论文部分内容阅读
目的探讨舟山地区妊娠妇女的孕期各阶段甲状腺激素的影响因素。方法选取孕妇358例,检测各孕期血清甲状腺激素,并进行问卷调查,Logistic回归模型分析甲状腺素异常的影响因素。结果早孕阶段孕妇甲状腺素异常的危险因素主要是孕前吸烟[OR 11.212(95%CI:5.965~19.232)]、中度焦虑等[OR 4.566(95%CI:2.128~8.612)](P<0.01或P<0.05);中孕阶段孕妇甲状腺素异常的危险因素主要是孕前吸烟[OR 4.123(95%CI:3.313~5.489)]、轻度焦虑[OR 5.335(95%CI:3.254~9.363)]、中度焦虑等[OR 7.151(95%CI:4.259~12.362)](P<0.01或P<0.05);晚孕阶段孕妇甲状腺素异常的危险因素主要是轻度焦虑[OR 7.596(95%CI:2.636~13.585)]、中度焦虑等[OR 5.151(95%CI:1.154~9.541)](P<0.01或P<0.05)。结论孕妇和丈夫戒烟、缓解抑郁和焦虑的情绪,有助于防范和减少本地区孕妇妊娠期甲状腺疾病。
Objective To investigate the influencing factors of thyroid hormones in pregnant women in Zhoushan during different stages of pregnancy. Methods 358 pregnant women were selected to detect serum thyroid hormones during pregnancy, and questionnaires were conducted. The influencing factors of thyroid hormone abnormalities were analyzed by Logistic regression model. Results The risk factors for thyroid hormone abnormalities during early pregnancy were mainly pre-pregnancy smoking [OR 11.212 (95% CI: 5.965-19.232)], moderate anxiety [OR 4.566 (95% CI: 2.128-8.612)] (OR 4.123 (95% CI: 3.313-5.489)], mild anxiety [OR 5.335 (95% CI: 3.254-9.363)], and moderate risk of thyroid hormone Moderate anxiety [OR 7.151 (95% CI: 4.259-12.362)] (P <0.01 or P <0.05). The risk factors for thyroid hormone abnormalities in pregnant women during the second trimester were mainly mild anxiety [OR 7.596 (95% CI: 2.636 to 13.585)], moderate anxiety, etc. [OR 5.151 (95% CI: 1.154 to 9.541)] (P <0.01 or P <0.05). Conclusions Both pregnant women and their husband quit smoking and relieve depression and anxiety, which helps prevent and reduce the thyroid disease during pregnancy in pregnant women in this area.