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甲状腺疾病与妊娠:波兰内分泌学会临床实践指南

Thyroid diseases in pregnancy: guidelines of the Polish Society of Endocrinology [Choroby tarczycy w ciąży: zalecenia postępowania Polskiego Towarzystwa Endokrynologicznego].

机构信息

Chair and Department of Endocrinology, Jagiellonian University Medical College, Cracow, Poland.

Department of Endocrinology, Metabolism and Internal Medicine, Poznan University of Medical Sciences, Poznan, Poland.

出版信息

Endokrynol Pol. 2021;72(5):425-488. doi: 10.5603/EP.a2021.0089.

Abstract

Appropriate care of pregnant women with coexisting thyroid dysfunction is still a subject of much controversy. In recent years, there has been a dynamic increase in the number of scientific reports on the diagnosis and treatment of thyroid diseases in women planning pregnancy, pregnant women, and women in the postpartum period. These mainly concern the management of hypothyroidism, autoimmune thyroid diseases, and fertility disorders. Therefore, the Polish Society of Endocrinology deemed it necessary to update the guidelines on principles of diagnostic and therapeutic management in this group of patients, previously published in 2011. The recommendations were prepared by Polish experts according to evidence based medicine principles, if such data were available.

摘要

恰当处理伴发甲状腺功能障碍的孕妇仍然是一个存在颇多争议的话题。近年来,有关计划妊娠、妊娠及产后妇女甲状腺疾病的诊断和治疗的科学报道数量显著增加,主要涉及的是甲状腺功能减退症、自身免疫性甲状腺疾病和生育障碍的管理。因此,波兰内分泌学会认为有必要根据 2011 年发布的指南更新该人群的诊断和治疗管理原则。这些推荐意见是由波兰专家根据循证医学原则制定的,如果有此类数据的话。

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