摘要
目的:探讨激素替代治疗妊娠合并甲状腺功能减退的妊娠结局。方法:收治妊娠合并甲状腺功能减退患者80例为研究组,所有患者给予左甲状腺素(L-T4)治疗。选取同期分娩的正常产妇80例为对照组,比较两组的妊娠结局。结果:研究组胎膜早破的发生率明显高于对照组(P<0.05)。研究组早产、妊娠合并高血压、妊娠合并糖尿病、产后出血的发生率与对照组比较,差异无统计学意义(P>0.05)。结论:激素替代治疗妊娠合并甲状腺功能减退患者的妊娠结局同正常分娩的产妇存在相似性,可以将产妇的妊娠结局控制在合理范围内。
Objective:To explore the pregnancy outcome after hormone replacement therapy for pregnancy combined withhypothyroidism.Methods:80 patients with pregnancy complicated with hypothyroidism were selected as the study group.Allpatients were treated with L-T4.At the same time,80 normal pregnant women were selected as the control group.We compared thepregnancy outcome of the two groups.Results:In the study group,the incidence of premature rupture of membranes wassignificantly higher than that of the control group(P<0.05).In the study group,compared with the control group,there was nosignificant difference in the incidence of premature birth,pregnancy with hypertension,pregnancy with diabetes,and the incidenceof postpartum hemorrhage(P>0.05).Conclusion:The pregnancy outcome of patients with pregnancy combined withhypothyroidism treated by hormone replacement therapy was similar to that of normal delivery.We can control the pregnancyoutcome in reasonable range.
作者
陈永仙
Chen Yongxian(The People's Hospital of Pu'er City,Yunnan Province 665000)
出处
《中国社区医师》
2016年第6期68-69,共2页
Chinese Community Doctors
