论文部分内容阅读
目的:分析探讨妊娠期亚临床甲状腺功能减退干预后对母儿的影响,为妊娠期亚临床甲状腺功能减退的孕妇提高可靠的科学依据和理论支持。方法:选取我院2014年2月到2016年3月妊娠期亚临床甲状腺功能减退的孕妇100例,将这些孕妇随机分为对照组和实验组,每组50名孕妇。对于对照组的孕妇采用常规的门诊干预,对于实验组的孕妇在实施综合干预,记录两组孕妇治疗的数据,干预结束后,比较两组孕妇的干预后TSH、孕期的并发症发生率、剖宫产率以及新生儿的Apgar评分。结果:据分析数据可知,在干预前,实验组和对照组孕妇的TSH无明显差异,不具备统计学意义p>0.05;干预后,实验组孕妇的实验组患者的宫缩出现时间、胎儿娩出时间、总产程均明显短于对照组,产后出血量也明显少于对照组,数据对比差异明显,具有统计学意义p<0.05;实验组患者的并发症发生率8%,明显低于对照组32%,数据对比明显,差异均有统计学意义P<0.05;在新生儿评分方面,实验组的新生儿的Apgar评分明显要高于对照组的新生儿的Apgar评分,数据对比差异明显,具有统计学意义p<0.05。结论:在临床上,对妊娠期亚临床甲状腺功能减退的孕妇进行综合干预,能有效的减少并发症的发生,降低剖宫产率,对保障母婴安全效果良好,值得在临床上推广。
OBJECTIVE: To analyze the influence of subclinical hypothyroidism on maternal and females in pregnancy, and to provide reliable scientific basis and theoretical support for pregnant women with subclinical hypothyroidism during pregnancy. Methods: 100 pregnant women with subclinical hypothyroidism during pregnancy in our hospital from February 2014 to March 2016 were selected and randomly divided into control group and experimental group with 50 pregnant women in each group. For the pregnant women in the control group, conventional outpatient intervention was used. For the pregnant women in the experimental group, comprehensive intervention was performed and the data of two groups of pregnant women were recorded. After the intervention, the incidence of TSH and pregnancy complications were compared between the two groups Palace birth rate and neonatal Apgar score. Results: According to the analysis data, there was no significant difference in TSH between the experimental group and the control group before the intervention, which was not statistically significant (p> 0.05). After the intervention, the experimental group had significantly lower TSH and fetus Time and total labor were significantly shorter than the control group, postpartum hemorrhage was significantly less than the control group, the data were significantly different, with statistical significance p <0.05; experimental group of patients with complication rate of 8%, significantly lower than the control group 32%, the data were significantly different, the difference was statistically significant (P <0.05); in neonatal score, the experimental group neonatal Apgar score was significantly higher than the control group neonatal Apgar score, the data showed significant differences, with Statistical significance p <0.05. Conclusion: In clinic, comprehensive intervention on pregnant women with subclinical hypothyroidism in pregnancy can effectively reduce the incidence of complications and reduce the rate of cesarean section, which has good effect on ensuring the safety of mother and child and is worth popularizing clinically.