描述甲状腺疾病在怀孕前的一年:一个基于人口的研究
Glòria Tena Vivó1, Neus Parellada Esquius2, Oriol Cunillera Puértolas3
1Hospital de Viladecans, Obstetrics & Gynecology Viladecans, Barcelona, Spain.
Frontiers in endocrinology
|October 11, 2023
概括
许多患有已知的甲状腺疾病的妇女,包括甲状腺功能低下症,在怀孕前没有得到充分的监测. 怀孕前查对于甲状腺健康管理至关重要.
科学领域:
- 内分泌学 在内分泌学.
- 生殖健康 生殖健康
- 公共卫生 公共卫生
背景情况:
- 甲状腺疾病很常见,可以影响怀孕的结果.
- 在怀孕之前有效地治疗甲状腺疾病对于母亲和胎儿的健康至关重要.
研究的目的:
- 评估先前诊断的甲状腺疾病的患病率和怀孕前妇女甲状腺功能低下的监测.
- 评估在怀孕前已知甲状腺疾病的妇女甲状腺监测的充分性.
主要方法:
- 一项回顾性横截面研究分析了西班牙加泰罗尼亚 (2014-2016) 120,763例怀孕的数据.
- 甲状腺疾病的诊断是基于诊断代码或药物使用 (莱沃西,抗甲状腺药物).
- 甲状腺功能测试 (TSH,FT4) 和抗体记录被收集和分类.
主要成果:
- 记录的甲状腺疾病的患病率为5.09%的甲状腺功能低下症和0.64%的甲状腺功能过高症,随着年龄的增长而增加.
- 大约40%的已知甲状腺疾病的妇女在怀孕前一年没有接受甲状腺监测.
- 在被监测的甲状腺功能低下症妇女中,31.75%的TSH水平异常;3.12%的以前未被诊断的妇女的TSH水平升高.
结论:
- 在已知甲状腺疾病的加泰罗尼亚妇女中,很大一部分在怀孕前接受了不充分的监测.
- 在被监测的女性中,很大一部分显示甲状腺功能障碍 (异常的TSH水平).
- 在怀孕前对患有甲状腺疾病的妇女进行评估对于优化生殖健康结果至关重要.
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