分娩对孕妇甲状腺功能指标的影响

Effect of delivery on thyroid function parameters of pregnant women

目的 :探讨分娩对孕妇甲状腺功能指标的影响。方法 :采用免疫放射法 ( IRMA )共测定了 60例正常产的孕妇分娩前后血清 TSH、FT3、FT4 水平。结果 :产后孕妇 TSH水平显著高于产前 ( P<0 .0 5 ) ,产后孕妇 FT3、FT4 水平显著低于产前 ( P<0 .0 5 ) ,孕妇产前与产后 TSH、FT3水平之间显著正相关。结论 :分娩造成了对孕妇甲状腺系统的应激 。

Objective:To evaluate the effect of normal delivery on thyroid function parameters of pregnant women.Methods:with IRMA technique,the serum TSH,FT 3 and FT 4 levels of 60 pregnant women were tested before and after delivery.Results:The mean TSH levels of pregnant women is significantly higher delivery compared with before delivery ( P <0.05),the mean FT 3,FT 4 levels of pregnant women is significantly lower after delivery compared with before delivery ( P <0.05).The serum TSH levels of pregnant women before delivery was prsitivery correlated with the TSH levels after delivery,the serum FT 3 levels of pregnant women before delivery was positively correlated with the levels after delivery.Conclusion:Delivery constitutes the main stimulant of thyroid function of pregnant women and needs to be paid attention to.