐永霞 +5 位作者 王芬 郭文露 贾伟 王雪锋 郎烺 朱德发 《安徽医科大学学报》 CAS 北大核心 2024年第1期144-148,共5页
目的分析桥本甲状腺炎(HT)患者尿碘水平的差异,探讨不同碘营养状况下尿碘水平与HT可能存在的关系,为HT患者合理摄碘提供参考。方法选取入院就诊的HT患者101例为HT组,依据甲状腺功能分为3组:HT合并甲状腺功能亢进组41例;HT合并甲状腺功... 目的分析桥本甲状腺炎(HT)患者尿碘水平的差异,探讨不同碘营养状况下尿碘水平与HT可能存在的关系,为HT患者合理摄碘提供参考。方法选取入院就诊的HT患者101例为HT组,依据甲状腺功能分为3组:HT合并甲状腺功能亢进组41例;HT合并甲状腺功能正常组25例;HT合并甲状腺功能减退组35例。另外,选取健康体检者30例为对照组。采用化学发光法检测血清促甲状腺激素(TSH)、三碘甲状腺原氨酸(T_(3))、甲状腺素(T_(4))、甲状腺过氧化物酶抗体(TPOAb)及甲状腺球蛋白抗体(ATG)水平;超声诊断仪检查甲状腺器官的大小及形态结构;砷铈催化分光光度法检测尿碘水平。根据尿碘水平将人群碘营养状况分为碘缺乏(<100μg/L)、碘适宜(100~199μg/L)、碘足量(200~299μg/L)、碘过量(≥300μg/L)。采用非参数检验比较HT组与对照组尿碘水平差异,单因素方差分析、t检验比较HT分组与对照组尿碘水平差异及Spearman相关分析不同碘营养状况下尿碘水平与T_(3)、T_(4)、TSH、ATG、TPOAb的相关性。结果与对照组比较,HT组ATG、TPOAb水平升高(P<0.001),尿碘水平升高(P<0.05),差异有统计学意义;不同甲状腺功能状态下HT分组与对照组尿碘水平比较,仅HT合并甲状腺功能减退组升高(P<0.01),差异有统计学意义;Spearman相关分析显示总纳入对象中碘过量状况下尿碘水平与ATG、TPOAb水平呈正相关(P<0.05),HT患者中碘足量、碘过量状况下尿碘水平与TSH水平呈正相关(P<0.05)。结论HT患者尿碘水平较正常人偏高。居民尿碘水平≥300μg/L时,摄碘易发生HT;HT患者尿碘水平≥200μg/L时,摄碘易发生甲状腺功能减退,需限制碘摄入。 展开更多
关键词 尿碘 碘营养 碘过量 桥本甲状腺炎 甲状腺功能减退 相关性
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孕早期碘营养与甲状腺功能及妊娠结局相关性研究
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作者 程玉珊 高劲松 +2 位作者 高丽丽 王丽莹 余昳 《实用妇产科杂志》 CAS CSCD 北大核心 2024年第10期823-827,共5页
目的:研究孕早期妇女碘营养水平与甲状腺功能的相关性,并分析不良妊娠结局相关的危险因素。方法:回顾性分析2020年10月至2022年5月在北京协和医院产科门诊进行常规产前检查的孕早期妇女566例。记录其临床一般资料、测定尿碘水平和甲状... 目的:研究孕早期妇女碘营养水平与甲状腺功能的相关性,并分析不良妊娠结局相关的危险因素。方法:回顾性分析2020年10月至2022年5月在北京协和医院产科门诊进行常规产前检查的孕早期妇女566例。记录其临床一般资料、测定尿碘水平和甲状腺功能,分析孕妇孕早期碘营养状况。根据碘营养水平不同,分为碘缺乏组(尿碘肌酐比<150μg/g)、碘超足量组(250μg/g≤尿碘肌酐比<500μg/g)、碘过量组(尿碘肌酐比≥500μg/g)与碘适量组(150μg/g≤尿碘肌酐比<250μg/g),碘营养异常组(包括碘缺乏、碘超足量、碘过量),对比分析甲状腺疾病发生率。采用Logistic回归分析影响不良妊娠结局(包括妊娠期高血压疾病、妊娠期糖尿病、早产、流产、低出生体质量儿)发生的危险因素。结果:①566例孕早期孕妇的尿碘肌酐比中位数为99μg/g,总体处于碘缺乏水平。碘营养异常率为82.9%(其中碘缺乏73.0%、碘超足量7.4%、碘过量2.5%),碘适量组仅占17.1%。②不同碘营养水平各组间甲状腺功能异常(包括甲状腺功能减退症、亚临床甲状腺功能减退症、单纯甲状腺过氧化物酶抗体阳性)发生率比较差异无统计学意义(P>0.05),但碘营养异常孕妇甲状腺功能异常的发生率高于碘适量组孕妇,差异有统计学意义(20.3%vs.11.3%,χ^(2)=4.198,P=0.04)。③多因素Logistic回归性分析显示,年龄≥35岁、体质量指数≥24 kg/m^(2)、碘营养异常是影响不良妊娠结局发生的独立危险因素(OR>1,P<0.05)。结论:孕早期妇女碘营养异常率超过80%,总体处于碘缺乏状态。碘营养异常是影响不良妊娠结局的危险因素。建议在孕早期监测孕妇碘营养水平,根据碘营养水平不同给予补碘,或低碘饮食,纠正碘营养异常,加强健康教育干预,以改善妊娠结局。 展开更多
关键词 碘营养 尿碘肌酐比 甲状腺功能 妊娠结局 危险因素
