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112例未经治疗妊娠期单纯性低甲状腺激素血症妊娠不良结果观察 被引量:5

Pregnancy Outcomes of 112 Pregnant Women with Isolated Hypothyroxinemia
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摘要 目的探究妊娠期单纯性低甲状腺激素血症对妊娠结果是否有不良影响。方法对112例诊断为妊娠期单纯性低甲状腺激素血症妇女和112例甲状腺功能正常妊娠妇女就多种因素进行比较。结果观察组和对照组两组之间就年龄、既往生育史、吸烟史、妊娠期感染史、妊娠期服药史等可能影响因素比较,发现其对妊娠结果无明显影响;两组间血清三碘甲状腺原氨酸(FT3)、促甲状腺激素(TSH)相比较,差异均无统计学意义;观察组与对照组平均血清甲状腺素水平分别为9.3±0.9μg/L、13.9±0.8μg/L,两组之间差异具有统计学意义(P<0.05)。在两组当中妊娠期间均未观察到流产、先兆子痫、胎盘早剥、早产等妊娠并发症。观察组新生儿出生时出平均出生体重值为3.2±0.2kg、平均身长49±1.3cm、平均头围33±1.7cm、新生儿评分(Apgar评分)平均值9.4±0.2,对照组新生儿平均出生体重3.0±0.3kg、平均身长50±0.9cm、平均头围34±0.9cm、Apgar评分平均值9.3±0.4,两组之间差异均无统计学意义。结论本研究发现妊娠期单纯性低甲状腺激素血症对妊娠没有不良影响。 Objective To explore the outcomes and adverse effects of isolated hypothyroxinemia in pregnant women. Methods 112 cases of diagnosed isolated hypothyroxinemia (observation group) and 112 euthyroid pregnant women (control group ) in pregnancy period were selected. The thyroid function indexes were determined and the pregnancy outcomes were analyzed. Results There were no statistical differences on pregnancy outcomes related to age, previous reproductive history, history of diabetes mellitus, history of infection, history of thyroid medication between two groups. There were no statistical differences in serum FT3 and TSH levels between two groups. The mean serum FT4 level in observation and control group were 9.3 ± 0.9μg/L and 13.9 ± 0. 8μg/L respectively and with significant differences ( P 〈 0. 05 ). There were no abortion, preeclampsia, premature birth observed in both groups during the pregnancy. Conclusion The isolated hypothyroxinemia has no any adverse effects on pregnancy outcomel
出处 《标记免疫分析与临床》 CAS 2015年第5期394-396,共3页 Labeled Immunoassays and Clinical Medicine
关键词 妊娠期 低甲状腺激素血症 正常甲状腺功能 妊娠结果 Pregnancy period Hypothyroxinemia Euthyroid Pregnancy outcome
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  • 1De Groot L, Abalovich M, Alexander E K, et al. Management of thyroid dysfunction during pregnancy and postpartum: an Endocrine Society clinical practice guideline. J Clin. Endoerinol Metab, 2012, 97(8) :2543-2565.
  • 2Abalovich M, Amino N, Barbour L A, et al. Management of thyroid dysfunction during pregnancy and postpartum: an Endocrine Society Clinical Practice Guideline. J Clin Endocrinol Metab, 2007, 92 (8Suppl) :31-47.
  • 3Glendenning P. Management of thyroid dysfunction during pregnancy and postpartum: an Endocrine Society Clinical Practice Guideline. Clin Biochem Rev, 2008, 29(2) : 3-5.
  • 4单忠艳,于晓会,滕卫平.妊娠期甲状腺功能减退症的研究进展[J].国际内分泌代谢杂志,2008,28(5):289-293. 被引量:13
  • 5王丽丽,李昭瑛.妊娠期甲状腺功能变化的分析及产前筛检的临床意义[J].基层医学论坛,2009,13(4):173-175. 被引量:9
  • 6Casey B M, Dashe J S, Spong C Y, et al. Perinatal significance of isolated maternal hypothyroxinemia identified in the first half of pregnancy. Obstet Gyneco1,2007,109 (5) : 129-1135.
  • 7Choufoer J C, Rhijn M, Querido A. 1965 Endemic goiter in Western New Guinea. II. Clinical picture, incidence and pathogenesis of endemic cretinism. J Clin. Endocrinol Metab,25:385-402.
  • 8Morreale E G, Obreg6n M J. Is neuropsychological development related to maternal hypothyroidism or to Clin Endocrinol Metab ,2000.85 ( 11 ) :3975-3987.

