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1、孕婦甲狀腺功能減退癥與尿碘關(guān)系李建寧1趙迎春1周黎黎1何嵐2高顯蘭3張永紅4王新榮51克拉瑪依市中心醫(yī)院內(nèi)分泌科(新疆,834000)2西安交通大學(xué)第一附屬醫(yī)院內(nèi)分泌科(陜西710061)3克拉瑪依市人民醫(yī)院婦產(chǎn)科(新疆,834000)4克拉瑪依市中心醫(yī)院婦產(chǎn)科(新疆,834000)5獨山子石化醫(yī)院婦產(chǎn)科(新疆,834000)[摘要]目的:明確孕婦甲狀腺功能減退癥與尿碘的關(guān)系。方法:對266例孕齡婦女及2076例孕婦進行甲狀腺功能測、尿碘測定。結(jié)果:1)育齡婦女及孕婦甲狀腺功能的分布情況為:正常245例(92.1
2、%)、TSH減低3例(1.1%)、甲減18例(6.8%)及正常1836例(88.4%)、TSH減低130例(6.3%)、甲減110例(5.3%)。2)育齡婦女甲減組尿碘顯著升高,兩組高尿碘的發(fā)生率顯著性升高。結(jié)論:孕齡婦女及孕婦的碘攝入量增加使甲狀腺功能減退癥的患病率增加。[關(guān)鍵詞]:尿碘甲狀腺功能減退癥孕婦中圖分類號:R58文獻標識碼:ATherelationshipbetweenhypothyroidismofpregnantwomanandtheurinaryiodineLiJian-ning1,ZhouL
3、i-li1,ZhaoYing-chun1,HeLan2,GaoXian-lan3,ZhangYong-hong4,WangXin-rong5.1EndocrineDepartment,KaramayZhongxinHospital(Xinjiang,834000)2EndocrineDepartment,AffiliatedHospitalNo.1,Xi’anJiaotongUniversity(Shanxi,710061)3MaternityDepartment,KaramayRenminHospital(Xi
4、njiang,834000)4MaternityDepartment,KaramayZhongxinHospital(Xinjiang,834000)5MaternityDepartment,DushanziShihuaHospital(Xinjiang,834000)[Abstract]Objective:Toevaluatetherelationshipbetweenhypothyroidismofpregnantwomanandtheurinaryiodine.Methods:Levelsofthyroid
5、hormonesandiodineinurine,weremeasuredat266casesofgestationalagewomenand2076casesofpregnantwomen.Results:1)Amongsubjectswithnormalthyroidfunction,thosewithhyperthyroidismandthosewithhypothyroidismwere245(92.1%),3(1.1%)and18(6.8%)at266casesofgestationalagewomen
6、,respectively.Amongsubjectswithnormalthyroidfunction,thosewithhyperthyroidismandthosewithhypothyroidismwere1836(88.4%),130(6.3%)and110(5.3%)at266casesofgestationalagewomen,respectively.2)3)Urinaryiodineat266casesofgestationalagewomenandincidenceofhighurinaryi
7、odineintwogroupweresignificantlyincreasedinhypothyroidism.Conclusion:Excessiveiodineintakemayleadtohypothyroidismatgestationalageofwomenandpregnantwomen.甲狀腺功能減退癥是婦女的常見病,妊娠合并甲狀腺功能減退癥可發(fā)生嚴重的圍產(chǎn)期并發(fā)癥如妊娠高血壓綜合征、低體重兒、早產(chǎn)、流產(chǎn)、胎盤早剝、死胎等,并引起后代智力的下降?,F(xiàn)有的研究認為碘攝入過量可能是甲狀腺功能減退癥的一
8、個重要原因。因此,我們對妊娠的婦女進行甲狀腺疾病的調(diào)查以了解甲狀腺功能減退癥與尿碘作者簡介:李建寧(1972-),男,陜西安康人,副主任醫(yī)師,碩士,主要從事妊娠甲狀腺疾病研究電話189995155657的關(guān)系。1對象及方法1.1對象:孕婦組:2076例2007年10月-2008年12月在社區(qū)婦幼保健站建卡的孕婦,占同期人口出生總數(shù)的72.0%。孕齡婦女組:按地理位置隨機抽