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肇庆市先天性甲状腺功能减退症患儿碘营养水平的现况 被引量:1
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作者 黄锶 陈丽华 郑宏基 《中国当代医药》 CAS 2024年第6期62-65,共4页
目的分析肇庆市先天性甲状腺功能减退症(CH)患儿碘营养水平现况,为该地区CH患儿科学补碘提供依据。方法选取2021年4月至2022年8月在肇庆本辖区内运用新生儿疾病筛查技术筛查确诊并规律跟踪治疗的180例CH患儿作为研究对象,通过尿碘的砷... 目的分析肇庆市先天性甲状腺功能减退症(CH)患儿碘营养水平现况,为该地区CH患儿科学补碘提供依据。方法选取2021年4月至2022年8月在肇庆本辖区内运用新生儿疾病筛查技术筛查确诊并规律跟踪治疗的180例CH患儿作为研究对象,通过尿碘的砷铈催化分光光度法测定,对CH患儿的碘营养水平进行分析。结果180例CH患儿的平均尿碘水平为(198.35±40.25)μg/L,其中碘营养不足2例(1.11%),碘营养适宜123例(68.33%),碘营养超过适宜量40例(22.22%),碘营养超标者15例(8.33%)。不同年龄和性别的尿碘和碘营养状态分布比较,差异无统计学意义(P>0.05);不同营养状态下的FT3、FT4、TT3、TT4、TSH水平比较,差异有统计学意义(P<0.05);CH患儿的尿碘水平与FT3、FT4、TT3及TT4呈负相关(P<0.05),与TSH无相关性(P>0.05)。结论肇庆市先天性甲状腺功能减退症患儿碘营养水平相对合理,临床在接收此类患儿的同时还需兼顾预防碘营养缺乏,以促进患儿更好地生长发育。 展开更多
关键词 先天性甲状腺功能减退症 碘营养 尿碘 甲状腺功能
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芦溪县学龄期儿童尿碘含量检测及其相关影响因素分析
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作者 彭建勇 《现代诊断与治疗》 CAS 2024年第10期1427-1430,共4页
目的探讨芦溪县学龄期儿童尿碘含量检测及其相关影响因素。方法选择行尿碘水平监测的学龄期儿童200例为研究对象,采集5 mL日间尿液,检测含碘量,分析、记录尿碘含量检测结果及碘营养状态,并收集入组对象资料,分析影响芦溪县学龄期儿童碘... 目的探讨芦溪县学龄期儿童尿碘含量检测及其相关影响因素。方法选择行尿碘水平监测的学龄期儿童200例为研究对象,采集5 mL日间尿液,检测含碘量,分析、记录尿碘含量检测结果及碘营养状态,并收集入组对象资料,分析影响芦溪县学龄期儿童碘营养状态的相关影响因素。结果芦溪县学龄期儿童尿碘含量为31.4~1168.90μg/L,尿碘中位数为292.35μg/L,其中8岁儿童尿碘中位数为249.93μg/L,9岁儿童尿碘中位数为312.43μg/L,10岁儿童尿碘中位数为255.10μg/L。200名学龄期儿童中碘缺乏15例(7.50%),碘适宜45例(22.50%),碘超适宜80例(40.00%),碘过量60例(30.00%);不同年龄、性别、体重指数(BMI)、食盐摄入量、近1周海产品食用频率、近1周鸡蛋食用频率学龄期儿童碘营养状态相比,差异有统计学意义(P<0.05);不同食盐类型、近1周肉类食用频率、近1周乳制品摄入量学龄期儿童碘营养状态比较,无显著差异(P>0.05);Logistic回归分析显示:女(β=1.394,OR=4.030,95%CI=1.881~8.635)、BMI≥24 kg/m2(β=2.418,OR=11.227,95%CI=2.316~54.431)、食盐摄入量≥6 g/d(β=1.386,OR=4.000,95%CI=1.205~13.283)、近1周海产品食用频率≤2次(β=0.933,OR=2.541,95%CI=1.148~5.625)、近1周鸡蛋食用频率>2次(β=1.078,OR=2.940,95%CI=1.279~6.758)是芦溪县学龄期儿童碘营养状态的高危因素(P<0.05)。结论芦溪县部分学龄期儿童存在碘营养异常,其受性别、BMI、食盐摄入量、海产品及鸡蛋食用频率影响。 展开更多
关键词 学龄期儿童 尿碘 碘营养状态
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南阳市8~10岁儿童碘营养水平与甲状腺肿流行现状研究
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作者 闫静 闫向阳 《中国初级卫生保健》 2024年第11期44-47,共4页
