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探讨妊娠中晚期合并亚临床甲状腺功能减退对妊娠结局及胎儿的影响 被引量:2

Investigate the Effect of Subclinical Hypothyroidism on Pregnancy Outcome and Fetus
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摘要 目的探讨妊娠中晚期合并亚临床甲减患者因为病情对妊娠结局和胎儿的影响,为临床治疗提供参考。方法我院对69例妊娠中晚期合并亚临床甲减患者进行分析,将其作为实验组,同期选取69例健康产妇作为对照组,对两组的妊娠并发症情况进行比较分析。结果实验组孕妇有9例妊娠期高血压疾病,占13.04%,有5例早产,占7.25%,有6例贫血,占8.70%;对照组有3例高血压疾病,占4.35%,1例早产,占1.45%,2例贫血,占2.90%;实验组的并发症发生率比对照组高,结果差异存在统计学意义(P<0.05);观察组有11例低体质量胎儿,占15.64%,4例胎儿窘迫,占5.80%;对照组有2例低体质量胎儿,占2.90%,无胎儿窘迫,两组低体质量胎儿和胎儿窘迫发生率差异存在统计学意义(P<0.05)。结论妊娠中晚期合并亚临床甲减会对妊娠结局和胎儿造成影响,临床中应该积极干预治疗。 Objective To explore the clinical treatment effect of patients with subclinical hypothyroidism during pregnancy in order to provide reference for clinical treatment. Methods 69 cases of pregnancy combined with advanced analysis of patients with subclinical hypothyroidism in our hospital, which were selected as the experimental group, 69 healthy pregnant women as control group, comparative analysis of two groups of pregnancy complications. Results The experimental group of pregnant women with hypertension, 9 cases of pregnancy accounted for 13.04%, 5 cases, accounting for 7.25%, 6 cases of anemia, accounting for 8.70%; the control group had 3 cases of hypertensive disease, accounted for 4.35%, 1 case of premature birth, accounting for 1.45%, 2 cases of anemia, accounting for 2.90%; the experimental group complication rate than the control group, there were significant differences of the observation group (P 〈 0.05); 11 cases of low birth weight fetuses, accounted for 15.64%, 4 cases of fetal distress, accounted for 5.80%; the control group had 2 cases of low birth weight fetuses, accounted for 2.90%, no fetal distress, two groups of low birth weight fetuses and fetal distress there was significant difference of incidence (P 〈 0.05). Conclusion In the middle and later period of pregnancy, subclinical hypothyroidism may have an effect on the outcome of pregnancy and fetus.
作者 张晶
出处 《中国卫生标准管理》 2017年第10期35-36,共2页 China Health Standard Management
关键词 妊娠中晚期 亚临床甲减 妊娠结局 胎儿的影响 middle and late pregnancy subclinical hypothyroidism pregnancy outcome fetal influence
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