68例已婚未产甲亢妇女的孕育及保健情况分析

Analysis on the gestation and healthcare of 68 married and non-multiparous women with hyperthyroidism

目的 :调查已婚未产甲亢妇女的孕育及保健情况 ,为保健工作提供依据。方法 :对 68例已诊断为甲亢的已婚未产妇女从孕育情况、孕育意愿、甲亢及妊娠治疗的基本保健知识、实际治疗保健情况进行了调查。结果 :3 %的被调查人在甲亢未愈之前怀孕 (其中因死胎诱发甲亢危象死亡 2例 )。87%的被调查人有孕育希望 ,44%的被调查人明确在甲亢未愈之前最好不怀孕。49 %的被调查人对甲亢及妊娠治疗的基本保健知识不明确。 57%的被调查人不能进行甲亢的系统治疗 ,3 7%的被调查人无避孕措施。结论 :婚育龄的妇女是甲亢患病率最高的人群 ,调查显示绝大多数已婚未产甲亢妇女均有怀孕生子的希望 ,有近 2 / 3的被调查人对甲亢及妊娠治疗的基本保健知识不明确 ,不能进行甲亢的系统治疗 ,1/ 3的被调查人无避孕措施。必须加强对此类人群相关知识的教育指导 。

Objective: By investigating the gestation and healthcare of married a nd non-multiparous women with hyperthyroidism to provide evidence for healthcar e work Methods: The gestation, desire, knowledge on treatment and healthcare of hyperthyroidism and pregnancy, actual treatment and healthcare of 68 married and non-multiparous women diagnosed as hyperthyroidism were investigated Results: 3% of informants' pregnancy is before curing hyperthyroidism (thereinto, 2 cases of hyperthyroidism crisis death induced by death fetuses) 87% of informants h a s desire to gestation, 44% of informants do not definitely want to gestation bef ore curing hyperthyroidism 49% of informants have no definite knowledge on tre a tment and healthcare of hyperthyroidism and pregnancy 57% of informants have n o t systemic treatment on hyperthyroidism, 37% of informants have no contraceptive measures Conclusion: Women at marriageable and child-bearing age are the highe st risk population of suffering hyperthyroidism, the investigation showed that m ost married and non-multiparous women all have desire to gestation, approximate l y two of third ones have no definite knowledge on treatment and healthcare of hy perthyroidism and pregnancy, then they can not accept systemic treatment, one of third ones have no contraceptive measures Correlation knowledge education and guidance on these peoples should be strengthened to improve healthcare work