孕妇甲状腺功能和妊娠期糖尿病与怀孕结果的关联:一个回顾性队列研究
Chang Zou1, Qinxin Shen1, Yuanyuan Yang1
1Shanghai Key Laboratory of Maternal Fetal Medicine, Shanghai Institute of Maternal-Fetal Medicine and Gynecologic Oncology, Shanghai First Maternity and Infant Hospital, School of Medicine, Tongji University, Shanghai, China.
Frontiers in endocrinology
|June 23, 2025
概括
妊娠期糖尿病 (GDM) 和妊娠中的甲状腺功能障碍增加了早产,胎儿过度生长和高血压疾病的风险. 对甲状腺功能和葡萄糖代谢的综合查对于及时干预至关重要.
科学领域:
- 产科和妇科 产科和妇科
- 内分泌学 在内分泌学.
- 孕产妇和胎儿医学 孕产妇和胎儿医学
背景情况:
- 妊娠期糖尿病 (GDM) 和甲状腺功能障碍在怀孕期间很常见,并且与不良结果有关.
- 它们对怀孕的联合作用需要在大型临床研究中进一步调查.
研究的目的:
- 为了比较孕妇与没有GDM的孕妇的三月期特异性甲状腺功能.
- 评估母亲甲状腺功能对怀孕结果的影响,调整为GDM状态.
主要方法:
- 对81,488例单子怀孕 (2013-2020年,中国上海) 的回顾性队列研究.
- 使用后勤回归和并行调解分析对母亲和婴儿生物识别的分析.
主要成果:
- 在GDM怀孕中,自由甲状腺素 (FT4) 和甲状腺刺激激素 (TSH) 水平发生变化.
- 怀孕中期的甲状腺功能障碍与早产和胎儿过度生长的风险增加有关.
- 怀孕后期低FT4与高血压疾病有关;GDM放大了这些风险. 母胎费里调解了甲状腺与新生儿体重的相关性.
结论:
- 在GDM怀孕中,甲状腺功能障碍会增加不良结果的风险.
- 对甲状腺功能和葡萄糖代谢的联合查对于早期干预至关重要.
- 缓解早产,高血压疾病和胎儿过度生长的风险至关重要.
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