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孕妇甲状腺功能减退症与尿碘的关系

Relationship between hypothyroidism of pregnant woman and the urinary iodine

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【作者】 李建宁赵迎春周黎黎何岚高显兰张永红王新荣

【Author】 LI Jian-ning1,ZHAO Ying-chun1,ZHOU LI-li1,HE Lan2,GAO Xian-lan3, ZHANG Yong-hong4,WANG Xin-rong5(1.Department of Endocrinology,Karamay Zhongxin Hospital,Karamay,Xinjiang 834000,P.R.China;2.Department of Endocrinology,the First Affiliated Hospital,Xi’an Jiaotong University,Xi’an,Shannxi 710061,P.R.China;3.Department of Gynecology and Obstetrics,Karamay Renmin Hospital,Karamay,Xinjiang 834000,P.R.China;4.Department of Gynecology and Obstetrics,Karamay Zhongxin Hospital,Karamay,Xinjiang,834000,P.R.China; 5.Department of Gynecology and Obstetrics,Dushanzi Shihua Hospital,Karamay, Xinjiang 834000,P.R.China)

【机构】 新疆克拉玛依市中心医院内分泌科西安交通大学第一附属医院内分泌科新疆克拉玛依市人民医院妇产科新疆克拉玛依市中心医院妇产科新疆独山子石化医院妇产科

【摘要】 目的明确孕妇甲状腺功能减退症(甲减)与尿碘的关系。方法对266例育龄妇女及2 076例孕妇进行甲状腺功能及尿碘测定。结果①育龄妇女及孕妇甲状腺功能的分布情况为:正常245例(92.1%)、甲状腺激素减低3例(1.1%)、甲减18例(6.8%)及正常1 836例(88.4%)、TSH减低130例(6.3%)、甲减110例(5.3%)。②育龄妇女甲减组尿碘显著升高,两组高尿碘的发生率显著性升高。结论育龄妇女及孕妇的碘摄入量增加使甲状腺功能减退症的患病率增加。

【Abstract】 【Objective】To evaluate the relationship between hypothyroidism of pregnant woman and the urinary iodine.【Methods】Levels of thyroid hormones and iodine in urine,were measured at 266 cases of gestational age women and 2 076 cases of pregnant women.【Results】①Among subjects with normal thyroid function,those with hyperthyroidism and those with hypothyroidism were 245(92.1%),3(1.1%) and 18(6.8%) at 266 cases of gestational age women,respectively.Among subjects with normal thyroid function,those with hyperthyroidism and those with hypothyroidism were1836(88.4%),130(6.3%) and 110(5.3%) at 266 cases of gestational age women,respectively.②Urinary iodine at 266 cases of gestational age women and incidence of high urinary iodine in two group were significantly increased in hypothyroidism.【Conclusion】Excessive iodine intake may lead to hypothyroidism at gestational age of women and pregnant women.

【关键词】 尿碘甲状腺功能减退症孕妇
【Key words】 urinary iodinehypothyroidismpregnant woman
  • 【文献出处】 中国现代医学杂志 ,China Journal of Modern Medicine , 编辑部邮箱 ,2010年24期
  • 【分类号】R581.2
  • 【被引频次】4
  • 【下载频次】172
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