妊娠合并甲状腺疾病的围产结局58例临床分析(2)

http://www.100md.com 2010年1月25日 《中国现代医生》 2010年第3期

     综上所述,甲状腺功能的异常,即甲状腺功能亢进或减低,都将对围产结局产生影响,而其中主要是妊娠期的甲状腺功能水平,若孕期甲状腺功能正常,则分娩过程不受影响,可娩出正常的新生儿。因此,开展对孕前及孕期母体甲状腺功能监测十分重要。Haddow 等[6]和Fisher[7]均提出妊娠期应经常评价甲状腺功能,估计可能的甲状腺功能异常,并监测以前存在的甲状腺疾病。Mestman[2]建议甲状腺功能测试应在诊断妊娠时及28～32孕周之内进行。加强孕产妇保健,提高对妊娠合并甲状腺疾病的认识和意识,并给予及时恰当的诊断和治疗,以保证正常的围产结局。

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    (收稿日期:2009-05-26)(莫翠玲 赖 坚)

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