| Objective:Relationship between gestational hypertension and thyroid dysfunctionamong hypertensive disorders in pregnancy comparative analysis of theprogress of the application of thyroxine treatment, prognosis and analysis of theoutcome of pregnancy.Methods:Retrospective analysis of January2012, December2013in our hospitalobstetric delivery hypothyroidism with hypertensive disorders in pregnancy(including subclinical hypothyroidism) in patients with clinical data of118cases. Thyroxine to correct a reduction in patients with hypertensive disordersduring pregnancy for hypothyroidism with drug treatment and non-treatmentgroup were divided into treatment groups and randomly selected patientsduring this pregnancy induced hypertension (not associated with thyroiddysfunction) of80patients as a control group.Results:⑴Proportion of each group had no obvious abnormalities abortion. Theaverage number of abortions non-treated group was significantly higher, thedifference was statistically significant （P<0.05）;The average number of abortions was higher than the non-treated grouptherapy group, the difference was statistically significant (P <0.05); Theaverage number of abortions is slightly higher in the treatment group, thedifference was not statistically significant (P>0.05). The average number ofweeks of pregnancy termination⑵treatment group was significantly later than the non-treated group, the difference was statistically significant (P <0.05). Theaverage birth weight in the treatment group was significantly higher than thenon-treatment group, the difference was statistically significant (P <0.05);average newborn body was slightly lower than the non-treated group controlgroup, the difference was not statistically significant (P>0.05); the averagebirth weight slightly higher in the treatment group, the difference was notstatistically significant (P>0.05).⑶non-treated patients (blood pressure"160/100mmHg urine protein:3+) both in patients with severe pre-eclampsiawas significantly higher than the proportion of the treatment group, thedifference was statistically significant (P <0.05); non-treated patients (bloodpressure>160/100mmHg urine protein:3+) both in patients with severepre-eclampsia was significantly higher proportion, the difference wasstatistically significant (P <0.05); treatment group the proportion of patientswith severe pre-eclampsia with no significant difference between the controlgroup, the difference was not statistically significance (P>0.05). Statisticsfound that the number of hypertensive disorders in pregnancy withhypothyroidism in patients aged25<Age≤35years more, the average age of30years old.Conclusions:1. hypothyroidism during pregnancy can induce a range of prenatal,intrapartum, and postpartum complications, resulting in adverse pregnancyoutcomes.2, gestational hypothyroidism with age, there is a certain correlationbetween the number of abortions, the more the number of abortions, may makeolder increased incidence of hypothyroidism during pregnancy.3, increasedincidence of pregnancy-induced hypertension: Hypertension is associated withthe severity of the severity of hypothyroidism. Hypothyroidism duringpregnancy incidence of hypertensive disorders in pregnancy were increased,suggesting that abnormal thyroid function during pregnancy-induced hypertensive disorders in pregnancy is one of the risk factors.4, withgestational hypothyroidism in women with gestational hypertension,gestational hypertension its onset, severity of symptoms, the number of weeksof pregnancy termination with timely, relevant and effective supplementthyroxine, thyroid function actively correct appetite, relieve symptoms ofhypertensive disorders in pregnancy, gestational age appropriate extension toimprove neonatal survival.5, to raise awareness of thyroid function duringpregnancy census awareness initiative to do early detection and timelytreatment. |
