研究的升华，合作的结晶——《妊娠和产后甲状腺疾病诊治指南》出版介绍

Distillation of research and a crystallization of cooperation-- Introduction of a guideline for the diagnosis andmanagement of thyroid diseases during pregnancy and postpartum

中华医学会内分泌学分会和中华医学会围产医学分会联合编撰的我国《妊娠和产后甲状腺疾病诊治指南》正式出版了。本指南编撰遵循“立足国情，循证为本，求新求实，资源共享”的原则，以美国甲状腺学会2011年指南为蓝本，加入我国学者的研究内容，结合我国临床工作和妇幼保健工作的实际情况编撰。本指南包含11个章节，采取问题条款和推荐条款并进的模式，共计68项问题条款和57项推荐条款。本文就妊娠期亚临床甲状腺功能减退的诊断和治疗问题进行深入的讨论，提出制定妊娠特异的血清TSH参考值的重要性。

The guideline for the diagnosis and management of thyroid diseases during pregnancy and postpartum in China written by Chinese Society of Endocrinology and Chinese Society of Perinatal Medicine is now formally published. This guideline was written following the principles of based on the national conditions, evidence- based medicine, being innovative and realistic, and resource sharing. It is modeled on the guideline issued by American Thyroid Association in 2011, joining the research of domestic scholars and combining with the actual situation of domestic clinical work and maternal and child health. This guideline contains I 1 chapters, taking question terms and recommendation terms in the model, and a total of 68 problem terms and 57 recommendation terms. This paper deeply discusses the problems about the diagnosis and treatment of subclinical hypothyroidism during pregnancy, as well as the importance of establishing gestation-specific TSH reference interval.