CAJ | 학술논문

目的：探讨妊娠合并甲状腺机能亢进对围生儿的不良临床影响，为改善母婴的预后提供有效参考。方法回顾性分析2008年1月-2014年1月于我院住院分娩的甲亢产妇55例作为实验组研究对象，按照甲亢病情情况具体分成干预组和未干预组，对两组产妇产后结局进行总结，分析比较产妇甲亢控制情况与三组新生儿的不良症状的发生情况之间关系。结果实验组新生儿平均体重(2656.93±103.71)g明显低于对照组(3010.89±101.46)g，统计结果具有明显性差异（P<0.05），实验组新生儿出现黄疸、早产以及胎儿窘迫的概率明显低于对照组，统计结果具有明显性差异（P<0.05）。结论妊娠合并甲状腺机能亢进是一种较为严重的妊娠并发症，及早发现，早期系统治疗，可以有效降低新生儿低体重（LBW）的发生率，降低黄疸、早产以及胎儿窘迫发生的风险，有效的改善临床预后。
목적：탐토임신합병갑상선궤능항진대위생인적불량림상영향，위개선모영적예후제공유효삼고。방법회고성분석2008년1월-2014년1월우아원주원분면적갑항산부55례작위실험조연구대상，안조갑항병정정황구체분성간예조화미간예조，대량조산부산후결국진행총결，분석비교산부갑항공제정황여삼조신생인적불량증상적발생정황지간관계。결과실험조신생인평균체중(2656.93±103.71)g명현저우대조조(3010.89±101.46)g，통계결과구유명현성차이（P<0.05），실험조신생인출현황달、조산이급태인군박적개솔명현저우대조조，통계결과구유명현성차이（P<0.05）。결론임신합병갑상선궤능항진시일충교위엄중적임신병발증，급조발현，조기계통치료，가이유효강저신생인저체중（LBW）적발생솔，강저황달、조산이급태인군박발생적풍험，유효적개선림상예후。
Objective To Explore the pregnancy with hyperthyroidism on perinatal adverse clinical effects, so that could improve the prognosis of maternal and infant. Methods Select 55 cases of maternal from January 2011 and January 2014 as experimental research object,in accordance with hyperthyroidism disease specific divided into intervention group and intervention group, after production, analysis and comparison of maternal hyperthyroidism control situation and the occurrence of adverse symptoms of three groups of newborn between relations. Results Experimental group average weight significantly lower than the control group (2656.93+103.71) g (3010.89+101.46) g, the statistical result has obvious difference (P<0.05), the experimental group neonatal jaun-dice, preterm birth and fetal distress probability significantly lower than the control group, the statistical result has obvious difference (P<0.05). Conclusion Pregnancy with hyperthyroidism is a kind of serious pregnancy complications, early detection, early treatment system, not only can effectively reduce the incidence of neonatal low body weight (LBW), reduce jaundice, the risk of preterm birth and fetal distress, but also effectively improve the clinical outcomes.