中国产前诊断杂志(电子版)
中國產前診斷雜誌(電子版)
중국산전진단잡지(전자판)
CHINESE JOURNAL OF PRENATAL DIAGNOSIS(ELECTRONIC VERSION)
2014年
1期
18-21
,共4页
妊娠%血清甲状腺激素%化学发光法
妊娠%血清甲狀腺激素%化學髮光法
임신%혈청갑상선격소%화학발광법
pregnancy%serum thyroid hormone%chemiluminescence
目的:检测妊娠早期产妇血清甲状腺激素的水平并加以探讨,评估其临床参考值范围,对比育龄期女性中妊娠早期人群和非妊娠人群间血清甲状腺激素水平的差异。方法收集了315例妊娠早期(14~20周)健康孕妇血清和83例非妊娠健康育龄妇女的血清,用化学发光法测试血清甲状腺激素系列指标的浓度水平,包括血清总三碘甲腺原氨酸(TT3)、血清总甲状腺素(TT4)、血清游离三碘甲腺原氨酸(FT3)、血清游离甲状腺素(FT4)、血清促甲状腺激素(TSH)水平并对结果分别进行了统计学描述,初步建立了实验室参考值范围;使用SPSS19.0软件对妊娠组和非妊娠组标本的结果进行了多元方差分析,评估了两组间差异的显著性。结果妊娠早期妇女血清甲状腺激素参考范围为 FT33.64~5.98 pmol/L、FT411.26~18.40 pmol/L、TT31.06~1.92 ng/ml、TT47.16~14.38 g/dl、TSH 0.2~3.59μIU/ml ;育龄女性妊娠组和非妊娠组的甲状腺激素结果具有显著性差异,TT3、TT4、FT3妊娠组测试结果高于非妊娠组,FT4、TSH 妊娠组测试结果低于非妊娠组。结论妊娠早期血清甲状腺功能检测采用多指标联合检测可优势互补。TSH 作为筛查指标,FT4可作为反应疗效的敏感指标。
目的:檢測妊娠早期產婦血清甲狀腺激素的水平併加以探討,評估其臨床參攷值範圍,對比育齡期女性中妊娠早期人群和非妊娠人群間血清甲狀腺激素水平的差異。方法收集瞭315例妊娠早期(14~20週)健康孕婦血清和83例非妊娠健康育齡婦女的血清,用化學髮光法測試血清甲狀腺激素繫列指標的濃度水平,包括血清總三碘甲腺原氨痠(TT3)、血清總甲狀腺素(TT4)、血清遊離三碘甲腺原氨痠(FT3)、血清遊離甲狀腺素(FT4)、血清促甲狀腺激素(TSH)水平併對結果分彆進行瞭統計學描述,初步建立瞭實驗室參攷值範圍;使用SPSS19.0軟件對妊娠組和非妊娠組標本的結果進行瞭多元方差分析,評估瞭兩組間差異的顯著性。結果妊娠早期婦女血清甲狀腺激素參攷範圍為 FT33.64~5.98 pmol/L、FT411.26~18.40 pmol/L、TT31.06~1.92 ng/ml、TT47.16~14.38 g/dl、TSH 0.2~3.59μIU/ml ;育齡女性妊娠組和非妊娠組的甲狀腺激素結果具有顯著性差異,TT3、TT4、FT3妊娠組測試結果高于非妊娠組,FT4、TSH 妊娠組測試結果低于非妊娠組。結論妊娠早期血清甲狀腺功能檢測採用多指標聯閤檢測可優勢互補。TSH 作為篩查指標,FT4可作為反應療效的敏感指標。
목적:검측임신조기산부혈청갑상선격소적수평병가이탐토,평고기림상삼고치범위,대비육령기녀성중임신조기인군화비임신인군간혈청갑상선격소수평적차이。방법수집료315례임신조기(14~20주)건강잉부혈청화83례비임신건강육령부녀적혈청,용화학발광법측시혈청갑상선격소계렬지표적농도수평,포괄혈청총삼전갑선원안산(TT3)、혈청총갑상선소(TT4)、혈청유리삼전갑선원안산(FT3)、혈청유리갑상선소(FT4)、혈청촉갑상선격소(TSH)수평병대결과분별진행료통계학묘술,초보건립료실험실삼고치범위;사용SPSS19.0연건대임신조화비임신조표본적결과진행료다원방차분석,평고료량조간차이적현저성。결과임신조기부녀혈청갑상선격소삼고범위위 FT33.64~5.98 pmol/L、FT411.26~18.40 pmol/L、TT31.06~1.92 ng/ml、TT47.16~14.38 g/dl、TSH 0.2~3.59μIU/ml ;육령녀성임신조화비임신조적갑상선격소결과구유현저성차이,TT3、TT4、FT3임신조측시결과고우비임신조,FT4、TSH 임신조측시결과저우비임신조。결론임신조기혈청갑상선공능검측채용다지표연합검측가우세호보。TSH 작위사사지표,FT4가작위반응료효적민감지표。
Objective To investigate the level of serum thyroid hormone panel in early normal pregnant women ,make a preliminary estimation of the normal range;investigate the significance of serum thyroid hormone between the pregnant team and non-pregnant team.Method Serum concentration level of thy-roid hormone panel,including TT3 ,TT4 ,FT3 ,FT4 and TSH,in 315 early pregnant subjects and 83 cases of non-pregnant fertile women were detected with chemiluminescence on technical platform .The result is statistical description and the in-house normal range is set up.The significance between the pregnancy and non-pregnancy team was also evaluation by multiple abstract variance analysis with SPSS 19.0 software. Results Reference range in early-stage pregnant women is:FT3 3.64-5.98 pmol/L,FT4 11.26-18.40 pmol/L,TT3 1.06-1.92 ng/ml,TT4 7.16-14.38 g/dl,TSH 0.2-3.59μIU/ml.Serum con-centration of thyroid hormone panel shows significantly different between pregnancy and non-pregnancy women team.For TT3 ,TT4 ,FT3 ,the pregnant women team shows higher serum concentration than the that of the non-pregnancy team,while for FT4 and TSH,The result is the opposite.Conclusions By in-vestigating several items about the level of serum thyroid hormone panel in early normal pregnant women they can complement each other’s advantages.TSH can be used in the screening process while FT4 can be used as the sensitive referent of clinical curative effect.