甲亢孕妇妊娠结局的临床分析

A clinical Analysis on pregnancy outcomes of patients with hyperthyroidism

目的探讨妊娠合并甲亢规范化治疗对妊娠结局的影响。方法选取四年间于我院建档并分娩、资料完整的妊娠合并甲亢患者77例,对其妊娠结局进行临床分析。结果甲亢未治疗组甲状腺激素水平明显增高,妊娠并发症增多,与治疗组相比,差异有显著性(P<0.01);未治疗组新生儿体重明显低于治疗组,差异有显著性(P<0.05);但两组的剖宫产率及新生儿甲状腺功能差异无统计学意义(P>0.05)。结论及时诊断并规范治疗妊娠甲亢,可降低妊娠并发症发生率,改善妊娠结局。

Objective：To discuss effect of pregnancy with hyperthyroidism on pregnancy outcome. Methods：77cases pregnant complicated with hyperthyroidism were retrospective researched,to make clinical analysis and set basis for prenatal treatment and prevention for bad outcomes. Results：The thyroid hormone and pregnancy complications of untreated hyperthyroidism were statistically higher than those of treatment group（P〈0.01）. The weight of neonatal in untreated hyperthyroidism were statistically lighter than those in treatment group（P〈0.05）.But the incidences of cesarean section and the thyroid hormone of neonatal in both groups were not different（P〉0.05）. Conclusion：Detecting and treating pregnancy hyperthyroidism earlier can reduce pregnancy complications and improve pregnant outcomes.