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孕前筛查对亚临床甲状腺功能减退患者妊娠结局及子代生长发育的影响

周芸 童路 鲍远军

中国当代医药2024,Vol.31Issue(33):71-74,4.
中国当代医药2024,Vol.31Issue(33):71-74,4.

孕前筛查对亚临床甲状腺功能减退患者妊娠结局及子代生长发育的影响

Effect of preconception screening on pregnancy outcome and offspring growth in patients with subclinical hypothyroidism

周芸 1童路 2鲍远军3

作者信息

  • 1. 江西省九江市妇幼保健院孕前保健专科,江西九江 332000
  • 2. 江西省九江市妇幼保健院检验科,江西九江 332000
  • 3. 江西省九江市妇幼保健院儿童保健科,江西九江 332000
  • 折叠

摘要

Abstract

Objective To explore the effect of preconception screening on pregnancy outcome and offspring growth in pa-tients with subclinical hypothyroidism.Methods A total of 120 patients with subclinical hypothyroidism who were screened during pregnancy and treated in Jiujiang Maternal and Child Health Hospital from June 2020 to June 2021 were selected as the study objects,and they were divided into study group(60 cases)and control group(60 cases)according to the screening results.The study group was screened for subclinical hypothyroidism during ready pregnancy,and the control group for sub-clinical hypothyroidism during pregnancy.Hormone levels,pregnancy outcomes and offspring development were compared between the two groups.Results There were no statistical significances in the levels of thyroid stimulating hormone and serum free thyroid hormone between the two groups after initial screening,7 days after intervention,in the third trimester and before delivery(P>0.05),while the levels of thyroid stimulating hormone at 7 days after intervention,in the third trimester and before delivery were lower than those of the first screening,with statistical significances(P<0.05).There was no significant difference in the londition of adverse pregnancy between the two groups(P>0.05).The weight,length,head circumference and growth quotient of the offspring in the study group were higher than those in the control group at after birth 3 and 6 months of age,and the differences were statistically significant(P<0.05).Conclusion Pre-pregnancy screen-ing and intervention can improve the growth and neuropsychological development of subclinical hypothyroidism patients,which is worthy of clinical promotion.

关键词

孕前筛查及干预/亚临床甲状腺功能减退/子代生长发育/神经心理

Key words

Pre-pregnancy screening and intervention/Subclinical hypothyroidism/Progeny growth and development/Neuropsychology

分类

医药卫生

引用本文复制引用

周芸,童路,鲍远军..孕前筛查对亚临床甲状腺功能减退患者妊娠结局及子代生长发育的影响[J].中国当代医药,2024,31(33):71-74,4.

基金项目

江西省卫生健康委科技计划项目(202311600). (202311600)

中国当代医药

1674-4721

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