妊娠合并甲状腺功能亢进对妊娠结局的影响  

Influence of pregnancy complicated with hyperthyroidism on pregnancy outcome

作　　者：邢彦君 严红莲 

机构地区：[1]广东省佛山市顺德区妇幼保健院妇科门诊,广东佛山528300 [2]广东省佛山市顺德区妇幼保健院生殖科,广东佛山528300

出　　处：《中国医药科学》2013年第13期187-188,共2页China Medicine And Pharmacy

摘　　要：目的探讨妊娠合并甲状腺功能亢进对妊娠结局的影响。方法选择我院2010年5月～2013年2月收治的妊娠合并甲状腺功能亢进孕妇40例,与同期孕检的健康单胎初产妇40例进行比较,观察两组孕妇的妊娠结局及新生儿情况。结果甲亢组妊娠期高血压、早产发生率明显高于对照组,平均分娩孕周低于对照组,差异均有统计学意义(P<0.05)。甲亢组新生儿低体重(LBW)、早产率、胎儿窘迫率明显高于对照组,两组比较,差异有统计学意义(P<0.05)。而足月小样儿(SGA)、出生体重,两组比较,差异无统计学意义(P>0.05)。结论妊娠合并甲状腺功能亢进可对母婴产生不良影响,故孕期应定期检查,一旦发现甲亢,应加强监护,及时诊治。Objective To explore the influence of pregnancy complicated with hyperthyroidism on pregnancy outcome. Methods 40 pregnant women with hyperthyroidism were chosen in our hospital from May 2010 to February 2013,and 40 healthy pregnant women were collected at the same time.The pregnancy and neonatal outcomes of two groups of pregnant women were observed. Results The incidence of pregnancy-induced hypertension syndrome and premature delivery rate of hyperthyroid group were significantly higher than those of control group,while the average gestational weeks was lower than of control group,the differences were statistically significant（P 〈 0.05）.The LBW,premature delivery rate and fetal distress rate of hyperthyroid group were significantly higher than those of control group,the differences were statistically significant（P 〈 0.05）.While,there were no significant differences in SGA and birth weight between the two groups（P 〉 0.05）. Conclusion Pregnancy complicated with hyperthyroidism can have adverse effects on mother and infant during pregnancy,so it should be regularly checked,once the hyperthyroidism is found,the diagnosis and treatment should be given timely.

关 键 词：妊娠 甲状腺功能亢进 妊娠结局 新生儿情况 

分 类 号：R714.256[医药卫生—妇产科学]