摘要
目的探讨妊娠合并甲状腺功能减退症的临床特点、病因、危害和治疗。方法回顾性对比分析2007年1月～12月吴川市妇幼保健院住院的2200例妊娠病例资料分析,比较和总结其中56例妊娠合并甲状腺功能减退的临床特点、病因、危害和治疗。结果本组2200例妊娠病例中,56例妊娠合并甲状腺功能减退症,发生率为2.55%。亚临床甲减50例,发生率为2.27%,临床甲减6例,发生率0.27%。妊娠合并桥本氏甲状腺炎18例其中3例甲减,发生率0.135%。结论孕妇中甲减的发生率尤其是亚临床甲减的发生率并不低,妊娠期甲减的病因主要是桥本氏甲状腺炎,妊娠期高血压疾病和胎儿宫内窘迫是妊娠期甲减的主要并发症。妊娠期甲减的治疗首选左旋甲状腺素(L-T4)替代治疗。
Objective To discuss the clincal feaures,causes,lesions and treatment of pregnant women complicated with hypothyroidism. Methods There 2 200 pregnant women complicated with hypothyroidism admitted in Huizhou Municipal Maternal Hospital from January to December 2007 were retrospectively analyzed. Results There 56 pregnant complicated with hypothyroidism （2.55%）,50 with subclinical hypothyroidism （2.27%）,9 with clinical hypothyroidism cases （0.27%） and 18 with Hashimoto thyroiditis （including 3 hypothyroidism cases）. Conclusion Hashimoto thyroiditisis is the main cause for pregnant women complicated with hypothyroidism. Pregnancy-induced hyportantion and fetal distresws are the main complications during pregnancy,and levothyroxine is the drug of choice for treatment of the disease.
出处
《中国热带医学》
CAS
2009年第7期1252-1253,共2页
China Tropical Medicine
