孕期孕产妇甲状腺功能参数的胎儿性变态,一个单一中心的回顾性现实研究
Meiqin Wu1, Chunping Hu2,3, Dan Huang1,4
1Shanghai Key Laboratory of Maternal Fetal Medicine, Department of Women's and Children's Health Care, Shanghai First Maternity and Infant Hospital, School of Medicine, Tongji University, Shanghai, China.
Frontiers in endocrinology
|September 2, 2024
概括
孕妇甲状腺功能因胎儿的性别而有差异,特别是在怀孕9-12周之间. 孕育女性胎儿的母亲的甲状腺刺激激素 (TSH) 水平较低,自由甲状腺素 (FT4) 水平较高.
科学领域:
- 内分泌学 在内分泌学.
- 生殖医学 生殖医学
- 孕产妇和胎儿医学 孕产妇和胎儿医学
背景情况:
- 孕妇的甲状腺功能在整个妊娠期间自然会波动.
- 以前的研究还没有确定胎儿的性别是否会影响母亲的甲状腺激素水平.
研究的目的:
- 在怀孕期间调查孕产妇甲状腺刺激激素 (TSH) 和自由甲状腺素 (FT4) 水平的潜在胎儿性别差异.
主要方法:
- 对69,243名孕妇的医疗记录进行了回顾性分析.
- 使用量子回归来评估变量与TSH/FT4度之间的关系,包括跨妊娠周对胎儿性别的影响.
主要成果:
- 孕妇的TSH水平0.11 mIU/L较低 (P <0.001) 和FT4水平0.14 pmol/L高 (P <0.001) 在与男性胎儿相比,女性胎儿的母亲比男性胎儿的母亲更高,特别是在妊娠9-12周之间.
- 孕妇甲状腺功能的性变异在妊娠9-12周期间最为明显.
结论:
- 胎儿的性别似乎影响母亲的甲状腺功能,在妊娠9-12周之间观察到不同的模式.
- 怀孕女性胎儿的母亲的高hCG水平可能会导致这些观察到的甲状腺功能差异.
- 建议进行进一步的纵向研究,以证实这些发现,并探索整个怀孕期间的影响.
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