妊娠期妇女血清甲状腺激素检测的临床应用

目的研究妊娠期妇女血清甲状腺激素的水平,探讨其对妊娠期妇女的意义与影响。方法选取该院体检中心体检的50例妊娠期妇女以及50例未孕妇女进行研究,分为妊娠组与未孕组。所有对象均自愿参加研究并签字同意,对所有对象检测其甲状腺激素水平,其中包括总三碘甲状腺激素（TT3）、总四碘甲状腺激素（TT4）、游离三碘甲状腺激素（FT3）、游离四碘甲状腺激素（FT4）以及促甲状腺激素（TSH）。结果测量血清中甲状腺激素的结果发现,妊娠组妇女的T3、T4水平对比未孕组妇女显著较高（P〈0.05）;妊娠组妇女TSH水平显著低于未孕组妇女（P〈0.05）;而FT3、FT4水平两组差异无统计学意义（P〉0.05）。结论对妊娠妇女进行血清甲状腺激素检测可以有效的诊断出甲状腺疾病及功能异常者,提前做出相应处理,保障孕妇和胎儿的安全。

Clinical Application of Serum Thyroid Hormone Tests in Pregnant Women

Objective To study the serum thyroid hormone level of pregnant women, and its significance and effects on pregnant women. Methods 50 cases of pregnant women and 50 cases of non-pregnant women who took physical examination in the medical examination center of our hospital were selected and divided into pregnant group and non-pregnant group. AU the subjects volun- tarily participated in the study and signed for consent. Thyroid hormone levels of all subjects were tested, including total three io- dine thyroid hormone （TT3）, total four iodine thyroid hormone （TT4）, free triiodothyronine hormone （FT3）, free four iodine thyroid hormone （FT4）, and thyroid stimulating hormone （TSH）. Results Measurement results of serum thyroid hormone showed, the T3 and T4 levels of objects from pregnant group were significantly higher than those of objects from non-pregnant group, with P〈0.05; the TSH levels of objects from pregnant group were significantly lower than those of objects from non-pregnant group, with P〈0.05; while the FT3 and FT4 of the groups did not show so much difference, with P〉0.05. Conclusion Serum thyroid hormone tests in pregnant women can help effectively diagnose thyroid disease or dysfunction, which in turn to make appropriate treatment in ad- vance to ensure the safety of the pregnant women and fetus.