摘要
目的:探讨妊娠合并甲状腺功能减退(以下简称甲减)对妊娠和胎儿的影响。方法:对住院分娩的88例甲减孕产妇(临床甲减组38例、亚临床甲减组50例)及正常对照组100例分别统计其不良妊娠发生率。结果:临床甲减组早产、妊娠期高血压疾病、贫血、胎窘、低出生体重发生率均高于正常对照组(P<0.05);亚临床甲减组的妊娠期高血压疾病、贫血、胎窘发生率亦高于正常对照组(P<0.05)。结论:妊娠合并甲减的不良妊娠发生率与甲减的程度有关。因此有必要在孕前或孕早期筛查,做到早诊断、早治疗,严密监测孕妇、胎儿情况,以改善甲减孕妇母儿结局。
Objective： To explore the effect of hypothyroidism during pregnancy on pregnancy and fetuses. Methods： The incidences of adverse pregnancy among 88 pregnant women with hypothyroidism （ 38 pregnant women in clinical hypothyroidism group and 50 pregnant women in sub -clinical hypothyroidism group ） and 100 pregnant women in normal control group were analyzed statistically. Results： The incidences of premature delivery, hypertensive disorder complicating pregnancy （HDCP）, anemia, fetal distress and low birth weight in clinical hypothyroidism group were higher than those in normal control group （ P 〈 0. 05 ） ; the incidences of HDCP, anemia and fetal distress in sub - clinical hypothyroidism group were also higher than those in normal control group （P 〈0. 05 ） . Conclusion ： The incidence of adverse pregnancy among the pregnant women with hypothyroidism is associated with the degree of hypothyroidism. Therefore, it＇s necessary to carry out prenatal screening and screening during the first trimester of pregnancy, in order to make sure early diagnosis and treatment, the maternal and fetal situations should be monitored closely to improve the maternal and infantile outcomes among the pregnant women with hypothyroidism.
出处
《中国妇幼保健》
CAS
北大核心
2011年第25期3867-3868,共2页
Maternal and Child Health Care of China
