Appierto U, Subrizi D A, Minozzi M, Unfer V
1st Institute of Gynecology and Obstetrics, University La Sapienza, Rome, Italy.
Clin Exp Obstet Gynecol. 1996;23(1):18-20.
Thyroid function in early pregnancy has been reported to be slightly different from that in second or third trimester. We assessed thyroid function before and after induced abortion in normal pregnant women. A significant increase in serum Free T4 and a decrease in serum TSH were observed before abortion and these changes, apart from the contemporary significance of serum hCG-beta, were especially marked in pregnant women with nausea and vomiting. On the other hand, an increased level of Free T4 and a reduced level of TSH returned to the normal ranges 7-10 days after induced abortion. Furthermore, serum hCG-beta was significantly reduced. These results suggest that, in normal early pregnancy, thyroid function may be related to serum hCG-beta concentration and its increased level, which induces gestational emesis.
据报道,孕早期的甲状腺功能与孕中期或孕晚期略有不同。我们评估了正常孕妇人工流产前后的甲状腺功能。流产前观察到血清游离T4显著升高,血清促甲状腺激素(TSH)降低,除血清β-人绒毛膜促性腺激素(hCG-β)的当代意义外,这些变化在伴有恶心和呕吐的孕妇中尤为明显。另一方面,人工流产后7 - 10天,游离T4水平升高和TSH水平降低恢复到正常范围。此外,血清hCG-β显著降低。这些结果表明,在正常孕早期,甲状腺功能可能与血清hCG-β浓度及其升高水平有关,而hCG-β水平升高会诱发妊娠呕吐。