妊娠合并亚临床甲状腺功能减退症与妊娠结局的相关性分析

妊娠合并亚临床甲状腺功能减退症与妊娠结局的相关性分析乔媛;董春萍;李晓燕
【期刊名称】《陕西医学杂志》
【年(卷),期】2017(046)009
【摘要】Objective:To study the correlation between the maternal subclinical hypothyrodism and obstetric outcome.Methods:125 maternal subclinical hypothyrodism accepted the thyroid function examination were saw as observation group, and the group were given the treatment of sodiumlevothyroxine (L-T4) in early stage.At the same time, and 118 normal pregnancy women in the same period were selected as control group.The outcome of pregnancy in two groups were analyzed.Results: The incidence rate of gestational diabetes, premature rupture of membranes, anemia, postpartum hemorrhage, fetal distress , fetal growth restriction of observation group were significantly higher than the control group (P<0.05).However, the incidence rate of hypertension, intrahepatic cholestasis, abortion, hypoproteinemia, low birth weight , neonatal asphyxia and fetal malformation between the two groups had no significant differences (P>0.05).Conclusion:Maternal subclinical hypothyrodism can cause adverse pregnancy outcomes, therefore, the patients should be accepted regular treatment which could reduce the adverse pregnancy outcomes to improve the thyroid function.%目的:探讨妊娠合并亚临床甲状腺功能减退症 (亚临床甲减) 对妊娠和胎儿的影响.方法:观察组选
取亚临床甲减孕妇125例,早期给予左甲状腺素 (LT-4) 干预治疗,对照组随机选取
同期就诊的正常妊娠孕妇118例,对比分析两组孕妇妊娠和胎儿情况.结果:观察组孕妇妊娠期糖尿病、胎膜早破、贫血、产后出血及胎儿宫内窘迫和胎儿宫内生长受限发生率显著高于对照组(P<0.05).而两组孕妇妊娠期高血压、肝内胆汁淤积、流产、低蛋白血症及低出生体重、新生儿窒息和胎儿畸形的发生率无统计学差异
(P>0.05).结论:妊娠合并亚临床甲减对妊娠结局造成严重不良影响,应及时规范给予LT-4治疗改善甲状腺功能,进而减少不良妊娠结果.
【总页数】3页(P1244-1246)
【作者】乔媛;董春萍;李晓燕
【作者单位】陕西省人民医院内分泌科西安710068;陕西省人民医院内分泌科西安710068;陕西省人民医院内分泌科西安710068
【正文语种】中文
【中图分类】R714.25
【相关文献】
1.妊娠合并亚临床甲状腺功能减退症与妊娠结局的相关性分析 [J], 武世芳
2.左旋甲状腺素早期治疗对妊娠合并亚临床甲状腺功能减退症患者妊娠结局的影响[J], 卢淑芳
3.小剂量左甲状腺素辅助治疗早期妊娠合并亚临床甲状腺功能减退症患者的效果及对其甲状腺功能和妊娠结局的影响 [J], 张源凤; 张媛; 刘业茹
4.妊娠合并亚临床甲状腺功能减退症的早期治疗对妊娠结局的影响效果分析 [J],
杨自月
5.妊娠合并亚临床甲状腺功能减退症的早期治疗对妊娠结局的影响分析 [J], 修子冉;吴君;李欣宇
因版权原因，仅展示原文概要，查看原文内容请购买。