本文選題：瑤族 + 甲狀腺功能　； 參考：《廣東醫(yī)學(xué)》2015年11期

【摘要】：目的評估連南瑤族縣漢、瑤族婦女妊娠中期甲狀腺功能水平,分析民族及地區(qū)差異性。方法選擇孕13~28周連南地區(qū)漢、瑤族妊娠中期婦女110例,測量FT4、TSH、TPOAb水平,并與廣州地區(qū)100例漢族妊中期婦女比較,探討不同民族及地區(qū)甲狀腺功能水平及其差異。結(jié)果廣州地區(qū)孕中期婦女FT4水平較連南地區(qū)低(P0.05),但其差異與民族無關(guān);連南地區(qū)妊娠中期婦女TSH水平與廣州地區(qū)差異無統(tǒng)計學(xué)意義(P0.05);連南地區(qū)漢族、連南地區(qū)瑤族、廣州地區(qū)漢族妊娠期婦女妊娠中期亞甲減發(fā)生率分別為3.5%、1.9%、2%,亞甲亢發(fā)生率為5.3%、3.8%、2%,甲減發(fā)生率為0%、0%、1%,甲亢發(fā)生率為0%、3.8%、1%,低甲狀腺素血癥發(fā)生率為5.3%、3.8%、10%,TPOAb陽性率為10.5%、3.8%、8%,但其差異均無統(tǒng)計學(xué)意義(P0.05);TPOAb陽性組較陰性組甲功異常發(fā)生率明顯增高(P0.05)。結(jié)論連南地區(qū)漢、瑤族婦女甲狀腺功能無民族差異,但FT4水平與廣州存在地區(qū)差異;TPOAb陽性者,甲狀腺功能異常發(fā)生率明顯升高,因此有必要對妊娠期婦女篩查TPOAb。
[Abstract]:Objective to evaluate the thyroid function of Han and Yao women in Liannan Yao county and analyze the difference between different nationalities and regions. Methods 110 cases of Han and Yao women in Liannan district were selected for 1328 weeks of gestation. The levels of TPOAb of FT4TSHSH-TPOAb were measured and compared with 100 women of Han nationality in Guangzhou area. The thyroid function and its difference in different nationalities and regions were studied. Results the level of FT4 in women of second trimester of pregnancy in Guangzhou was lower than that in Liannan (P0.05), but the difference was not related to nationality; there was no significant difference in TSH level between women in second trimester of pregnancy in Liannan and Guangzhou (P0.05); in the Han nationality of Liannan, Yao in Liannan, there was no significant difference between them (P0.05). The incidence of hypothyroidism in the second trimester of pregnancy in the Han nationality in Guangzhou area was 3.51.9. the incidence of hyperthyroidism was 5.3and 3.80.The incidence of hypothyroidism was 0.33 and 3.80.The incidence of hypothyroidism was 0.33.81.The incidence of hypothyroidism was 5.33.81010TPOAb, but there was no difference between the two groups. Statistical significance (P0.05) TPOAb positive group was significantly higher than the negative group A abnormal incidence (P0.05). Conclusion there is no ethnic difference in thyroid function between Han and Yao women in Liannan area, but the incidence of thyroid dysfunction is significantly higher in those with positive FT4 levels than those in Guangzhou. Therefore, it is necessary to screen TPOAbs for pregnant women.
【作者單位】： 廣東藥學(xué)院附屬第一醫(yī)院內(nèi)分泌科;廣東藥學(xué)院附屬第一醫(yī)院核醫(yī)學(xué)科;
【基金】：2013年廣東省人口計生委科研課題(編號:20133094)
【分類號】：R714.256

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