中国当代医药
中國噹代醫藥
중국당대의약
PERSON
2015年
17期
90-92,95
,共4页
妊娠早中期%甲状腺功能减退%妊娠结局
妊娠早中期%甲狀腺功能減退%妊娠結跼
임신조중기%갑상선공능감퇴%임신결국
Early and medium terms of pregnancy%Hypothyroidism%Pregnancy outcome
目的：分析临床中妊娠早、中期甲状腺功能减退对妊娠的影响。方法选择2014年2~11月于本院门诊行规律产检并最终于本院分娩的140例孕妇作为研究对象，按照妊娠28周前首次产检检测甲状腺功能的检查结果分为甲减组(n=68，至少有一项显示甲状腺功能减退)及对照组(n=72，甲状腺功能正常且抗体阴性)，比较两组的妊娠情况，并进行临床分析。结果甲减组中妊娠期高血压疾病的发生率为20.59%，显著高于对照组的6.94%；甲减组正常分娩率为48.53%，显著低于对照组的66.67%，差异均有统计学意义(P<0.05)；两组的妊娠合并贫血、妊娠期糖尿病、胎盘早剥、剖宫产率、早产率比较，差异无统计学意义(P>0.05)。结论妊娠合并甲状腺功能减退对孕妇的妊娠有影响，临床上医疗工作者应该给予重视，并对孕妇行甲状腺功能的检查，做到早期发现、早期干预，以达到改善妊娠结局及促进社会和谐的目的。
目的：分析臨床中妊娠早、中期甲狀腺功能減退對妊娠的影響。方法選擇2014年2~11月于本院門診行規律產檢併最終于本院分娩的140例孕婦作為研究對象，按照妊娠28週前首次產檢檢測甲狀腺功能的檢查結果分為甲減組(n=68，至少有一項顯示甲狀腺功能減退)及對照組(n=72，甲狀腺功能正常且抗體陰性)，比較兩組的妊娠情況，併進行臨床分析。結果甲減組中妊娠期高血壓疾病的髮生率為20.59%，顯著高于對照組的6.94%；甲減組正常分娩率為48.53%，顯著低于對照組的66.67%，差異均有統計學意義(P<0.05)；兩組的妊娠閤併貧血、妊娠期糖尿病、胎盤早剝、剖宮產率、早產率比較，差異無統計學意義(P>0.05)。結論妊娠閤併甲狀腺功能減退對孕婦的妊娠有影響，臨床上醫療工作者應該給予重視，併對孕婦行甲狀腺功能的檢查，做到早期髮現、早期榦預，以達到改善妊娠結跼及促進社會和諧的目的。
목적：분석림상중임신조、중기갑상선공능감퇴대임신적영향。방법선택2014년2~11월우본원문진행규률산검병최종우본원분면적140례잉부작위연구대상，안조임신28주전수차산검검측갑상선공능적검사결과분위갑감조(n=68，지소유일항현시갑상선공능감퇴)급대조조(n=72，갑상선공능정상차항체음성)，비교량조적임신정황，병진행림상분석。결과갑감조중임신기고혈압질병적발생솔위20.59%，현저고우대조조적6.94%；갑감조정상분면솔위48.53%，현저저우대조조적66.67%，차이균유통계학의의(P<0.05)；량조적임신합병빈혈、임신기당뇨병、태반조박、부궁산솔、조산솔비교，차이무통계학의의(P>0.05)。결론임신합병갑상선공능감퇴대잉부적임신유영향，림상상의료공작자응해급여중시，병대잉부행갑상선공능적검사，주도조기발현、조기간예，이체도개선임신결국급촉진사회화해적목적。
Objective To analyze the influence of hypothyroidism in early and medium terms of pregnancy in clinic on gestation. Methods 140 pregnant women were proceeded with antenatal examinations and delivered in our hospital from February to November in 2014 were selected as research object.According to conditions of thyroid functions by antenatal examinations in the first time before 28-week pregnancy,they were divided into hypothyroidism group(n=68,at least a show of hypothyroidism) and control group (n=72,normal thyroid function and antibody negative).The pregnancy in the two groups was compared and analyzed in clinic. Results In the hypothyroidism group,the incidence of hyperten-sion in medium-term pregnancy was 20.59%,which was significantly higher than that in the control group of 6.94%.The normal delivery rate in hypothyroidism group was 48.53%, which was significantly lower than that in the control group of 66.67%,the difference was significant (P<0.05).There was no statistical difference of anemia in pregnancy,gestational diabetes mellitus,placental abruption,caesarean section rateand incidence of premature delivery between two groups (P>0.05). Conclusion Hypertension in pregnancy has some influence on pregnant woman’s gestation,examination of thyroid function in pregnant woman should be paid great attention by clinical physicians in order to detect and intervene early as well as improve pregnancy and promote social harmony.
