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妊娠合并甲状腺功能减退的筛查及转归 被引量:9

Screening and prognosis of pregnancy combined with hypothyroidism
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摘要 目的:研究妊娠妇女合并甲状腺功能减退(甲减)发生情况,探讨在妊娠妇女中进行甲减筛查的临床价值。方法:回顾性分析该院1 869例妊娠女性甲减筛查情况,并比较甲减患者中未治疗组与治疗组及正常对照组妊娠结局。结果:1869例妊娠女性甲减发生率10.33%;甲减未治疗组妊娠期高血压疾病、妊娠期糖尿病、妊娠贫血、羊水过多以及流产、早产及新生儿窒息的发生率均高于正常对照组、甲减治疗组,差异有统计学意义(P<0.05),正常对照组与甲减治疗组妊娠期高血压疾病、妊娠期糖尿病、妊娠贫血、羊水过多以及流产、早产及新生儿窒息的发生率差异均无统计学意义(P>0.05)。结论:甲减的筛查对提高人口的素质及减少妊娠并发症方面有重要的临床意义。 Objective: To research the prevalence of pregnancy combined with hypothyroidism, explore the clinical value of hypot- hyreidism screening among pregnant women. Methods: Hypothyroidism screening situation conducted among 1 869 pregnant women was an- alyzed retrospectively, the pregnancy outcomes of non-treatment group, treatment group, and control group were compared. Results: The incidence rate of hypothyroidism was 10. 33% ; the incidence rates of hypertensive disorder complicating pregnancy ( HDCP), gestational di- abetes mellitus ( GDM), anemia during pregnancy, polyhydramnios, abortion, premature birth, and neonatal asphyxia in non-treatment group were statistically significantly higher than those in control group and treatment group (P〈0. 05 ) ; there was no statistically significant difference in the incidence rates of HDCP, GDM, anemia during pregnancy, polyhydramnios, abortion, premature birth, and neonatal as- phyxia between control group and treatment group ( P〉0. 05 ) . Conclusion: Hypothyroidism screening has important clinical significance in improving the quality of population and reducing pregnancy complications.
作者 王红琴
出处 《中国妇幼保健》 CAS 2015年第16期2511-2513,共3页 Maternal and Child Health Care of China
关键词 妊娠 甲状腺功能减退 妊娠并发症 妊娠结局 Pregnancy Hypothyroidism Pregnancy complication Pregnancy outcome
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