摘要
甲状腺功能减退症属于一种常见的内分泌疾病,由甲状腺激素分泌、合成或者生物效应不足而引发,主要表现为浮肿、乏力、食欲不佳、记忆力减退、困乏、乏力以及便秘等症状。近年来,随着临床研究不断深入,发现甲状腺功能减退症会在一定程度上影响妊娠结局,严重情况下甚至会导致产后出血、胎盘早剥、过期产、妊娠期高血压以及贫血等。甲状腺功能减退症和先兆流产之间存在一定相关性,主要是受卵泡刺激素与甲状腺素协同作用、下丘脑一垂体-卵巢轴调节作用、甲状腺相关抗体、自身免疫失衡等相关因素的影响。我国中医认为这两者均存在脾肾阳虚的病机,所以甲状腺功能减退症会导致系胎无力、胞宫失养,最终发展为胎动不安、胎漏等。为了对先兆流产发病率进行有效控制,需先做好甲状腺功能减退症防治工作。本研究主要针对甲状腺功能减退症和先兆流产之间的相关性以及治疗进行分析。
Hypothyroidism is a common endocrine disease caused by thyroid hormone secretion,synthesis or lack of biological effects.It is mainly characterized by edema,fatigue,poor appetite,memory loss,sleepiness,fatigue and constipation.In recent years,with the deepening of clinical research,it is found that hypothyroidism will affect pregnancy outcome to a certain extent,and even in severe cases,it may lead to postpartum hemorrhage,placental abruption,expired birth,gestational hypertension and anemia.There is a certain correlation between hypothyroidism and threatened abortion,mainly due to the synergistic effect of follicle stimulating hormone and thyroxine,hypothalamic-pituitary-ovarian axis regulation,thyroid-related antibodies,autoimmune imbalance and other related factors.Chinese traditional Chinese medicine believes that both of these have the pathogenesis of spleen and kidney yang deficiency,so hypothyroidism can lead to weakness of the fetus,dystrophy,and eventually develop into fetal movement,fetal leakage and so on.In order to effectively control the incidence of threatened abortion,it is necessary to do a good job in prevention and treatment of hypothyroidism.This study focused on the correlation between hypothyroidism and threatened abortion and treatment.
作者
夏木西丁·阿布都热西提
XIA Muxiding·Abdurexiti(Endocrinology Department,The First People's Hospital of Kashgar,Xinjiang,Kashgar 844000,China)
出处
《中国全科医学》
CAS
北大核心
2019年第S02期272-273,共2页
Chinese General Practice
