妊娠期甲状腺功能筛查的重要性

Importance of screening for thyroid function during pregnancy

目的探讨妊娠期甲状腺功能筛查的重要性。方法对426例妊娠期妇女进行TSH、FT4、TPOAb水平的测定,甲状腺功能低下孕妇的妊娠结局。结果甲状腺功能低下者占4.6%;甲状腺功能低下与不良孕史有显著相关,=30.35,P<0.001;甲状腺功能低下组的妊高症、贫血、胎内窘迫、胎儿宫内发育迟缓的比例显著高于甲状腺功能正常组,P<0.05。结论甲状腺功能筛查对减少不良妊娠结局有重要意义。

Objective Study the importance of screening for thyroid function during pregnancy. Methods Test levels of TSH, FT4, TPOAb of 426 cases of pregnancy women and pregnancy outcomes of pregnant women. Results Proportion of low level of thyroid function was 4.6. There was significantly association between low thyroid function and adverse pregnancy history, with =30.35, P 〈 0.001. Proportion of pregnancy-induced hypertension, anemia, fetal distress, intrauterine growth retardation in low level of thyroid function group was significantly higher than normal level of thyroid function group, P〈0.05. Conclusion Screening for thyroid function during pregnancy has important significance to the reduction of adverse pregnancy outcomes.