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妊娠期甲状腺功能保护
引用本文:蔺莉. 妊娠期甲状腺功能保护[J]. 中国实用妇科与产科杂志, 2012, 28(8): 580-583
作者姓名:蔺莉
作者单位:首都医科大学附属北京友谊医院产科
摘    要:甲状腺疾病可以导致母儿不良妊娠结局,由于妊娠期甲状腺功能发生特异性变化,用非妊娠妇女的诊断标准评估妊娠期甲状腺功能可导致妊娠期甲状腺功能减退症漏诊、甲状腺功能亢进症误诊和药物治疗剂量不足。只有正确诊断妊娠期甲状腺疾病,合理保护妊娠期甲状腺功能,才能避免不良妊娠结局的发生和减少对新生儿远期生存质量的影响,对实现我国优生优育的国策具有非常重要的意义。

关 键 词:妊娠期甲状腺功能减退症  妊娠期甲状腺功能亢进症  碘摄入

Protection of gestational thyroid function
LIN Li. Protection of gestational thyroid function[J]. Chinese Journal of Practical Gynecology and Obstetrics, 2012, 28(8): 580-583
Authors:LIN Li
Abstract:Maternal thyroid dysfunction during pregnancy are associated with adverse pregnancy outcomes.Interpretation of thyroid function tests during pregnancy can be difficult because of complex hormonal changes.Non-pregnant diagnostic criteria of thyroid function can lead to gestational hypothyroidism and hyperthyroidism misdiagnosed and inadequate doses of medication.Therefore,to establish gestation-specific reference intervals for thyroid function tests is very important to improve management of thyroid disease in pregnancy.To maintain maternal euthyroidism can decrease adverse obstetrical and neonatal outcomes and has very important significance to the national policy of China’s prenatal and postnatal cares.
Keywords:hypothyroidism during pregnancy  hyperthyroidism during pregnancy  iodine intake
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