二级参考文献36

  • 1连小兰,白耀,徐蕴华,戴为信,郭芝生.妊娠期甲状腺功能亢进症和抗甲状腺药物治疗对新生儿低出生体重的影响[J].生殖医学杂志,2005,14(5):263-267. 被引量:18
  • 2Schussler GC. The thyroxine-binding proteins. Thyroid,2000,10 : 141-149.
  • 3Glinoer D. What happens to the normal thyroid during pregnancy? Thyroid, 1999,9:631-635.
  • 4Glinoer D. The regulation of thyroid function in pregnancy : Pathways of endocrine adaptation from physiology to pathology. Endocr Rev, 1997,18:404-433.
  • 5Fenrris TF. Renal disease//Burrow GN, Ferris TF, eds. Medical complications during pregnancy. 3rd ed. Philadelphia: WB Saunders, 1988:277-299.
  • 6Burrow GN, Fischer DA, Larsen PR. Maternal and fetal thyroid function. N Engl J Med, 1994,331 : 1072-1078.
  • 7Rasmussen NG,Hornnes PJ, Hegedus L. Ultrasonographicaliy determined thyroid size in pregnancy and post partum: the goitrogenic effect of pregnancy. Am J Obstet Gynecol, 1989,160 : 1216- 1220.
  • 8Glinoer D, Derange F. The potential repercussions of maternal ,fetal and neonatal hypothyrnxinemia on the progeny. Thyroid ,2000, 10:871-887.
  • 9Thorpe-Beeston JG, Nicolaides KH, Fehon CV, et al. Maturation of the secretion of thyroid hormone and thyroid stimulating hormone in the fetus. N Engl J Med,1991,324 :532-536.
  • 10Vulsma T, Gons MH, deVijlder JJ. Maternal-fetal transfer of thyroxine in congenital hypothyroidism due to total organification defect or thyroid agenesis. N Engl J Med, 1989,321:13.

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同被引文献66

  • 1Shan ZY,Chen YY,Teng WP,et at. A study for maternal thyroid hor- mone deficiency during the first half of pregnancy in China[ J]. Eur J Clin Invest,2009,39( 1 ) :37-42.
  • 2Pop VJ,Kuijpens JL,van Baar AL,et al. Low maternal free thyroxine concentrations during early pregnancy are associated with impaired psychomotor development in infancy [ J ]. Clin Endocrinol (Oxf) , 1999,50(2) :149-155.
  • 3Pop V J, Bronwers EP, Vader HL, et al. Maternal hopythyroxinaemia during early pregnancy and subsequent child development : a 3-year follow-up study [ J]. Clin Endocrinol (Oxf) ,2003,59 (3) :282-288.
  • 4Li Y,Shan Z,Teng W,et al. Abnormalities of maternal thyroid func- tion during pregnancy affect neuropsychological development of their children at 25-30 months[ J]. Clin Endocrinol (Oxf) ,2010,72 ( 6 ) : 825 -829.
  • 5Henrichs J, Bongers-Schokking JJ, Sehenk JJ, et al. Materal thyroid function during early pregnancy and cognitive functioning in early childhood:The generation R study [ J ]. J Clin Endocrinol Metab, 2010,95 ( 9 ) :4227-4234.
  • 6Cleary-Goldman J, Malone FD, Lambert-Messerlian G, et al. Mater- nal thyroid hypofuction and pregnancy outcomes [ J ]. Obsterics and Gynecology,2008,112 ( 1 ) :85-92.
  • 7Casey BM, Dashe JS, Spong CY, et al. Perinatal significance of isola- ted maternal hypothyroxinemia identified in the first half of pregnancy [ J ]. Obstet Gynecol, 2007,109 ( 5 ) : 1129-1135.
  • 8Hamm MP, Cherry NM, Martin JW, et al. The impact of isolated ma- ternal hypothyroxinemia on perinatal morbidity [ J ]. J Obstet Gynae- col Can,2009,31 ( 11 ) :1015-1021.
  • 9Potlukova E, Potluka O, Jiskra J, et al. Is Age a Risk Factor for Hypo- thyroidism in Pregnancy? An Analysis of 5223 Pregnant Women[ J ]. J Clin Endocrinol Metab,2012,97(6) :1945-1952.
  • 10Pearce EN, Oken E, Gillman MW,et al. Association of first-trimester thyroid function test values with thyroperoxidase antibody status, smoking, and multivitamin use [ J ]. Endocr Pract, 2008,14 ( 1 ) : 33 - 39.

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