摘要
目的:探讨妊娠合并甲状腺功能亢进症(甲亢)的孕期护理对策及应用效果。方法:选取42例妊娠合并甲亢孕妇和40例健康孕妇,分别记为甲亢组和对照组。甲亢组孕妇在积极治疗和甲状腺功能监测基础上,制定并实施积极的孕期护理对策,详细包括妊娠合并甲亢产前、产时和产后护理内容,做好甲亢病情控制和围产护理工作。结合临床随访比较两组孕妇的妊娠结局情况。结果:甲亢组实施严格的孕期护理管理后,足月妊娠35例,早产5例,自然流产1例,终止妊娠1例,妊娠分娩情况与对照组比较,差异均无统计学意义(P>0.05)。甲亢组剖宫产率、孕产妇相关并发症率和新生儿出生体重、身长和甲减、甲亢发生率与对照组比较,差异均无统计学意义(P>0.05)。结论:妊娠合并甲亢孕妇在合理治疗基础上,给予科学严格的孕期护理对策可有效改善妊娠分娩结局和减少孕产妇并发症发生,为围生期提供了安全保障。
Objective:To explore the pregnant nursing strategies and application effects of hyperthyroidism in pregnancy.Methods:42 pregnant women with hyperthyroidism and 40 healthy pregnant women were divided into hyperthyroidism group and control group.On the basis of active treatment and thyroid function monitoring,pregnant women in hyperthyroidism group formulated and implemented active prenatal care strategies,including prenatal,intrapartum and postpartum care of pregnancy with hyperthyroidism,and did well in the control of hyperthyroidism and perinatal care.The pregnancy outcomes of two groups of pregnant women were compared with clinical follow-up.Results:In hyperthyroidism group,there were 35 full-term pregnancies,5 premature births,1 spontaneous abortion and 1 termination of pregnancy.There was no significant difference between the two groups ( P >0.05).There was no significant difference in the incidence of cesarean section,maternal complications,birth weight,length,hypothyroidism and hyperthyroidism between hyperthyroidism group and control group ( P >0.05).Conclusion:On the basis of reasonable treatment for pregnant women with hyperthyroidism,scientific and strict nursing measures during pregnancy can effectively improve the outcome of pregnancy and childbirth and reduce complications of pregnant and lying-in women,providing security for perinatal period.
作者
杨丽君
陈朝霞
YANG Li-jun;CHEN Zhao-xia(Department of Obstetrics,Affiliated Hospital of North Sichuan Medical College,Nanchong 637000,Sichuan,China)
出处
《川北医学院学报》
CAS
2019年第3期477-480,共4页
Journal of North Sichuan Medical College
基金
四川省南充市2018年市校战略合作科技项目课题(18SXHZ0313)
