首页|左甲状腺素钠对妊娠合并甲减患者甲状腺功能及分娩结局的影响

左甲状腺素钠对妊娠合并甲减患者甲状腺功能及分娩结局的影响

扫码查看
目的 探讨左甲状腺素钠对妊娠合并甲减患者甲状腺功能及分娩结局的影响.方法 将2022年1月至2023年1月我院收治的220例妊娠合并甲减患者随机分为两组各110例.对照组给予日常生活指导,研究组在对照组基础上采用左甲状腺素钠治疗.对比两组甲状腺功能指标、抗甲状腺过氧化物酶抗体(TPOAb)、抗甲状腺球蛋白抗体(TGAb)阳性率、不良分娩结局发生率和不良反应发生率.结果 治疗后,研究组TSH水平低于对照组,FT3、FT4水平高于对照组(P<0.05).治疗后,研究组TPOAb、TGAb阳性率低于对照组(P<0.05).研究组不良分娩结局发生率低于对照组(P<0.05).两组均未出现严重不良反应.结论 左甲状腺素钠治疗妊娠合并甲减患者可有效改善其甲状腺功能,避免不良分娩结局发生,且安全性较高.
Impact of Levothyroxine Sodium on Thyroid Function and Delivery Outcomes in Pregnancy Patients with Hypothyroidism
Objective To explore the impact of levothyroxine sodium on thyroid function and delivery outcomes in pregnancy patients with hypothyroidism.Methods 220 pregnancy patients with hypothyroidism admitted to our hospital from January 2022 to January 2023 were rsndomly divided into two groups,with 110 cases in each group.The control group was given daily life guidance,while the study group was treated with levothyroxine sodium on the basis of the control group.The thyroid function indicators,positive rates of anti thyroid peroxidase antibody(TPOAb)and anti thyroid globulin antibody(TGAb),incidence of adverse delivery outcomes,and incidence of adverse reactions were compared between the two groups.Results After treatment,the TSH level of the study group was lower than that of the control group,and the FT3 and FT4 levels were higher than those of the control group(P<0.05).After treatment,the positive rates of TPOAb and TGAb in the study group were lower than those in the control group(P<0.05).The incidence of adverse delivery outcomes in the study group was lower than that in the control group(P<0.05).Both groups did not have serious adverse reactions.Conclusions Leftothyroxine sodium can effectively improve the thyroid function and avoid the adverse delivery outcomes in pregnancy patients with hypothyroidism,with higher safety.

HypothyroidismPregnancyLeft thyroxine sodiumThyroid functionDelivery outcome

蔡燕瑜、官青青、黄征芳

展开 >

厦门市翔安区妇幼保健院孕产保健科,福建厦门 361100

厦门市第五医院产科,福建厦门 361101

甲状腺功能减退 妊娠 左甲状腺素钠 甲状腺功能 分娩结局

2024

临床医学工程
国家医疗保健器具工程技术研究中心

临床医学工程

影响因子:0.193
ISSN:1674-4659
年,卷(期):2024.31(5)
  • 7