CAJ | 학술논문

目的：了解目前郑州市妊娠期妇女的甲状腺功能减退的患病率情况，分析其危险因素。方法：对2012年1月-2013年1月来笔者所在医院就诊的628名妊娠期妇女进行甲状腺功能指标检测，评价其甲状腺功能。结果：亚临床甲状腺功能减退的患者为113例，患病率为17.99%，临床甲状腺功能减退患者为4例，患病率为0.64%。随着体重指数的增加，孕妇TSH升高的发生率也增高(χ2=573.40，P<0.05)；年龄对妊娠期妇女TSH升高没有影响(χ2=0.437，P>0.05)。结论：妊娠期妇女亚临床甲状腺功能减退的患病率较高，体重指数是其危险因素，应加强防治，做好怀孕前及孕期的筛查。
목적：료해목전정주시임신기부녀적갑상선공능감퇴적환병솔정황，분석기위험인소。방법：대2012년1월-2013년1월래필자소재의원취진적628명임신기부녀진행갑상선공능지표검측，평개기갑상선공능。결과：아림상갑상선공능감퇴적환자위113례，환병솔위17.99%，림상갑상선공능감퇴환자위4례，환병솔위0.64%。수착체중지수적증가，잉부TSH승고적발생솔야증고(χ2=573.40，P<0.05)；년령대임신기부녀TSH승고몰유영향(χ2=0.437，P>0.05)。결론：임신기부녀아림상갑상선공능감퇴적환병솔교고，체중지수시기위험인소，응가강방치，주호부잉전급잉기적사사。
Objective:To investigate the prevalence and risk factors for hypothyroidism on pregnancy.Method:In this study,we observed 628 pregnant women in Maternal and Child Health Hospital of Zhengzhou City Command from Jan 2012 to Jan 2013.Tested their thyroid function to valuation of the thyroid function.Result:113 pregnant women were diagnosed to be Subclinical hypothyroidism,prevalence of subclinical hypothyroidism was 17.99%,4 pregnant women were overt hypothyroidism,prevalence of overt hypothyroidism was 0.64%.The TSH rising incidence progressively increased with BMI in the pregnant women (χ2=573.40,P<0.05),age had no effect on pregnanct women elevated TSH(χ2=0.437,P>0.05).Conclusion:Subclinical hypothyroidism during pregnancy has a high prevalence,BMI was risk factor.Screening in pregnancy should be strengthened.