摘要
目的探讨妊娠早期抗甲状腺过氧化物酶(TPO-Ab)阴性亚临床甲状腺功能减退症(甲减)患者的妊娠结局及妊娠期并发症和合并症发生情况。方法选择2016年1月至2018年2月上海市亭林医院收治的妊娠早期孕妇4616例,按年龄分为18~24岁组(602例)、25~29岁组(2604例)、30~34岁组(1330例)、≥35岁(80例)组,比较不同年龄组孕妇TPO-Ab阴性的亚临床甲减发生率。再根据TPO-Ab钠片(LT4)治疗分为治疗组160例(接受LT4治疗)和观察组98例(未接受LT4治疗),以同期526例正常孕妇作为对照组,比较3组妊娠期并发症和合并症的发生率及妊娠结局。结果 TPO-Ab阴性亚临床甲减发生率比较:年龄30~34岁组(7.97%)高于25~29岁组(5.99%)和18~24岁组(3.99%);年龄≥35岁组(12.50%)高于25~29岁组(5.99%)和18~24岁组(3.99%),差异均有统计学意义(P<0.05)。观察组妊娠期糖尿病发生率(14.29%)高于治疗组(6.25%)和对照组(4.94%);观察组妊娠期贫血发生率(44.90%)高于治疗组(30.00%)及对照组(26.04%);治疗组和对照组新生儿出生体重[分别为(3200±300)g学意义(P<0.05)。结论妊娠早期TPO-Ab阴性的亚临床甲减发生率随年龄的增大而升高。及时给予干预治疗,可减少妊娠期糖尿病和妊娠期贫血的发生,且有利于子代生长发育。
Objective To investigate the pregnancy outcome and pregnancy complications in patients with subclinical hypothyroidism with negative anti-thyroid peroxidase(TPO-Ab)in early pregnancy.MethodsFrom January 2016 to February 2018,4,616 cases of early-gestation pregnant women in Shanghai Tinglin Hospital were selected.According to the age,the patients were divided into groups of 18-24 years old(602 cases),25-29 years old(2604 cases),30-34 years old(1330 cases),and over 35 years old(80 cases).Subclinical incidence of TPO-Ab-negative hypothyroidism in pregnant women of different age groups was compared.According to whether TPO-Ab-negative subclinical hypothyroidism patients received LT4 replacement therapy, they were divided into treatment group(receiving treatment,160 cases)and observation group(not receiving treatment,98 cases),and 526 normal pregnant women in the same period were included as the control group.The incidence of various pregnancy complications and pregnancy outcomes and their statistical significance were compared among the three groups.ResultsComparison of the incidence of TPO-Abnegative subclinical hypothyroidism:the age group of 30-34 years old(7.97%)was higher than the age group of 25-29 years old(5.99%)and the age group of 18-24 years old(3.99%);the age group of over 35 years old(12.50%)was higher than the age group of 25-29(5.99%)and the age group of 18-24(3.99%);the age of over 35 years old(12.50%)was higher than the age group of 25-29(5.99%)and the age group of 18-24(3.99%),and the differences were statistically significant(P<0.05).The incidence of gestational diabetes was higher in the observation group(14.29%)than in the treatment group(6.25%)and the control group(4.94%),and the incidence of anemia in the observation group(44.90%)was higher than that in the treatment group(30.00%)and the normal control group(26.04%).The neonatal birth weight of the treatment group(3200±300 g)and the control group(3150±statistical significance(P<0.05).ConclusionThe incidence of TPO-Ab-negative subclinical hypothyroidism in early pregnancy increases with age.Timely intervention should be given to reduce the occurrence of gestational anemia diabetes,which is conducive to the growth and development of offsprings.
作者
何玉花
吴敏
徐凤英
HE Yu-hua;WU Min;XU Feng-ying(Department of Obstetrics and Gynecology,Tinglin Hospital,Shanghai 201505,China)
出处
《中国实用妇科与产科杂志》
CAS
CSCD
北大核心
2019年第3期339-342,共4页
Chinese Journal of Practical Gynecology and Obstetrics
基金
上海市金山区卫计委项目(JSKJ-KTQN-201602)
作者简介
通讯作者:徐凤英,电子信箱:xfygcy@126.com
