摘要
目的:研究妊娠合并亚临床甲状腺功能减退症的早期治疗对妊娠结局的影响。方法:收治妊娠合并亚临床甲状腺功能减退症患者100例,分为两组,饮食控制组未采用任何药物治疗;药物干预组给予左旋甲状腺素钠治疗。比较相关指标。结果:药物干预组早产、流产、产后出血、胎儿窘迫、新生儿低体重、胎儿畸形等发生率明显低于饮食控制组(P<0.05)。药物干预组患者治疗后TSH、TT3、FT3、FT4等指标均明显优于饮食控制组(P<0.05)。结论:妊娠合并亚临床甲状腺功能减退症的早期治疗对妊娠结局的影响大,可有效改善患者甲状腺激素水平,减少不良妊娠结局的出现,对母婴有益。
Objective:To study the effect of early treatment on pregnancy outcome of patients with subclinical hypothyroidism in pregnancy.Methods:100patients with subclinical hypothyroidism in pregnancy were selected.They were randomly divided into the two groups.The diet control group was not treated with any drugs.The the drug intervention group was treated with levothyroxine sodium.We compared the relevant indicators.Results:The incidence rate of premature delivery,abortion,postpartum hemorrhage,fetal distress,low birth weight and fetal malformation in the drug intervention group was significantly lower than that in the diet control group(P<0.05).After treatment,TSH,TT3,FT3,FT4and other indicators in the drug intervention group were significantly better than those in the diet control group(P<0.05).Conclusion:Early treatment of subclinical hypothyroidism in pregnancy has a significant impact on the outcome of pregnancy,which can effectively improve the level of thyroid hormones in patients,reduce the occurrence of adverse pregnancy outcomes,beneficial to mother and child.
作者
姚进利
Yao Jinli(Wuhan Zhen Ai Maternity Hospital 430000)
出处
《中国社区医师》
2017年第15期79-79,81,共2页
Chinese Community Doctors
