边新华

[摘要] 目的 对甲功检测应用在妊娠患者甲状腺功能减退诊断中的效果进行研究。 方法 随机选取该院2013—2014年收治的甲状腺功能减退妊娠患者40例为观察组，再选取同期入院未见甲状腺功能减退妊娠患者40例作为对照组，对两组患者的临床资料进行回顾性分析。 结果 观察组妊娠患者促甲状腺激素与血清游离三碘甲腺原氨酸明显高于对照组，差异显著。 结论 甲状腺功能减退妊娠患者应用甲功检测具有良好的检测效果，能为患者预后治疗提供科学依据，值得临床推广。

[关键词] 甲功检测；甲状腺功能减退妊娠患者；临床效果

[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742（2016）02（c）-0197-02

Study on Effect of the Application of Thyroid Function Test in Diagnosis of Hypothyroidism in Pregnant Patients

BIAN Xin-hua

Clinical Laboratory， Chifeng Hospital of Inner Mongolia， Chifeng，Inner Mongolia， 024000 China

[Abstract] Objective To research the effect of the application of thyroid function test in diagnosis of hypothyroidism in pregnant patients. Methods 40 cases of pregnant patients with hypothyroidism admitted and treated in our hospital from 2013 to 2014 were selected as the observation group， 40 cases of patients with hypothyroidism treated at the same period were selected as the control group， and the clinical data of the two groups were retrospectively analyzed. Results The thyroid-stimulating hormone and serum free triiodothyronine of the pregnant patients in the observation group were obviously higher than those in the control group， and the differences were obvious. Conclusion The application of thyroid function test for pregnant patients with hypothyroidism has a good test effect， and it can provide scientific basis for the prognosis and treatment of patients and is worth clinical promotion.

[Key words] Thyroid function test； Pregnant patients with hypothyroidism； Clinical effect

甲状腺功能减退又称为甲减，且女性甲减症状发生率多于男性，也是妊娠期孕妇常见的临床症状[1]。甲状腺功能减退主要临床症状包括：面色苍白、嗜睡、反应迟钝、头晕、耳鸣、血压低、心脏扩大等，对于妊娠期患者有严重影响，不利于胎儿的健康成长。该研究随机选取该院2013—2014年收治的甲状腺功能减退妊娠患者40例为观察组，再选取同期入院未见甲状腺功能减退妊娠患者40例作为对照组，对两组患者的临床资料进行回顾性分析，为患者预后治疗提供科学依据，现报道如下。

1 资料与方法

1.1 一般资料

该研究随机选取2013—2014年该院收治的甲状腺功能减退妊娠患者40例为观察组，产妇平均年龄（24.5±2.4）岁，孕周（39.08±0.87），平均时间（21.06±0.22）；再选取同期入院未见甲状腺功能减退妊娠患者40例作为对照组，产妇平均年龄（26.5±2.1）岁，孕周（39.09±0.87），平均时间（22.2±0.20）。……