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目的探讨妊娠期亚临床甲状腺功能减退(SCH)干预后对母儿的影响。方法选取2012年6月-2014年12月在柳州市工人医院妇产科建档的≤20周的237例SCH孕妇为研究对象,根据治疗方法的不同,分为试验组(系统干预,116例)和对照组(常规门诊干预,109例)情况,比较两组孕妇的干预效果。结果 1两组孕妇在干预前的TSH差异较小(P<0.05),干预后1个月的TSH显著低于对照组(P<0.05);2试验组孕产妇的孕期各并发症的发生率、剖宫产率均显著低于对照组(P<0.05);3试验组新生儿的Apgar评分明显由于对照组(P<0.05)。结论对SCH孕妇实施系统干预,可以有效保障母儿安全,效果良好,具有较高的临床推广价值。
Objective To investigate the effect of subclinical hypothyroidism (SCH) on maternal and childbirth after pregnancy. Methods A total of 237 pregnant women with SCH ≤20 weeks enrolled in the Obstetrics and Gynecology Department of Liuzhou Workers Hospital from June 2012 to December 2014 were selected as study subjects and divided into experimental group (116 cases ) And control group (routine outpatient intervention, 109 cases). The intervention effect of two groups of pregnant women was compared. Results 1 TSH difference between the two groups of pregnant women before intervention was small (P <0.05), one month after intervention TSH was significantly lower than the control group (P <0.05); 2 test group pregnant women during pregnancy incidence of complications , Cesarean section rate were significantly lower than the control group (P <0.05); Apgar score of 3 experimental groups was significantly due to the control group (P <0.05). Conclusion The systematic intervention of SCH pregnant women can effectively protect the safety of maternal and child, with good effect and high clinical promotion value.