关于患甲状腺疾病孕母及其新生儿管理探讨

Discussion on the management of pregnant mothers with thyroid disease and their newborns

孕母甲状腺功能障碍主要是由自身免疫性甲状腺疾病,即桥本甲状腺炎和格雷夫斯病引起的。母体甲状腺功能障碍会对胎儿和新生儿产生重大影响。患有自身免疫性甲状腺疾病孕母所生的新生儿有患甲状腺功能减退或甲状腺功能亢进的风险。免疫性甲状腺疾病是新生儿甲状腺功能障碍最常见原因,根据孕母体内内分泌及相关抗体的变化对患有自身免疫性甲状腺疾病的母体及其所生的新生儿进行规范化管理。

Maternal thyroid dysfunction is mainly caused by autoimmune thyroid diseases,namely Hashimoto thyroiditis and Graves’ disease.Maternal thyroid dysfunction can have a major impact on the fetus and newborn.Newborns born to mothers with autoimmune thyroid disease are at risk of hypothyroidism and hyperthyroidism.Immune thyroid disease is the most common cause of neonatal thyroid dysfunction.The mothers with autoimmune thyroid disease and their newborns should be managed according to the changes in the endocrine and related antibodies of the pregnant mother.