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目的:了解北京市顺义地区孕产妇甲状腺功能的最新情况。方法:化学发光免疫法检测1751名孕产妇血清甲状腺功能。结果:检出甲状腺功能异常267例,占比15.25%(267/1751);甲减9例,占比0.51%(9/1751);亚临床甲减8例,占比0.46%(8/1751);低甲状腺素血症15例,占比0.86%(15/1751),其中单纯性低甲状腺素血症8例,占比0.46%(8/1751)。妊娠期甲状腺毒症55例数比占比3.14%(55/1751);甲亢11例,占比0.63%(11/1751);甲状腺自身抗体阳性177例,占比10.11%(177/1751),其中单纯性甲状腺自身抗体阳性164例,占比9.37%(164/1751)。结论:孕产妇群体甲状腺功能情况不容忽视;对有甲状腺激素变化的孕期妇女要及时、有效、合理的进行医学干预,以减少血清甲状腺激素变化所带给孕妇及胎儿的身心损伤。
Objective: To understand the latest situation of maternal thyroid function in Shunyi district of Beijing. Methods: Chemiluminescence immunoassay was used to detect the serum thyroid function in 1751 pregnant women. Results: Thyroid function abnormalities were detected in 267 cases, accounting for 15.25% (267/1751); hypothyroidism in 9 cases (accounting for 0.51% (9/1751); subclinical hypothyroidism in 8 cases, accounting for 0.46% (8/1751 ) Hypothyroxinemia in 15 cases, accounting for 0.86% (15/1751), including 8 cases of hypo-thyroxinemia, accounting for 0.46% (8/1751). 55 cases of thyrotoxicosis in pregnancy accounted for 3.14% (55/1751); hyperthyroidism in 11 cases, accounting for 0.63% (11/1751); thyroid autoantibodies positive 177 cases, accounting for 10.11% (177/1751) Among them, 164 were simple thyroid autoantibodies, accounting for 9.37% (164/1751). Conclusion: The status of thyroid function in maternal group should not be neglected. In pregnant women with thyroid hormone changes, timely and effective medical intervention should be made to reduce the physical and psychological damage to pregnant women and fetuses caused by thyroid hormone.