摘要
妊娠期的甲状腺处于代偿状态,为了满足机体正常的需要,必须分泌足量的甲状腺激素,因此容易导致亚临床或明显的甲状腺功能减退。妊娠期临床甲减损害后代的神经智力发育,增加早产、流产、低体重儿、死胎和妊娠期高血压疾病等风险。未经治疗的妊娠合并甲减患者易并发妊娠高血压综合征、胎盘早剥、产后出血、早产等并发症。妊娠期甲减仅有较轻微的临床症状,有时被误认为是早孕表现。因此,仅根据临床表现很难对妊娠中的甲减早诊断,常规筛选显得十分必要,及时筛查发现妊娠期甲状腺功能减退患者,并给予足量甲状腺激素替代治疗可有效预防不良妊娠结局,减少先天甲低及畸形胎儿的出生。
Gestational thyroid in compensatory state,in order to meet the needs of the body＇s normal, must enough thyroid hormone secretion,so easy to cause subclinical hypothyroidism or obvious. Pregnancy clinical JiaJian damage offspring nerve mental development, increase in premature birth, abortion, low birth weight,stillbirth and risk of gestationa] hypertension disease. Untreated patients with pregnancy with JiaJian easily complicated with pregnancy-induced hypertension syndrome, placental abruption, postpartum hemorrhage and complications such as premature. Pregnancy JiaJian only mild symptoms,sometimes be mistaken for a pregnancy. Therefore, only according to the clinical manifestations of hard to JiaJian early diagnosis of pregnancy, it is necessary routine screening, screening found that patients with hypothyroidism during pregnancy in time and give enough thyroid hormone replacement therapy can effectively prevent adverse pregnancy outcomes, reduce birth was born of a low and deformities.
出处
《中国城乡企业卫生》
2015年第3期47-49,共3页
Chinese Journal of Urban and Rural Enterprise Hygiene
关键词
妊娠早期
甲状腺功能
筛查
重要性
妊娠结局
Early pregnancy
Thyroid function
Screening
Importance
Pregnancy outcomes
作者简介
李建娟，本科，主治医师，主要从事妇产科门诊及妇女保健工作 通讯作者：李建娟，E—mail：lijia川uanl26@163．com
