分析独立的风险因素,构建甲状腺功能障碍在怀孕早期的预测模型
Yiliminuer Keremu1, Xiaolu Yu1, Gang Zhao2
1Department of Medical Laboratory Center, Tumor Hospital Affiliated to Xinjiang Medical University, Xinjiang Key Laboratory of Molecular Biology for Endemic Diseases, Urumqi, Xinjiang, China.
Frontiers in endocrinology
|December 1, 2025
概括
怀孕早期的甲状腺功能障碍会影响母亲和胎儿的健康. 甲状腺过氧化酶 (A-TPO),甲状腺刺激激素 (TSH) 和自由三甲状腺素 (FT3) 的自身抗体是关键的危险因素,可通过预测模型进行早期检测.
科学领域:
- 内分泌学 在内分泌学.
- 产科 产科 产科 产科 产科
- 生殖健康 生殖健康
背景情况:
- 怀孕早期的甲状腺功能障碍对母亲和胎儿的健康构成重大风险,包括孕前和早产.
- 早期识别风险因素对于及时干预和改善妊娠结果至关重要.
研究的目的:
- 在怀孕早期确定甲状腺功能障碍的独立风险因素.
- 开发和验证用于早期诊断和管理的预测模型.
主要方法:
- 对来自新疆三家医院的2151名孕妇数据进行了回顾性分析.
- 选独立的风险因素,并使用实验室指标构建预测模型.
主要成果:
- 甲状腺功能障碍发生率为30.73%,亚临床甲状腺功能障碍是最常见的.
- 对甲状腺过氧化酶 (A-TPO),TSH和FT3的自身抗体被确定为独立的危险因素.
- 预测模型实现了0.911的AUC,灵敏度为0.874,特异性为0.955.
结论:
- 甲-TPO,TSH和FT3是妊娠早期甲状腺功能障碍的重要独立风险因素.
- 开发的预测模型在早期诊断和干预方面表现强.
相关概念视频
Synthesis and Regulation of Thyroid Hormones
7.1K
Low blood levels of the thyroid hormones — triiodothyronine (T3) and thyroxine (T4) — signal the hypothalamus to release the thyrotropin-releasing hormone (TRH). TRH then reaches the pituitary gland and stimulates the release of thyroid-stimulating hormone(TSH) into the bloodstream.
Upon reaching the thyroid gland, TSH stimulates the follicular cells' active uptake of iodide ions from the blood. The ions diffuse to the apical surface of the cells and are oxidized to iodine. The...
Upon reaching the thyroid gland, TSH stimulates the follicular cells' active uptake of iodide ions from the blood. The ions diffuse to the apical surface of the cells and are oxidized to iodine. The...
7.1K
Functions of Thyroid Hormones
4.9K
The thyroid hormone (TH) plays a pivotal role in the intricate orchestration of physiological processes, exerting profound effects on development, metabolism, and homeostasis throughout different life stages.
TH is indispensable for the normal development and maturation of the skeletal, muscular, and nervous systems during fetal and childhood growth. It facilitates bone mineral turnover and regulates protein synthesis in developing tissues, contributing significantly to overall growth and...
TH is indispensable for the normal development and maturation of the skeletal, muscular, and nervous systems during fetal and childhood growth. It facilitates bone mineral turnover and regulates protein synthesis in developing tissues, contributing significantly to overall growth and...
4.9K
The Thyroid Gland
6.6K
The thyroid gland is a small, butterfly-shaped gland located in the neck and covers the anterior surface of the trachea. The gland has two lateral lobes connected by a thin tissue mass called the isthmus. Internally, each lobe comprises many small spherical structures known as thyroid follicles, surrounded by a network of blood vessels.
The follicles have a central cavity lined by simple cuboidal to squamous epithelial cells called follicular cells. These cells produce the glycoprotein...
The follicles have a central cavity lined by simple cuboidal to squamous epithelial cells called follicular cells. These cells produce the glycoprotein...
6.6K
Teratogenicity
3.9K
The ability of a drug to produce structural deformations and functional abnormalities in the developing embryo or the fetus is called teratogenicity, and the drug producing this effect is known as a teratogen. Teratogenic effects include stillbirth, miscarriage, intrauterine growth restriction, and neurocognitive delay. A teratogen may affect the embryo at different stages of development, which is important in determining the type and extent of the damage. During blastocyst formation, the early...
3.9K


