妊娠合并甲状腺功能亢进患者心电图的临床价值

目的探讨妊娠合并甲状腺功能亢进患者的心电图特点及临床意义。方法 79例妊娠合并甲亢患者分为正常心电图组和异常心电图组,比较两组的母婴并发症差异。结果 79例中异常心电图53例（67.1%）,异常心电图组的妊娠高血压、心脏病、早产、胎儿窘迫及低体重儿的发病率明显高于正常心电图组（P〈0.01或P〈0.05）;两组新生儿甲状腺功能异常发生率比较,差异无统计学意义（P〉0.05）。结论孕期监测心电图对甲亢妊娠患者观察病情和判断妊娠结局有十分重要的临床意义。

Clinical value of electrocardiogram for pregnant women with hyperthyroidism

Objective To study the characteristics and clinical significance of electrocardiogram（ECG） for pregnant women with hyperthyroidism.Methods Seventy-nine pregnant women with hyperthyroidism were divided into normal ECG group and abnormal ECG group.Difference in complications of mothers and infants were compared between the two groups.Results Of the 79 pregnant women,53（67.1%） had abnormal ECG.The incidence of pregnant hypertension,heart disease,premature delivery,fetal distress,low birth weight infant was significantly higher in abnormal ECG group than in normal ECG group（P0.01 or P0.05）,However,no significant difference was observed in thyroid dysfunction of newborns between the two groups（P0.05）.Conclusion Monitoring ECG is of great importance for observing the condition of pregnant women with hyperthyroidism and judging their clinical outcome.