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甲状腺疾病是育龄妇女最常见内分泌疾病之一,可分为孕前原有甲状腺疾病和妊娠期伴发甲状腺疾病两类。本文聚焦育龄妇女孕前原有甲状腺疾病的孕前保健。若育龄妇女孕前原有甲状腺疾病在病情控制不稳定时妊娠,则无论有临床症状或症状不明显,均可对母胎产生不良影响。研究表明,通过孕前医学检查,可发现甲状腺疾病妇女是否存在对妊娠有不良影响的因素,若及时针对这些不良影响因素给予相应的孕前咨询和指导,并提出相应干预措施,则可达到改善甲状腺疾病患者的妊娠结局,减少先天畸形儿出生的目的 。
Thyroid disease is one of the most common endocrine diseases in women of childbearing age, which can be divided into two types: the original thyroid disease before pregnancy and the thyroid disease during pregnancy. This article focuses on prenatal care for women of childbearing age who had thyroid disease before pregnancy. If women of childbearing age had pre-pregnancy thyroid disease in the control of unstable pregnancy, regardless of clinical symptoms or symptoms are not obvious, can have a negative impact on the mother’s fetus. Studies have shown that through pre-pregnancy medical examination can be found in women with thyroid disease whether there are adverse effects on pregnancy factors, if timely for these adverse factors given pre-pregnancy counseling and guidance, and put forward appropriate interventions, can be achieved to improve thyroid disease Patient’s pregnancy outcome, to reduce the birth of congenital malformations purposes.