妊娠合并甲状腺功能亢进产妇分娩方式安全性分析

目的探讨妊娠合并甲状腺功能亢进产妇分娩方式的安全性。方法选取2007年4月-2012年10月42例妊娠合并甲状腺功能亢进产妇为研究对象，根据分娩方式不同分为剖宫产组29例和阴道分娩组13例，比较分析两组产妇年龄、孕次、病程及分娩期间产妇心率、血压、血氧饱和度及产后血清FT3、FT4。和TSH水平。结果两组产妇年龄无显著性差异（P〉0．05），剖宫产组孕次、病程均显著高于阴道分娩组（P〈0．01，P〈O．05）；剖宫产组分娩过程中心率、血压显著低于阴道分娩组（P〈0．05，P〈0．01），SaO2显著高于阴道分娩组（P〈0．01）。剖宫产组产妇产后FT3、FT4和TSH水平均显著低于阴道分娩组（P〈0．05，P〈0．01）。结论剖宫产方式分娩对妊娠合并甲亢产妇更接近于生理状态，具有较高的安全性。

Analysis on the safety of delivery methods in pregnancy with hyperthyroidism

Objective To investigate the safety of delivery methods in pregnancy with hyperthyroidism. Methods 42 cases of pregnancy with hyperthyroidism from April 2007 to October 2012 in our hospital as the research object, according to the different delivery methods, were divided into cesarean section group（29 cases） and vaginal delivery group （ 13 cases）, comparison analysis the age, gravidity, course of hyperthyroidism disease and heart rate, blood pressure, oxygen saturation during the course of deliv- ery and postpartum serum FT3, FT4 and TSH levels between two groups. Results The gravidity and course of hyperthyroidism in cesarean section group were significantly higher than that in vaginal delivery group （ P 〈0.01, P 〈0.05） ; the heart rate, blood pressure was significantly lower than that in vaginal delivery group （ P 〈0.05, P 〈0.01）, SaO2 was significantly higher than that in vaginal delivery group （P〈0.01）. Cesarean section postpartum FT3, FT4 and TSH levels were significantly lower than the va- ginal delivery group （ P 〈0.05, P 〈0.01）. Conclusion Cesarean delivery on maternal pregnancy combined with hyperthyroid- ism is closer to the physiological state, had high security.