国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2015年
7期
924-926
,共3页
甲状腺功能异常%妊娠结局%影响
甲狀腺功能異常%妊娠結跼%影響
갑상선공능이상%임신결국%영향
Thyroid dysfunction%Pregnancy outcome%Influence
目的 探讨甲状腺功能异常对妊娠结局的影响.方法 选取我院收治的甲状腺功能异常产妇185例作为研究对象,设为观察组;选取同期于我院分娩的正常产妇218例,设为对照组,对所有对象临床资料进行回顾性分析,分析甲状腺功能异常对妊娠结局的影响.结果 观察组妊娠贫血(x 2=4.041、P=0.032)、妊娠高血压(x2=6.362、P=0.018)、妊娠糖尿病(x2=7.048、P=0.028)高于对照组;观察组早产儿(x2=4.907、P=0.032)、低体重儿(x2=5.107、P=0.028)、流产(x2=4.351、P=0.031)不良结局发生率高于对照组;胎儿窘迫(x 2=0.029、P=1.518)、胎盘早剥(x2=0.351、P=1.423)对比差异不明显.结论 对于妊娠妇女一定要加强甲状腺功能异常的筛查,注重高危人群,以减少产科并发症,改善妊娠结局.
目的 探討甲狀腺功能異常對妊娠結跼的影響.方法 選取我院收治的甲狀腺功能異常產婦185例作為研究對象,設為觀察組;選取同期于我院分娩的正常產婦218例,設為對照組,對所有對象臨床資料進行迴顧性分析,分析甲狀腺功能異常對妊娠結跼的影響.結果 觀察組妊娠貧血(x 2=4.041、P=0.032)、妊娠高血壓(x2=6.362、P=0.018)、妊娠糖尿病(x2=7.048、P=0.028)高于對照組;觀察組早產兒(x2=4.907、P=0.032)、低體重兒(x2=5.107、P=0.028)、流產(x2=4.351、P=0.031)不良結跼髮生率高于對照組;胎兒窘迫(x 2=0.029、P=1.518)、胎盤早剝(x2=0.351、P=1.423)對比差異不明顯.結論 對于妊娠婦女一定要加彊甲狀腺功能異常的篩查,註重高危人群,以減少產科併髮癥,改善妊娠結跼.
목적 탐토갑상선공능이상대임신결국적영향.방법 선취아원수치적갑상선공능이상산부185례작위연구대상,설위관찰조;선취동기우아원분면적정상산부218례,설위대조조,대소유대상림상자료진행회고성분석,분석갑상선공능이상대임신결국적영향.결과 관찰조임신빈혈(x 2=4.041、P=0.032)、임신고혈압(x2=6.362、P=0.018)、임신당뇨병(x2=7.048、P=0.028)고우대조조;관찰조조산인(x2=4.907、P=0.032)、저체중인(x2=5.107、P=0.028)、유산(x2=4.351、P=0.031)불량결국발생솔고우대조조;태인군박(x 2=0.029、P=1.518)、태반조박(x2=0.351、P=1.423)대비차이불명현.결론 대우임신부녀일정요가강갑상선공능이상적사사,주중고위인군,이감소산과병발증,개선임신결국.
Objective To evaluate the influence of thyroid dysfunction on pregnancy outcome.Methods 185 puerpera with thyroid dysfunction admitted into our hospital were chosen as study objects and were set as an observation group.And 218 normal puerpera admitted into our hospital during the same period were chosen as a control group.The clinic data of all the objects were retrospectively analyzed.The influence of thyroid dysfunction on pregnancy outcome was analyzed.Results The incidences of anemia (x 2=4.04 i,P=0.032),hypertension(x 2=6.362,P=0.018) and the gestational diabetes mellitus (x 2=7.048,P=0.028) were markedly higher in the observation group than the control group.The incidences of premature infant(x 2=4.907,P=0.032),low-birth weight infant (x 2=5.107,P=0.028),and misbirth (x 2=4.351,P=0.031) were markedly higher in the observation group than the control group.There was no statitstical differences in fetal distress(x 2=0.029,P=1.518)and placental abruption (x 2=0.351,P=1.423) between the two groups.Conclusions Screening pregnant women's thyroid dysfunction should be strengthened.Attention should be paid on the pregnant women at high risk to reduce the obstetrical complications and improve the pregnancy outcome.
