摘要
目的：建立该地区血清特异的甲状腺指标参考值，提高该地区出生人口质量。方法收集符合《妊娠和产后甲状腺疾病诊治指南》提出的建立该单位或地区的妊娠期特异的血清甲状腺指标参考值的正常孕妇的血清标本共167例，其中妊娠早期47例，妊娠中期86例，妊娠晚期34例。用电化学发光的方法在罗氏cobas e601上测定各标本的促甲状腺素（TSH ）和游离甲状腺素（FT4）的值，然后采用SPSS14．0软件对所得数据进行统计学分析，分别求出妊娠早期、妊娠中期和妊娠晚期 TSH和FT4的中位数，建立妊娠期TSH和FT4参考值的95％可信区间，即得出该地区妊娠期妇女血清TSH和FT4的参考范围。结果首先在cobas e601上用电化学发光进行测定，然后再进行统计学分析得出该地区孕妇妊娠早期TSH的参考范围为0．05～2．90 mIU／L ，FT4的参考范围为12．5～18．3 pmol／L ；妊娠中期 TSH 的参考范围为0．2～3．63 mIU／L ，FT4的参考范围为9．99～16．2 pmol／L ；妊娠晚期TSH的参考范围为0．17～4．90 mIU／L ，FT4的参考范围为9．34～13．9 pmol／L。结论罗氏电化学发光测定邢台地区妊娠期正常孕妇血清特异的甲状腺指标参考值的建立，可以提高该地区妊娠期甲状腺功能异常的检出率，为优生优育和提高人口质量打下坚实的基础。
Objective To establish the reference value about index of serum thyroid specific during pregnancy ,Improve the birth population quality in this district .Methods Collect the blood serum sample of normal pregnant women according to ＆quot;Diagnosis and treatment of thyroid disease during pregnancy and postpartum Guide＆quot;,to establish the reference value about index of serum thyroid specific during pregnancy .Total 167 cases were collect ,the first trimester were 47 cases ,the second trimester were 86 cases ,and the third trimester were 34 cases .The TSH and FT4 were detected in the cobas e 601 .The mean and standard deviation of TSH and FT4 in the three period of pregnancy were performed with SPSS14 .0 then established the the 95% confidence interval of TSH and FT4 of the three period of pregnancy .That was the the reference value about index of serum thyroid specific during pregnancy .Re‐sults The reference value of the TSH was 0 .05-2 .90 mIU/L in the first trimester ,FT4 was 12 .5-18 .3 pmol/L in the first tri‐mester ;The reference value of TSH was 0 .2-3 .63 mIU/L in the second trimester ,FT4 was 9 .99-16 .2 pmol/L in the second tri‐mester ;The reference value of TSH was 0 .17-4 .90 mIU/L in the third trimester ,FT4 was 9 .34-13 .9 pmol/L in the third tri‐mester .Conclusion Electrochemiluminescence detect the reference value about index of serum thyroid specific during pregnancy on Cobas e 601 ,could improve the detection rate of local gestational thyroid dysfunction ,and lay a solid foundation for the prenatal and postnatal care and improve the quality of the population .
出处
《国际检验医学杂志》
CAS
2015年第15期2164-2166,共3页
International Journal of Laboratory Medicine
关键词
妊娠
甲状腺功能
促甲状腺激素
游离甲状腺素
电化学发光
pregnancy
thyroid function
thyroid stimulating hormone
free thyroxine 4
electrochemiluminescence
