妊娠期孕妇亚临床甲状腺机能减退症对妊娠结局的影响分析

摘要

Objective Discussing about the effect of subclinical hypothyroidism on pregnant outcome.Method Defining 200 Subclinical hypothyroidism pregnant women as the observation group;150 health normal pregnant women who delivered in my hospi-tal at the same period as control group.Observing two groups pregnant outcome and analyzing the effect of subclinical hypothyroid-ism on pregnant outcome.Results Following indexes of observation pregnant women in stage of pregnant and confinement were ap-parently higher than control group:hypertension,anemia,premature,fetal distress in uterus,low birth weight infant and so on.The difference was statistically significant (P <0.05).Conclusion If pregnant women are attacked by subclinical hypothyroidism,other illnesses may be induced.So advise pregnant women to do complete inspection in early pregnancy,especially inspecting thyroid function.If subclinical hypothyroidism is diagnosed,effective therapeutic measure should be taken to reduce the risk and effect on fetus,complication.%目的：探讨妊娠期孕妇亚临床甲减对妊娠结局的影响。方法：分娩的200例妊娠期亚临床甲减孕妇作为观察组，与同期随机收治住院分娩的正常健康孕妇150例作为对照组，观察两组孕妇妊娠结局的影响因素。结果：观察组孕妇孕期及分娩期妊娠期高血压、贫血、早产发生率以及孕晚期胎儿宫内窘迫、低出生体重胎儿均显著高于对照组，差异有统计学意义（P ＜0.05）。结论：妊娠期合并亚临床甲减疾病发生的同时也会引发其他相关疾病，所以在怀孕初期建议孕妇尽早进行全面检查，尤其是甲状腺功能检查，如发现患亚临床甲减应立即采取有效的措施加以治疗，以降低孕妇相关疾病的发生率，尽量降低对胎儿生长发育及智力等方面的影响，减少新生儿相关并发症。