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目的 :探讨甲状腺功能亢进 (甲亢 )与妊娠相互间的影响。方法 :对我院 1974～ 1998年诊断为甲亢合并妊娠的 68例患者的临床资料进行回顾性分析。结果 :68例患者中 5 5例 ( 80 9% )妊娠期甲亢病情无变化 ,中、重度甲亢患者 ( 2 3例 )妊高征、胎儿宫内发育迟缓、早产、新生儿窒息、新生儿病死率均比轻度甲亢者( 4 5例 )高 (P <0 0 5 )。结论 :应使甲亢合并妊娠孕妇孕期甲状腺激素水平维持在正常或轻度偏高状态 ,加强围产期监护 ,改善母儿预后。
Objective: To investigate the mutual influence of hyperthyroidism (hyperthyroidism) and pregnancy. Methods: The clinical data of 68 patients diagnosed as hyperthyroidism complicated with pregnancy from 1974 to 1998 in our hospital were analyzed retrospectively. Results: Of the 68 patients, 55 cases (80.9%) had no change in hyperthyroidism during pregnancy, and those with moderate and severe hyperthyroidism (23 cases) had PIH, intrauterine growth retardation, premature birth, neonatal asphyxia and neonatal death Rates were higher than those with mild hyperthyroidism (45 cases) (P <0 05). Conclusion: Thyroid hormone levels in pregnant women with hyperthyroidism complicated by pregnancy should be maintained at normal or slightly elevated status, strengthen perinatal care and improve the prognosis of pregnant women.