摘要
目的分析妊娠不同时期甲亢患者血清甲状腺功能检测的意义。方法选取妊娠期甲亢患者100例作为试验组,选取同期非甲亢妊娠者100例作为对照组,比较不同妊娠期孕妇血清甲状腺功能水平变化情况。结果孕中期试验组孕妇T3(三碘甲状腺原氨酸)、T4(四碘甲状腺原氨酸)水平均明显高于对照组(P<0.05),两组患者TSH(平均血清促甲状腺激素)、FT3(游离三碘甲状腺原氨酸)、FT4(游离甲状腺素)水平比较差异无统计学意义(P>0.05);孕晚期试验组T3、T4、FT4水平均明显高于对照组(P<0.05),试验组患者FT3、TSH明显低于对照组(P<0.05)。结论根据妊娠者T3、T4、FT3、TSH、FT4指标水平变化情况可有效检出甲亢患者,为医师诊断甲亢病例提供有力依据,值得应用与推广。
Objective To to analyze the significance of serum thyroid function in patients with hyperthyroidism at differents tages of pregnancy. Methods 100 cases of hyperthyroidism in pregnancy were selected as experimental group, and 100 cases of non hyperthyroidism were selected as control group at the same time. The changes of serum thyroid function and immune function in different pregnant women were compared. Results In mid trimester, the levels of T3（iodine thyroxine） and T4（four iodine thyroxine） in pregnant women in the experimental group were significantly higher than those in the control group（P 〈 0.05）. The levels of TSH（mean serum thyroid stimulating hormone）, FT3（free three iodine thyroxine） and FT4（free thyroid hormone） were no statistically significant between the two groups（P 〉 0.05）. The level of T3, T4 and FT4 in the experimental group of the late pregnancy was significantly higher than that of the control group（P 〈 0.05）, and FT3 and TSH of the patients in the experimental group were significantly lower than those of the control group（P 〈 0.05）. Conclusion the patients with hyperthyroidism can be effectively detected according to the changes of T3, T4, FT3, TSH and FT4 in pregnant women. It provides a strong basis for the diagnosis of hyperthyroidism, and it is worthy of application and popularization.
作者
安晓汾
AN Xiaofen(Obstetrics and Gynecology Department, Jilin Central Hospital of Jilin Province, Jilin Jilin 132011, Chin)
出处
《中国卫生标准管理》
2018年第10期108-109,共2页
China Health Standard Management
关键词
妊娠期
甲亢
甲状腺功能
检测
非甲亢妊娠
不同妊娠时期
pregnancy
hyperthyroidism
thyroid function
immunity
nonthyroid pregnancy
different pregnancy periods
