妊娠期甲状腺功能亢进患者血清甲状腺功能结果的分析-论文.pdf

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1、中国当代医药2014年1月第21卷第1期·临床研究·妊娠期甲状腺功能亢进患者血清甲状腺功能结果的分析张鹏凌俊辉吴育平蔡斯俏广东省梅州市人民医院，广东梅州514031【摘要]目的分析妊娠期甲状腺功能亢进患者血清甲状腺功能结果，以探讨其临床价值。方法43例妊娠期合并甲状腺功能亢进患者为观察组，30例妊娠非甲状腺功能亢进患者为对照组，比较两组不同阶段甲状腺功能结果。结果观察组患者各阶段血清TT，、Tr4水平明显高于对照组，差异有统计学意义(P

2、对照组，差异有统计学意义(P0．05)；妊娠中1／3阶段观察组FT，、FT4水平与对照组比较差异无统计学意义(P>O．05)；妊娠后1／3阶段观察组FT3、水平低于对照组，差异有统计学意义(P

3、【关键词】甲状腺功能亢进；妊娠；临床意义【中图分类号】R581．1[文献标识码】A[文章编号】1674—4721(2014)01(a)-0025-03AnalysisoftheserumthyroidfunctionresultofpregnancycombinedwithhyperthyroidismpatientsZHANG尸e凡gLINGJun—huiUYu-pingCAISi—qiaoPeopleSHospitalofMeizhouCityinGuangdongProvince，Meizho

4、u514031，China【Abstract】ObjectiveToanalysetheserumthyroidfunctionresultofpregnancycombinedwithhyperthyroidismpa—tientsinordertostudytheclinicalvalue．Methods43casesofpregnancycombinedwithhyperthyroidismpatientsasobservationgroupand30casesofpregnancycombi

5、nedwithn0n—hyperthymidismpatientsascontrolgroup．Thyroidfunctionresultsindifferentstagesoftwogroupswerecompared．ResultsThesenlmTr3，levelsindifferentstagesofobservationgroupweresignificantlyhigherthanthatofcontrolgroup，withstatisticaldifference(P

6、RAbpositiverateintheearly1／3stageofpregnancyofobservationgroupwaslowerthanthatofcontrolgroup，withstatisticaldiffer—ence(P<0．05)．TRAbpositiverateinthemiddleandlater1／3stageofpregnancyoftwogroupwascompared，withnosta-tisticaldifference(P>O．05)．TheserumFT3

7、，levelsinthemiddle1／3stageofpregnancyofobservationgroupandcon—trolgroupwerecompared，withnostatisticaldifference(P>0．05)．Theserumn’3，FT4levelsinlater1／3stageofobserva—tiongroupweresignificantlylowerthanthatofcontrolgroup，withstatisticaldifference(尸l<0．0

8、5)．ConclusionTheserumIrr3，TY4levelsofpregnancycombinedwithhyperthyroidismpatientshashighexpression,TRAbpositiverateisincreasedinearlypregnancy，theserumFT3，Flevelsarelowerinlaterpregnancy．Pregnantwomenshouldberegularlythyroidhormoneexami