目的:了解南阳市8~10岁儿童碘营养水平与甲状腺肿流行现状,为适时采取针对性防治措施和科学调整干预策略提供依据。方法:2023年采用分层随机抽样法,选取南阳市4个县(区) 20所学校的842名8~10岁非寄宿制学生为研究对象。结果:842名8~10... 目的:了解南阳市8~10岁儿童碘营养水平与甲状腺肿流行现状,为适时采取针对性防治措施和科学调整干预策略提供依据。方法:2023年采用分层随机抽样法,选取南阳市4个县(区) 20所学校的842名8~10岁非寄宿制学生为研究对象。结果:842名8~10岁儿童盐碘中位数为26.20 mg/kg,合格碘盐覆盖率为98.46%,尿碘中位数为220.39μg/L,甲状腺肿大率为1.66%。不同年龄、地区儿童尿碘含量比较,差异均有统计学意义(χ^(2)值分别为8.637、93.271,P<0.05)。其中,宛城区儿童尿碘含量最高,其次是方城县;9岁儿童尿碘含量最高,8岁与10岁儿童次之。儿童盐碘含量与甲状腺容积、尿碘含量的相关系数分别为0.168、0.069,尿碘含量与甲状腺容积相关系数为0.189,本次监测儿童盐碘含量与甲状腺容积、尿碘含量,尿碘含量与甲状腺容积之间均存在显著正相关关系。结论:南阳市儿童总体处于碘营养充足水平,但一部分儿童还存在碘摄入过多或过少的风险。儿童总体甲状腺肿大率处于较低水平。此次调查的4个县(区)合格碘盐覆盖率均>90.00%,儿童尿碘中位数均>100.00μg/L,甲状腺肿大率均<5.00%,符合国家碘缺乏病消除评估标准。 展开更多
关键词 碘营养 盐碘 尿碘 甲状腺肿
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2021—2022年门源回族自治县学生及孕妇碘营养监测结果分析
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作者 闫志琴 《中国社区医师》 2024年第4期145-147,共3页
目的:调查并分析2021—2022年门源回族自治县学生及孕妇碘营养监测结果。方法:2021—2022年于门源回族自治县东南西北中5个片区中各抽取80名学生、40名孕妇作为研究对象,检测学生和孕妇家庭盐碘含量及尿样碘含量,分析检测结果。结果:学... 目的:调查并分析2021—2022年门源回族自治县学生及孕妇碘营养监测结果。方法:2021—2022年于门源回族自治县东南西北中5个片区中各抽取80名学生、40名孕妇作为研究对象,检测学生和孕妇家庭盐碘含量及尿样碘含量,分析检测结果。结果:学生家庭中非碘盐占比0.50%(2/400),合格碘盐占比84.75%(339/400),盐碘水平为25.25(10.00,40.00)mg/kg;孕妇家庭中非碘盐占比2.00%(4/200),合格碘盐占比87.50%(175/200),盐碘水平为18.92(15.00,22.50)mg/kg。学生尿碘样本中,合格尿碘样本占比24.25%(97/400),尿碘水平为298.60(200.00,400.00)μg/L;孕妇尿碘样本中,合格尿碘样本占比38.50%(77/200),尿碘水平为346.00(250.00, 450.00)μg/L。结论:2021—2022年门源回族自治县学生盐碘情况正常,但是尿碘浓度超过适宜;孕妇盐碘含量较低,但尿碘浓度超过适宜;相关人员应在持续开展重点人群碘营养水平监测的同时,强化盐业市场监管,针对性开展健康宣教,落实科学补碘,防治碘缺乏。 展开更多
关键词 盐碘 孕妇 学生 尿碘
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2020—2022年武威市凉州区重点人群尿碘检测结果分析
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作者 于艳花 夏玉娥 《中国卫生标准管理》 2024年第3期6-9,共4页
目的分析2020—2022年凉州区重点人群尿碘检测结果。方法选取2020年1—12月武威市凉州区的200例儿童和100例孕妇为A组,2021年1—12月204例儿童和110例孕妇为B组,2022年1—12月206例儿童和100例孕妇为C组。统计及比较3组儿童及孕妇的尿... 目的分析2020—2022年凉州区重点人群尿碘检测结果。方法选取2020年1—12月武威市凉州区的200例儿童和100例孕妇为A组,2021年1—12月204例儿童和110例孕妇为B组,2022年1—12月206例儿童和100例孕妇为C组。统计及比较3组儿童及孕妇的尿碘水平及分布情况,并比较3组中不同性别儿童及不同孕期孕妇的检测结果。结果B组及C组的儿童尿碘中位数显著高于A组,3组的尿碘分布情况比较,差异有统计学意义(P<0.05)。3组孕妇的尿碘中位数及分布比较,差异无统计学意义(P>0.05)。3组中不同性别儿童及不同孕期孕妇的检测结果比较,差异无统计学意义(P>0.05)。结论武威市凉州区重点人群尿碘检测结果中,2021年儿童尿碘相对较高,而孕妇则无显著差异,应给予充分的重视及干预。 展开更多
关键词 儿童 孕妇 凉州区 重点人群 尿碘 危害
