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印度北部足月妊娠中甲状腺功能减退症的患病率。

Prevalence of Hypothyroidism in Term Pregnancies in North India.

作者信息

Kalra Bharti, Choudhary Meenu, Thakral Meenakshi, Kalra Sanjay

机构信息

Department of Obstetrics, Bharti Hospital, Karnal, Haryana, India.

Department of Diabetes Education, Bharti Hospital, Karnal, Haryana, India.

出版信息

Indian J Endocrinol Metab. 2018 Jan-Feb;22(1):13-15. doi: 10.4103/ijem.IJEM_189_17.

Abstract

BACKGROUND

Hypothyroidism is common in pregnancy. No study has determined the prevalence of hypothyroidism in term pregnancies in India.

AIM

This study aims to determine the prevalence and correlates of hypothyroidism in women who delivered at a center in Karnal, Haryana, North India.

RESULTS

Indoor records of all women who had delivered at this centre from April 2016 to March 2017 were reviewed. The prevalence of hypothyroidism was 12.3%, of which 15.5% were diagnosed during pregnancy. The dose requirement of L-thyroxine ranged from 25 to 200 μg (mean 76.38 +- 43.02). With this, 80% were able to achieve trimester-specific thyroid-stimulating hormone targets. Hypothyroidism did not correlate with any medical or obstetric complications.

CONCLUSION

Hypothyroidism is common in term pregnancies. If treated adequately, healthy fetomaternal outcomes can be achieved.

摘要

背景

甲状腺功能减退在孕期很常见。尚无研究确定印度足月妊娠中甲状腺功能减退的患病率。

目的

本研究旨在确定在印度北部哈里亚纳邦卡纳尔的一个中心分娩的女性中甲状腺功能减退的患病率及其相关因素。

结果

回顾了2016年4月至2017年3月在该中心分娩的所有女性的住院记录。甲状腺功能减退的患病率为12.3%,其中15.5%在孕期被诊断出。左甲状腺素的剂量需求范围为25至200微克(平均76.38±43.02)。据此,80%的人能够达到特定孕期的促甲状腺激素目标。甲状腺功能减退与任何医学或产科并发症均无关联。

结论

甲状腺功能减退在足月妊娠中很常见。如果得到充分治疗,可以实现母婴健康的结局。

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