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妊娠期亚临床甲状腺功能减退症应用L-T4治疗探讨

邱惠明 刘晓玲 刘玲 陈映婷

中国当代医药Issue(14):73-75,3.
中国当代医药Issue(14):73-75,3.

妊娠期亚临床甲状腺功能减退症应用L-T4治疗探讨

Clinical effect study of L-thyroxine in the treatment of pregnancy with subclinical hypothyroidism

邱惠明 1刘晓玲 1刘玲 1陈映婷1

作者信息

  • 1. 广东省珠海市妇幼保健院成人内科,广东珠海 519000
  • 折叠

摘要

Abstract

Objective To study the clinical effect of L-thyroxine (L-T4) on pregnancy subclinical hypothyroidism(SCH). Methods 150 pregnancy women with SCH in our hospital from January 2013 to June 2014 were selected and divided into group A,group B,group C according to thyroid peroxidase antibody (TPOAb) test and L-T4 therapy.50 patients in group A was TPOAb positive and treated by L-T4,50 patients in group B were TPOAb negative and treated by L-T4,50 patients in group B were TPOAb negative and was not treated by L-T4.50 healthy pregnant were set as a healthy con-trol(group D).The pregnancy complications and fetal intellectual development situation was compared between four groups respectively. Results The pregnancy complications in group C was 16.0%,which was significantly higher than that in group A,group B and group D (P<0.05).The MDI and PDI in group C were significantly lower than that in group A,group B and group D (P<0.05). Conclusion L-T4 can reduce pregnancy complications and improve fetal intellectual development in the treatment of SCH.SCH patient combined with TPOAb negative also need treatment.

关键词

妊娠/亚临床甲状腺功能减退症/左旋甲状腺素

Key words

Pregnancy/Subclinical hypothyroidism/L-thyroxine

分类

医药卫生

引用本文复制引用

邱惠明,刘晓玲,刘玲,陈映婷..妊娠期亚临床甲状腺功能减退症应用L-T4治疗探讨[J].中国当代医药,2015,(14):73-75,3.

基金项目

广东省珠海市卫生局医学科研立项 ()

中国当代医药

1674-4721

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