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目的:对妊娠合并甲状腺功能减退症的治疗进行分析。方法:抽取2009年1月-2015年1月我院确诊的120例妊娠合并甲状腺功能减退症患者作为研究对象,并根据患者的甲状腺功能情况分为观察组和对照组,通过对两组的具体情况进行分析,观察患者的临床治疗情况。结果:妊娠合并甲状腺功能减退症的主要病因有桥本氏甲状腺炎、糖尿病等原因,两组在病因方面无明显差异。120例中,4.17%出现妊娠高血压,17.50%出现妊娠期糖代谢异常,14.17%出现妊娠期肝内胆汁淤积症(ICP)并发症,3.33%出现臀位并发症,7例出现了双胎情况。另外在妊娠结局中,有72.50%选择剖宫产,3.33%出现产后出血,7.50%为早产,1.67%出现胎儿生长受限(FGR),5.83%生产出现巨大儿,1.67%出现新生儿窒息的现象,0.83%出现死胎现象,2.50%新生儿畸形现象。经过治疗发现,两组妊娠结局对比,观察组出现不良妊娠比例为21.7%,明显低于对照组的41.5%,观察组在早产、新生儿甲状腺功能减退症的发生率方面明显低于对照组,组间比较,差异具有统计学意义(P<0.05)。结论:在发现患者可能患有妊娠合并甲状腺功能减退症后,应当及时进行诊断和治疗,这样能够使妊娠合并症发生的几率降低,使妊娠结局得到改善。
Objective: To analyze the treatment of pregnancy complicated with hypothyroidism. Methods: One hundred and twenty cases of hypothyroidism with pregnancy diagnosed in our hospital from January 2009 to January 2015 were selected as research subjects and divided into observation group and control group according to their thyroid function. Analysis of the situation, observe the clinical treatment of patients. Results: The main causes of Hypothyroidism during pregnancy were Hashimoto’s thyroiditis, diabetes and other causes. There was no significant difference in the etiology between the two groups. Among the 120 cases, 4.17% had gestational hypertension, 17.50% had abnormal glucose metabolism during pregnancy, 14.17% had complications of intrahepatic cholestasis of pregnancy (ICP), 3.33% had breech complications, and 7 had twins Happening. In addition, during pregnancy, 72.50% chose cesarean, 3.33% had postpartum hemorrhage, 7.50% were premature, 1.67% had fetal growth restriction (FGR), 5.83% had macrosomia and 1.67% had neonatal asphyxia Phenomenon, 0.83% stillbirth, 2.50% neonatal abnormalities. After treatment, found that the two groups compared the pregnancy outcome, the observation group appeared adverse pregnancy ratio was 21.7%, significantly lower than the control group 41.5%, observation group in preterm birth, neonatal hypothyroidism incidence was significantly lower than the control group, The differences between the two groups were statistically significant (P <0.05). Conclusion: After discovering that patients may have pregnancy complicated with hypothyroidism, they should be diagnosed and treated promptly. This will reduce the chance of pregnancy complications and improve the pregnancy outcome.