妊娠期甲状腺疾病筛查和干预对妊娠结局的影响  

Effect of Thyroid Disease Screening and Intervention on Pregnancy Outcome in Pregnancy

作　　者：曹清[1] 胡燕[1] 

机构地区：[1]解放军第180医院妇产科,福建泉州362000

出　　处：《中国卫生产业》2015年第27期57-59,共3页China Health Industry

摘　　要：目的探讨妊娠期甲状腺疾病筛查以及干预对妊娠结局的影响。方法于2013年1月—2014年12月,选取2 000例孕产妇进行研究,均进行产前甲状腺功能筛查,将其分为甲状腺组和无甲状腺疾病的对照组,再将甲状腺疾病孕产妇分为干预组、未干预组。对比各组孕产妇的妊娠不良结局及新生儿Apgar评分。结果有200例孕产妇被筛查出妊娠期甲状腺疾病,其发病率为10%。与未干预组相比,干预组、对照组的妊娠不良结局发生率、新生儿Apgar评分均差异有统计学意义(P<0.05),干预组与对照组之间差异无统计学意义(P>0.05)。结论在产前甲状腺疾病筛查后对甲状腺功能异常进行积极有效的干预,能够有效改善妊娠结局。Objective To investigate the effect of thyroid disease screening and intervention on the outcome of pregnancy.Methods In January 2013 to December 2014, selected 2000 pregnant women studied were the prenatal screening of thyroid function, were divided into group, the thyroid and without thyroid disease control group, then the thyroid disorders in pregnancy were divided into intervention group and control group.The adverse pregnancy outcome and neonatal Apgar score of the pregnant women were compared. Results 200 cases of pregnant women were screened for thyroid disease, the incidence rate was 10%. Compared with nonintervention group, intervention group, control group of adverse outcomes of pregnancy incidence, neonatal Apgar score were significantly different（P〈0.05）, and there was no significant difference between the intervention group and the control group（P〉0.05）. Conclusion The positive and effective intervention of thyroid function abnormality after prenatal thyroid disease screening can effectively improve the pregnancy outcome.

关 键 词：妊娠期 甲状腺疾病 筛查 干预 妊娠结局 

分 类 号：R541.6[医药卫生—心血管疾病]