甲状腺功能检查在妊娠早期的临床应用价值  

Clinical application value of the measurement of thyroid function during early pregnancy

作　　者：张洪星[1] 陈雪梅[1] 李宁[1] 

机构地区：[1]山东省滨州市中心医院产科,251700

出　　处：《中国医师进修杂志》2012年第21期21-23,共3页Chinese Journal of Postgraduates of Medicine

摘　　要：目的研究甲状腺功能检查在妊娠早期的临床应用价值。方法妊娠早期孕妇613例（观察组），检查甲状腺功能，并对甲状腺功能异常的孕妇进行治疗干预，并与未进行甲状腺功能筛查及治疗的586例孕妇（对照组）进行比较。结果观察组613例孕妇中患有各种甲状腺疾病182例（29．69％）。观察组胎儿窘迫、胎膜早破、妊娠期高血压疾病、新生儿畸形发生率明显低于对照组[3．92％（24／613）比7.34％（43／586）、5．06％（31／613）比12．97％（76／586）、2．28％（14／613）比5．46％（32/586）、1．63％（10／613）比5．63％（33／586），P〈0．01]。结论在妊娠早期进行甲状腺功能检查及治疗干预具有重要的临床价值。Objective To study the clinical application value of the measurement of thyroid function during early pregnancy. Methods Six hundred and thirteen women in early pregnancy （observation group） accepted thyroid function test. Patients with abnormal thyroid function received therapeutic intervention. The results were compared with 586 pregnant women （control group） who didn＇t get thyroid function screening and treatment. Results There were 182 cases （29.69%） out of 613 pregnant women with various thyroid diseases. The incidences of fetal distress,premature rupture of membrane,gestational hypertension and neonatal deformity in observation group were significantly lower than those in control group [3.92%（24/613 ） vs. 7.34% （43/586）,5.06% （31/613） vs. 12.97% （76/586）,2.28% （14/613） vs. 5.46% （32/586）, 1.63% （10/613） vs. 5.63% （33/586）,P 〈0.01]. Conclusion Thyroid function detection and therapeutic intervention during early pregnancy has important clinical value.

关 键 词：妊娠初期 甲状腺功能试验 检测 

分 类 号：R714.25[医药卫生—妇产科学]