摘要
目的探讨多学科管理模式应用于妊娠期甲状腺功能减退患者中的效果。方法选取2019年6月—2022年8月在本院治疗的1000例妊娠期甲减患者作为研究对象,通过随机数表法将其分为对照组和实验组,每组500例。其中,对照组采用常规门诊就诊,实验组采用多学科管理模式。对两组患者的疾病认知度、甲状腺激素用量和促甲状腺激素(TSH)达标时间、产前不良情绪、不良妊娠结局发生情况等结果进行比较。结果对照组对疾病的认知度低于实验组,组间差异有统计学意义(P<0.05)。实验组甲状腺激素用量低于对照组,促甲状腺激素达标时间高于对照组,组间差异有统计学意义(P<0.05)。实验组不良情绪发生率低于对照组,组间差异有统计学意义(P<0.05)。实验组不良妊娠结局发生率低于对照组,组间差异有统计学意义(P<0.05)。结论多学科管理模式应用于妊娠期甲减患者中效果明显,具有较好的临床应用价值。
Objective To explore effect of multidisciplinary management model for patients with hypothyroidism during pregnancy.Methods The paper chose pregnant hypothyroidism patients treated in our hospital from June 2019 to August 2022 as study subjects,and divided them into two groups with random number table method based on inclusion criteria.Control group of 500 cases was treated with routine outpatient treatment,while experimental group of 500 cases with multidisciplinary management mode.Disease awareness,thyroid hormone dosage,time to reach thyroid stimulating hormone(TSH)target,prenatal adverse emotions,and incidence of adverse pregnancy outcomes were compared between two groups.Results Control group had lower disease awareness than experimental group(P<0.05).Dosage of thyroid hormone in experimental group was lower than control group,time to reach standard of thyroid stimulating hormone was higher than control group(P<0.05).Incidence of negative emotions in experimental group was lower than control group(P<0.05).Incidence of adverse pregnancy outcomes in experimental group were lower than control group(P<0.05),difference was statistically significant.Conclusion Multidisciplinary management model has significant effect and good clinical application value for patients with gestational hypothyroidism.
作者
车海云
CHE Haiyun(Linxia Hui Autonomous Prefecture Maternal and Child Health Hospital,Linxia,Gansu 731100)
出处
《智慧健康》
2024年第13期196-198,共3页
Smart Healthcare
关键词
多学科管理模式
妊娠期
甲状腺功能减退
Multidisciplinary management model
Pregnancy period
Hypothyroidism
