首页|妊娠期孕妇发生甲状腺功能减退症的影响因素及妊娠结局分析

妊娠期孕妇发生甲状腺功能减退症的影响因素及妊娠结局分析

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目的 探讨妊娠期孕妇发生甲状腺功能减退(甲减)症的影响因素及其与妊娠不良结局的关系.方法 回顾性分析本院收治的孕妇资料,最终确定甲减症孕妇80例,无甲减症孕妇80例为研究对象.分析妊娠期孕妇发生甲状腺功能减退症的影响因素,比较两组妊娠结局.结果 年龄≥30岁、妊娠次数≥2次、产次≥3次、有自然流产史、有妊娠期合并症、生育间隔≥48个月、TPO-Ab阳性、碘摄入量过低、有甲状腺家族疾病史比较差异均有统计学意义(P<0.05).年龄≥30岁、妊娠次数≥2次、产次≥3次、有自然流产史、有妊娠期合并症、生育间隔≥48个月、TPO-Ab阳性、碘摄入量过低、有甲状腺家族疾病史均为孕妇发生甲减症的危险因素(P<0.05).甲减症组胎膜早破率、剖宫产率高于无甲减症组(P<0.05)结论 妊娠期甲减症的影响因素较多,在日常孕检过程中可以采取专门手段进行干预,能有效降低妊娠妇女妊娠期出现甲减症的概率.
Analysis of influencing factors and pregnancy outcomes of hypothyroidism in pregnant women during pregnancy
Objective To explore the influencing factors of hypothyroidism(hypothyroidism)in pregnant women during pregnancy and its relationship with adverse pregnancy outcomes.Methods A retrospective analysis was conducted on the data of pregnant women admitted to our hospital.Finally,80 pregnant women with hypothyroidism and 80 pregnant women without hypothyroidism were identified as the study subjects.Analyze the influencing factors of hypothyroidism in pregnant women during pregnancy and compare the pregnancy outcomes of two groups.Results Age ≥30 years old,number of pregnancies ≥2 times,parity ≥3 times,history of spontaneous abortion,pregnancy complications,birth interval ≥48 months,TPO-Ab positive,low iodine intake,and history of thyroid family diseases showed statistically significant differences(P<0.05).Age ≥ 30 years old,pregnancy frequency ≥2 times,parity ≥3 times,history of spontaneous abortion,pregnancy complications,birth interval ≥ 48 months,TPO Ab positive,low iodine intake,and history of thyroid family diseases are all risk factors for pregnant women to develop hypothyroidism(P<0.05).The rate of premature rupture of membranes and cesarean section in the hypothyroidism group was higher than that in the non hypothyroidism group(P<0.05).Conclusion There are many influencing factors of hypothyroidism during pregnancy,and specialized interventions can be taken during daily pregnancy checkups to effectively reduce the probability of hypothyroidism in pregnant women during pregnancy.

Pregnant women during pregnancyHypothyroidismInfluencing factorsDangerPregnancy outcome

郭文龙

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包头医学院第二附属医院 妇产科,内蒙古 包头 014000

妊娠期孕妇 甲减症 影响因素 危险性 妊娠结局

2024

实用妇科内分泌电子杂志

实用妇科内分泌电子杂志

ISSN:
年,卷(期):2024.11(15)