积极护理干预对甲状腺功能减退孕妇妊娠结局及胎儿的影响

目的 探讨积极护理干预对甲状腺功能减退孕妇妊娠结局及胎儿的影响。方法 选择2015年3月至2016年3月在武威市妇幼保健计划生育服务中心建档并最终分娩的145例妊娠合并甲状腺功能减退的孕妇作为研究对象，按就诊号顺序编号，随机数字表法分为对照组（72例）和干预组（73例）。对照组患者给予常规孕期指导并给予左旋甲状腺素替代治疗，干预组患者在对照组药物治疗的基础上，增加积极的护理干预措施，包括制定详细诊疗及护理方案，定期进行甲状腺功能减退知识普及、心理疏导、饮食、运动干预。观察并比较两组患者妊娠结局及对胎儿的影响。结果 干预组患者早产及贫血的发生率低于对照组，差异有统计学意义（P<0.05）。干预组的新生儿出生体重高于对照组（P<0.05），胎儿窘迫、胎儿生长受限的发生率均低于对照组（P<0.05）。两组患者在胎膜早破、死胎、新生儿窒息等方面相比，差异均无统计学意义（P>0.05）。结论 积极护理干预可以有效降低不良妊娠结局发生率，减少对围生期胎儿的不良影响。

Effects of nursing intervention on neonatal and pregnancy outcomes of the patients with maternal hypothyroidism

Objective To analysis the effects of nursing intervention on neonatal and pregnancy outcomes of the patients with maternal hypothyroidism. Methods One hundred and forty-five pregnant women with hypothyroidismchosen from march 2015 to march 2016 in our centre were divided into control group (72 cases) and intervention group(73 cases) by randomized digital table. The patients in control group were treated with levothyroxine replacement therapy under the routine guidance of pregnancy. The patients in intervention group received nursing interventions including regular popularize knowledge of hypothyroidism, dietary, psychological and other comprehensive measures besides the treatment in the control group.The pregnancy outcomes of the patients in two groups were compared. Results The incidence rates of premature birth and gestational anemia in intervention group were statistically lower than those in control group (P<0.05). The birth weight of infants in intervention group were statistically higher than those in control group (P<0.05). The rates of fetal distress and fetal growth restriction were statistically lower than that in control group. There was no significant difference in premature rupture of fetal membrans, stillbirth, neonatal asphyxia between the two groups(P>0.05). Conclusion The incidence rate of adverse pregnancy outcome of hypothyroidism and the impacts on the fetus can be induced through the performance of active nursing intervention .