维吾尔族孕妇亚临床甲状腺功能减退症的影响因素及其防治对策

发布时间：2018-07-07 18:11

本文选题：维吾尔族 + 妊娠期　；参考：《现代妇产科进展》2017年01期

【摘要】：目的:研究维吾尔族孕妇亚临床甲状腺功能减退症(SCH)的影响因素,提出防治对策。方法:选取2015年1月至2015年12月就诊于乌鲁木齐市妇幼保健院的且符合纳入及排除标准的维吾尔族孕妇,采用自行设计的调查问卷对选取的产妇进行面对面调查,收集并分析维吾尔族SCH患者的相关指标,将所有资料建立数据库,采用逐步向前法拟合多因素logistic回归模型探索SCH相关因素。结果:3428例维吾尔族中,妊娠期SCH患者490例,检出率为14.29%。通过逐步回归筛选表明,维吾尔族孕妇年龄、体质指数(BMI)、血红蛋白浓度、既往糖尿病病史对SCH的发生有影响(P0.05)。年龄大于30岁、BMI大于24kg/m~2、贫血及既往合并糖尿病病史的维吾尔族孕妇发生SCH的风险较高。结论:高龄、肥胖、贫血、糖尿病是影响维吾尔族孕妇发生妊娠期SCH的主要因素。应加强孕前、孕期的健康宣教,避免高龄怀孕,控制孕期体质量,积极开展常见疾病监测及诊治,降低妊娠期SCH发生率。
[Abstract]:Objective: to study the influencing factors of subclinical hypothyroidism (Sch) in Uygur pregnant women and put forward the preventive and therapeutic measures. Methods: the pregnant women of Uygur nationality who met the criteria of inclusion and exclusion were selected from January 2015 to December 2015 in Urumqi City Maternal and Child Health Hospital. The self-designed questionnaire was used to conduct a face-to-face survey on the selected women. The related indexes of Uygur patients with sch were collected and analyzed, and all the data were established. The stepwise forward fitting multi-factor logistic regression model was used to explore the related factors of sch. Results of 3428 Uygur women, 490 cases had SCH during pregnancy, and the detection rate was 14.29%. Stepwise regression screening showed that age, body mass index (BMI), hemoglobin concentration and history of diabetes had influence on the occurrence of Sch in Uygur pregnant women (P0.05). The risk of SCH in Uygur women over 30 years old was higher than that in Uygur women with anemia and previous history of diabetes. Conclusion: old age, obesity, anemia and diabetes are the main factors that affect the gestational SCH in Uygur pregnant women. It is necessary to strengthen health education before pregnancy, avoid pregnancy at old age, control body mass during pregnancy, carry out surveillance and diagnosis of common diseases, and reduce the incidence of SCH during pregnancy.
【作者单位】：乌鲁木齐市妇幼保健院;新疆维吾尔自治区卫生和计划生育委员会;
【基金】：乌鲁木齐市科学技术计划项目(No:Y131310018)
【分类号】：R714.256

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