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从调肝论治二便、汗液、白带、乳汁的排出异常
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作者 秦亚莉 朱超 +2 位作者 张正 韩诚 史俊芳 《山西中医药大学学报》 2024年第5期568-571,共4页
人体内有多种需要排出的物质,诸物质之通畅外泄需借助秉木疏泄之性的肝脏之功,如胆汁、月经、精液、二便、汗液、白带、乳汁的排出均离不开肝的调节,肝气条达,疏泄有度,体内精气、浊废各循其道,顺时适度溢泄而出。肝失疏泄,气机郁结,脏... 人体内有多种需要排出的物质,诸物质之通畅外泄需借助秉木疏泄之性的肝脏之功,如胆汁、月经、精液、二便、汗液、白带、乳汁的排出均离不开肝的调节,肝气条达,疏泄有度,体内精气、浊废各循其道,顺时适度溢泄而出。肝失疏泄,气机郁结,脏腑气机不畅,诸窍失于疏启,则可见汗出不畅、癃闭、便秘、白带、乳汁不下之弊,应辨证采用养血柔肝或疏肝理气之法以恢复肝疏泄之功,常用到小柴胡汤、柴胡疏肝散等。肝疏泄太过,气机亢逆,诸窍不当启而启,可致大汗、遗溺、泄泻、赤带、漏乳等症,则应清肝、平肝、柔肝,常用龙胆泻肝汤、痛泻要方、丹栀逍遥散等方。 展开更多
关键词 肝主疏泄 汗液 二便 白带 乳汁
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XX市孕妇食用碘盐应用情况和尿碘检测结果分析
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作者 高曼 《食品安全导刊》 2024年第10期108-110,117,共4页
目的:选择XX市孕妇为研究对象,测定食用盐碘含量及尿碘水平,评价碘营养情况,为科学补碘提供参考。方法:选择PPS人口抽样方法,按照东南西北中方位抽取、收集2022~2023年共200名孕妇数例,并采集相应孕妇的晨尿及家庭食用盐样。然后通过直... 目的:选择XX市孕妇为研究对象,测定食用盐碘含量及尿碘水平,评价碘营养情况,为科学补碘提供参考。方法:选择PPS人口抽样方法,按照东南西北中方位抽取、收集2022~2023年共200名孕妇数例,并采集相应孕妇的晨尿及家庭食用盐样。然后通过直接滴定法和砷铈催化分光光度法分别测定碘盐以及尿碘。结果:XX市盐覆盖率为97.5%,碘盐合格率为92.0%;孕妇尿碘中位数为156.1μg·L^(-1),尿碘适宜率为83.5%。结论:XX市需提高孕妇碘营养水平。 展开更多
关键词 孕妇 食用碘盐 尿碘检测
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Quantification of human urine and serum iodine by inductively coupled plasma mass spectrometry
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作者 禹松林 《China Medical Abstracts(Internal Medicine)》 2017年第1期19-,共1页
Objective This paper aims at establishing an inductively coupled plasma mass specrometry(ICP-MS)method for quantification and evaluation of iodine in human urine and serum in routine clinical laboratory.Methods This s... Objective This paper aims at establishing an inductively coupled plasma mass specrometry(ICP-MS)method for quantification and evaluation of iodine in human urine and serum in routine clinical laboratory.Methods This study was methodology validation research on iodine evaluation using ICP-MS.Ammonia,isopropanol and ultrapure water were mixed at certain ratio 展开更多
关键词 MS ICP Quantification of human urine and serum iodine by inductively coupled plasma mass spectrometry CV
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