摘要
回顾性分析妊娠合并甲状腺功能减退症（甲减,36例）、亚临床甲减（103例）患者的临床资料,并对其妊娠结局、胎儿情况进行分析.妊娠合并甲减孕妇流产（11.1％）、早产（8.3％）、子痫前期（11.1％）、妊娠期糖尿病（13.9％）、贫血（16.7％）、胎儿宫内生长受限（5.6％）及胎儿窘迫率（8.3％）,高于139例正常对照者（2.9％、1.4％、1.4％、2.2％、4.3％、0.0％和3.6％）,差异有统计学意义（均P ＜0.05）.提示,妊娠不良结局的发生与甲减关系密切,在孕期进行甲状腺功能筛查十分必要,以改善不良妊娠结局.
To explore the significance of hypothyroidism and subclinical hypothyroidism screening in pregnancy.A total of 278 pregnant women were divided into three groups of clinical hypothyroidism （n =36）,subclinical hypothyroidism （n =103） and normal control （n =139）.Their clinical profiles,pregnancy outcomes and fetal status were analyzed.The incidences of abortion （11.1％）,premature delivery （8.3％）,preeclampsia （11.1％）,gestational diabetes mellitus （GDM,13.9％）,anemia （16.7％）,fetal distress （8.3％） and fetal growth retardation （FGR,5.6％） in clinical hypothyroidism group were higher than those in normal control group （2.9％,1.4％,1.4％,2.2％,4.3％,0.0％ and 3.6％）.And the differences were statistically significant （P ＜ 0.05）.The incidence of adverse pregnancy had a significant correlation with hypothyroidism in pregnant women.Therefore screening of thyroid functions is essential for improving pregnancy outcomes of pregnant women with hypothyroidism.
出处
《中华全科医师杂志》
2015年第8期620-622,共3页
Chinese Journal of General Practitioners
