MDT模式对妊娠期亚临床甲减孕妇分娩方式和新生儿TSH筛查的影响研究  

Influence of MDT Model on Delivery Mode and Neonatal TSH Screening in Pregnant Women with Subclinical Hypothyroidism during Pregnancy

作　　者：马艳 孙静 张虹[1] MA Yan;SUN Jing;ZHANG Hong(First People’s Hospital of Yunnan Province,Kunming 650100,China;不详)

机构地区：[1]云南省第一人民医院,云南昆明650100

出　　处：《中外医学研究》2021年第3期164-166,共3页CHINESE AND FOREIGN MEDICAL RESEARCH

基　　金：云南省教育厅科学研究基金资助项目(2018JS085)。

摘　　要：目的:探讨多学科协作(MDT)模式对妊娠期亚临床甲减孕妇分娩方式和新生儿TSH筛查的影响。方法:选取2018年7月-2019年2月在笔者所在医院内分泌科和产科门诊初诊为妊娠期亚临床甲减的80例患者作为研究对象。按照随机数字表法将其分为观察组(n=40)和对照组(n=40)。观察组采用MDT模式,对照组采用常规门诊护理模式。比较两组分娩方式和新生儿TSH筛查情况。结果:对照组剖宫产率明显高于观察组,顺产率低于观察组,差异均有统计学意义(P<0.05)。两组新生儿身长和体重比较差异无统计学意义(P>0.05)。对照组新生儿TSH筛查阳性率明显高于观察组,差异有统计学意义(P<0.05)。结论:MDT模式能够为患者提供多维化、个体化的指导,从而减少剖宫产和新生儿TSH筛查阳性的发生。Objective:To investigate the influence of multidisciplinary collaboration (MDT) model on delivery mode and neonatal TSH screening in pregnant women with subclinical hypothyroidism during pregnancy.Method:A total of 80 patients with subclinical hypothyroidism during pregnancy who were initially diagnosed in the endocrinology department and obstetric outpatient department of our hospital from July 2018 to February 2019 were selected as the study subjects.They were divided into the observation group (n=40) and the control group (n=40) according to the random number table method.The observation group was given MDT mode,and the control group was given routine outpatient nursing mode.The delivery methods and neonatal TSH screening were compared between the two groups.Result:The cesarean section rate in the control group was significantly higher than that in the observation group,while the vaginal delivery rate was lower than that in the observation group,the differences were statistically significant (P<0.05).There were no significant differences in body length and body weight between the two groups (P>0.05).The positive rate of neonatal TSH screening in the control group was significantly higher than that in observation group,and the difference was statistically significant (P<0.05).Conclusion:MDT model can provide multidimensional and individualized guidance for patients,so as to reduce the incidence of cesarean section and neonatal TSH screening positive.

关 键 词：多学科协作模式 妊娠期亚临床甲减 促甲状腺激素 

分 类 号：R473.71[医药卫生—护理学]