怀孕时甲状腺激素的参考范围:印度孕妇需要定制
Nalini Arora1, Pallavi Kashyap1, Dipankar Saren1
1Department of Obstetrics and Gynaecology, ESI-PGIMSR & ESIC Medical College, Kolkata, Joka, West Bengal India.
Journal of obstetrics and gynaecology of India
|June 30, 2025
概括
这项研究确定了印度孕妇甲状腺激素的三个月具体参考范围. 这些发现表明,甲状腺刺激激素 (TSH) 水平高于国际准则.
科学领域:
- 内分泌学 在内分泌学.
- 生殖健康 生殖健康
- 临床化学 临床化学
背景情况:
- 在怀孕期间准确解释甲状腺功能测试需要基于人口的,三个月具体的数据.
- 现有的参考范围可能不适合印度的孕妇.
研究的目的:
- 确定印度孕妇的自由三甲状腺素 (FT3),自由甲状腺素 (FT4) 和甲状腺素 (TSH) 的三个月具体参考范围.
主要方法:
- 一项前性观察性研究在三个月内招募了无症状的孕妇.
- 使用电化学发光测量血清FT3,FT4,TSH和抗甲状腺过氧化酶 (抗TPO) 抗体.
- 使用第五百分比和第95百分比来确定参考范围.
主要成果:
- 在排除后,分析了836名孕妇的数据.
- 对于FT3,FT4和TSH,确定了三季度特定的参考范围.
- 自由甲状腺素 (FT4) 随着孕期的推进显示出显著的下降趋势.
结论:
- 印度孕妇的三季度特异性TSH参考水平高于4mIU/L的指导值.
- 这项研究提供了关键的数据,用于准确评估甲状腺功能在这个人群.
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