摘要
Abstract
Objective To investigate the correlation between hypothyroidism during pregnancy and hypertensive disorders of pregnancy(HDP)and its impact on pregnancy outcomes.Methods A retrospective analysis was conducted on the clinical data of 152 pregnant women admitted to Fujian Provincial Corps Hospital of Chinese People's Armed Police Force from October 2020 to December 2023.They were divided into three groups based on thyroid function in the early stage of pregnancy:a normal group(n=60),a sub-clinical hypothyroidism group(SCH,n=66),and an overt hypothyroidism group(OH,n=26).The thyroid function,blood pressure,blood lipid,blood glucose levels as well as the incidence of HDP and gestational diabetes mellitus(GDM)were compared among the three groups.Logistic regression was used to analyze factors influencing adverse pregnancy outcomes.Results Compared with the nor-mal group,the SCH and OH groups had significantly higher thyroid stimulating hormone(TSH),systolic/diastolic blood pressure,fasting/2-hour postprandial blood glucose,total cholesterol,and low-density lipoprotein cholesterol(LDL-C),and lower high-density lipoprotein cholesterol(HDL-C),with statistically significant differences(P<0.05).Logistic regression showed that the risk of HDP in the SCH and OH groups was 3.82 times(OR=3.816,95%CI:1.311-11.114)and 4.05 times(OR=4.053,95%CI:1.149-14.296)than that of the normal group,respectively,and the risk of GDM was 3.77 times(OR=3.769,95%CI:1.166-12.188)and 5.16 times(OR=5.158,95%CI:1.359-19.583)than that of the normal group,respectively.After standardized treatment with levothyroxine,the incidence of adverse pregnancy outcomes(preterm birth,premature rupture of membranes,etc.)in the SCH and OH groups(19.70%and 26.92%)was not statistically different from that in the normal group(13.33%)(P=0.308).After adjusting for metabolic indicators,the risks tended to be insignificant(SCH a group:OR=0.391,95%CI:0.103-1.481,P=0.167;OH group:OR=0.892,95%CI:0.221-3.593,P=0.872).Conclusions Hypothyroidism during pregnancy significantly elevates the risk of HDP and GDM.Early-stage screening of thyroid func-tion,intensified monitoring of blood pressure and metabolic parameters,and standardized levothyroxine treatment can effectively im-prove pregnancy outcomes.关键词
妊娠期/甲状腺功能减退/妊娠期高血压疾病/相关性/妊娠结局Key words
pregnancy/hypothyroidism/hypertensive disorders of pregnancy/correlation/pregnancy outcome分类
医药卫生
