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目的对比研究妊娠期合并甲状腺功能减退症患者治疗和未治疗者并发症与妊娠不良的发生率。方法选择2008年7月-2014年7月该院确诊的96例妊娠期合并甲状腺功能减退症患者为研究对象。分为治疗组(64例)和未治疗组(32例),对比两组患者基本资料、并发症发生情况及妊娠质量。结果未治疗组并发症发生率显著大于治疗组(P<0.05)。与治疗组相比,未治疗组在早产、流产和剖宫产的比例明显提高,差异有统计学意义(P<0.05),而自然分娩的比例下降,差异有统计学意义(P<0.05)。结论未进行甲状腺功能减退治疗使孕期妇女患者并发症和妊娠不良的发生率升高,因此,应对孕妇进行早期筛查、诊断并及时进行科学合理的治疗,同时在孕期加强护理,尽早发现妊娠期合并甲状腺功能减退症并加以处理,以改善妊娠结局。
Objective To compare the incidence of complications and poor pregnancy among patients with and without hypothyroidism during pregnancy. Methods From July 2008 to July 2014, 96 cases of pregnancy complicated with hypothyroidism in our hospital were selected as the study subjects. Divided into treatment group (64 cases) and untreated group (32 cases), comparing the two groups of patients basic information, complications and pregnancy quality. Results The incidence of complications in the untreated group was significantly greater than that in the untreated group (P <0.05). Compared with the treatment group, the proportion of untreated group in preterm birth, abortion and cesarean section was significantly increased (P <0.05), while the proportion of spontaneous delivery decreased, the difference was statistically significant (P <0.05) . Conclusion The treatment of hypothyroidism did not make the incidence of complications and poor pregnancy in women during pregnancy increased. Therefore, pregnant women should be screened early, diagnosed and scientifically and rationally treated at the same time, nursing should be strengthened during pregnancy and pregnancy should be detected as soon as possible Hypothyroidism merged and treated to improve pregnancy outcomes.