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目的探讨妊娠合并甲状腺功能亢进产妇分娩方式的安全性。方法选取2007年4月~2012年10月42例妊娠合并甲状腺功能亢进产妇为研究对象,根据分娩方式不同分为剖宫产组29例和阴道分娩组13例,比较分析两组产妇年龄、孕次、病程及分娩期间产妇心率、血压、血氧饱和度及产后血清FT3、FT4和TSH水平。结果两组产妇年龄无显著性差异(P>0.05),剖宫产组孕次、病程均显著高于阴道分娩组(P<0.01,P<0.05);剖宫产组分娩过程中心率、血压显著低于阴道分娩组(P<0.05,P<0.01),SaO2显著高于阴道分娩组(P<0.01)。剖宫产组产妇产后FT3、FT4和TSH水平均显著低于阴道分娩组(P<0.05,P<0.01)。结论剖宫产方式分娩对妊娠合并甲亢产妇更接近于生理状态,具有较高的安全性。
Objective To investigate the safety of delivery in pregnant women with hyperthyroidism. Methods From April 2007 to October 2012, 42 pregnant women with hyperthyroidism during pregnancy were selected as study subjects. According to different modes of delivery, they were divided into 29 cases of caesarean section and 13 cases of vaginal delivery group. Maternal age, Time, maternal heart rate, blood pressure, blood oxygen saturation and postpartum serum FT3, FT4 and TSH levels during and after delivery. Results There was no significant difference in the age of maternal age between the two groups (P> 0.05). Cesarean section group was significantly higher than that of vaginal delivery group (P <0.01, P <0.05) Significantly lower than vaginal delivery group (P <0.05, P <0.01), SaO2 was significantly higher than vaginal delivery group (P <0.01). The postpartum FT3, FT4 and TSH levels in the cesarean section group were significantly lower than those in the vaginal delivery group (P <0.05, P <0.01). Conclusion Cesarean section delivery of pregnant women with hyperthyroidism during pregnancy more close to the physiological state, with high safety.