探讨妊娠合并甲状腺功能减退症患者的临床诊治方法.docVIP

精品论文 参考文献 探讨妊娠合并甲状腺功能减退症患者的临床诊治方法 于雪梅 马骏 　　（四川省绵阳市人民医院产科 621000） 　　【摘要】目的 探讨妊娠合并甲状腺功能减退症患者的临床诊治方法。方法　选取我院2011年10月-2013年10月收治的39例妊娠合并甲状腺功能减退孕妇的临床资料为研究组，随机选取我院未合并甲状腺功能减退症的健康孕产妇39例为对照组。比较两组剖宫产发病率、产后出血、妊娠高血压发病率、胎膜早破率及新生儿评分情况。结果　对照组剖宫产发病率、产后出血、妊娠高血压发病率、胎膜早破率均明显高于研究组，两组比较差异具有统计学意义（Plt;0.05）；研究组新生儿1min、5min Apgar评分低于对照组(Plt;0.05)；新生儿患有甲状腺功能减退症比例高于对照组(Plt;0.05)。结论　妊娠合并甲状腺功能减退症早期诊断、规范治疗，并定期监测可有效减少母儿并发症的发生，改善妊娠结局。 　　【关键词】 甲状腺功能减退 妊娠合并症 妊娠结局 　　【中图分类号】R441 【文献标识码】A 【文章编号】2095-1752（2014）05-0068-02 　　【Abstract】 Objective: To explore the clinical diagnosis and treatment of pregnancy with hypothyroidism patients methods. Methods: Selected from October 2011 to October 2011 were 39 cases of pregnancy with the clinical data of hypothyroidism pregnant women for the team, randomly selected from our hospital unincorporated maternal hypothyroidism health 39 cases as control group. Compare two groups of cesarean section rates and postpartum hemorrhage rate of premature rupture of membranes, gestational hypertension incidence, and neonatal score.Results: Control group in incidence of cesarean section, postpartum hemorrhage, gestational hypertension incidence rate of premature rupture of membranes, were significantly higher than that of the team, are similar between the two groups have statistical significance (P lt; 0.05); Team a newborn 1 min, 5 min Apgar score is lower than the control group (P lt; 0.05); Babies with hypothyroidism ratio is higher than the control group (P lt; 0.05).Conclusion: Pregnancy with hypothyroidism norms early diagnosis, treatment, and regular monitoring of the incidence of complications can effectively reduce the mother son, improve the pregnancy outcome. 　　【key words】 Hypothyroidism Pregnancy complications Pregnancy outcomes 　　妊娠期甲状腺功能异常可增加妊娠不良结局和并发症的发生，而妊娠合并甲状腺功能减退症临床较少见，近期多项研究表明，孕妇甲状腺功能低下对胎儿神经发育可能有不利影响[1.2]，并且与多种孕期并发症有关，所以对胎儿、孕产妇、新生儿影响比较大。近年来，随着对该合并症知识和重视程度的加深，发病率报道有所上升。早发现、早治疗孕期甲状腺功能减退可有效改善围生期结