中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2014年
23期
48-49
,共2页
亚临床甲减%早期干预%妊娠期%临床价值
亞臨床甲減%早期榦預%妊娠期%臨床價值
아림상갑감%조기간예%임신기%림상개치
Subclinical hypothyroidism%Early intervention%Pregnancy%Clinical value
目的：探讨亚临床甲减的早期干预在妊娠期妇女中的临床应用价值。方法：回顾性分析本院2011年10月-2013年10月收治的亚临床甲减妊娠期妇女的临床资料，所有患者随机分成早期干预组和非干预组，探讨早期干预在亚临床甲减妊娠期妇女中的应用价值。结果：干预组孕妇妊高征、剖宫产、羊水过多、早产、巨大胎儿、胎儿畸形、呼吸窘迫、死胎死产的发生率分别为9.80%、78.43%、9.80%、15.69%、7.84%、9.80%、5.88%、1.96%，与非干预组的39.21%、92.1%、35.29%、52.94%、25.49%、27.45%、19.61%、11.76%相比差异具有统计学意义(P＜0.05)。结论：早期干预能显著改善亚临床甲减妊娠期妇女甲状腺功能，同时改善妊娠孕妇和胎儿的预后，值得临床推广使用。
目的：探討亞臨床甲減的早期榦預在妊娠期婦女中的臨床應用價值。方法：迴顧性分析本院2011年10月-2013年10月收治的亞臨床甲減妊娠期婦女的臨床資料，所有患者隨機分成早期榦預組和非榦預組，探討早期榦預在亞臨床甲減妊娠期婦女中的應用價值。結果：榦預組孕婦妊高徵、剖宮產、羊水過多、早產、巨大胎兒、胎兒畸形、呼吸窘迫、死胎死產的髮生率分彆為9.80%、78.43%、9.80%、15.69%、7.84%、9.80%、5.88%、1.96%，與非榦預組的39.21%、92.1%、35.29%、52.94%、25.49%、27.45%、19.61%、11.76%相比差異具有統計學意義(P＜0.05)。結論：早期榦預能顯著改善亞臨床甲減妊娠期婦女甲狀腺功能，同時改善妊娠孕婦和胎兒的預後，值得臨床推廣使用。
목적：탐토아림상갑감적조기간예재임신기부녀중적림상응용개치。방법：회고성분석본원2011년10월-2013년10월수치적아림상갑감임신기부녀적림상자료，소유환자수궤분성조기간예조화비간예조，탐토조기간예재아림상갑감임신기부녀중적응용개치。결과：간예조잉부임고정、부궁산、양수과다、조산、거대태인、태인기형、호흡군박、사태사산적발생솔분별위9.80%、78.43%、9.80%、15.69%、7.84%、9.80%、5.88%、1.96%，여비간예조적39.21%、92.1%、35.29%、52.94%、25.49%、27.45%、19.61%、11.76%상비차이구유통계학의의(P＜0.05)。결론：조기간예능현저개선아림상갑감임신기부녀갑상선공능，동시개선임신잉부화태인적예후，치득림상추엄사용。
To investigate the clinical application value of early intervention on pregnant women with subclinical hypothyroidism.Methods:Pregnant women with subclinical hypothyroidism were selected from October 2011 to October 2013.We analyzed their clinical data retrospectively.All cases were randomLy divided into the early intervention group and the non intervention group,to explore the value of application early intervention in pregnancy women with subclinical hypothyroidism. Results:Pregnancy induced hypertension syndrome,cesarean delivery,polyhydramnios,fetal macrosomia,premature delivery,fetal malformation,respiratory distress,stillbirth incidence rates of pregnant women in the intervention group were 9.80% ,78.43% , 9.80% ,15.69% ,7.84% ,9.80% ,5.88% ,1.96% ,when compared with 39.21% ,92.1% ,35.29% ,52.94% ,25.49% ,27.45% ,19.61% , 11.76% of the non diabetes group,the difference were statistically significant(P<0.05).Conclusion:Early intervention can significantly improve the subclinical hypothyroidism thyroid function in pregnancy,and also can improve the prognosis of maternal and fetal pregnancy,so it is worthy of clinical application.
