上海交通大学学报（医学版）

上海交通大学学报（医学版） ›› 2017, Vol. 37 ›› Issue (10): 1417-.doi: 10.3969/j.issn.1674-8115.2017.10.022

• 论著（临床研究） • 上一篇    下一篇

孕妇对甲状腺疾病认知程度的调查及相关因素分析

杨文，王宁宁，张云燕，杨艳，冯文   

  1. 江苏省连云港市第一人民医院妇产科，连云港 222002
  • 出版日期:2017-10-28 发布日期:2017-11-01
  • 通讯作者: ?冯文，电子信箱：lygzhouhui@sina.com
  • 作者简介:杨文（1972—），女，主任医师，学士；电子信箱：1138514130 @qq.com

Survey of pregnant women’s understanding of thyroid diseases and analysis of influence factors#br#

YANG Wen, WANG Ning-ning, ZHANG Yun-yan, YANG Yan, FENG Wen   

  1. Department of Obstetrics and Gynecology, the First People's Hospital of Lianyungang, Jiangsu Province, Lianyungang 222002, China
  • Online:2017-10-28 Published:2017-11-01

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摘要： 目的 · 探讨提高孕前及孕早期甲状腺疾病筛查率的方法。方法 · 收集连云港市第一人民医院 2016 年 1 月至 2016 年 12 月入院 待产的 1 212 例孕妇作为研究对象，对其进行调查问卷，内容包括孕妇基本情况、信息来源方式、对甲状腺疾病的认知程度、是否进 行甲状腺功能筛查及筛查时间，并进行分析。结果 · 1 212 例调查对象中，认知甲状腺疾病及其对妊娠危害的为 214 例（17.66%），仅 认知甲状腺疾病的为 659 例（54.37%），对上述情况均不了解的为 339 例（27.97%）。接受甲状腺功能筛查情况：孕前 29 例（2.39%）， 孕早期 185 例（15.26%），孕中晚期 635 例（52.39%），未筛查 363 例（29.95%）；认知水平与总筛查率及孕前、孕早期的筛查率均呈 正相关（r=0.57，r=0.15，P=0.000）。 结论 · 提高育龄妇女对甲状腺疾病及疾病对妊娠危害的认知程度，有利于提高妊娠期甲状腺疾病 的筛查率。

关键词: 妊娠期, 甲状腺疾病, 调查问卷, 优生优育

Abstract:

Objective · To explore ways to improve screening conditions for thyroid disorders during pre-pregnancy period and the first trimester.  Methods · 1 212 cases of hospitalized expectant mothers from Jan 2016 to Dec 2016 in the First People’s Hospital of Lianyungang were studied. As required, these subjects were filled in the questionnaires, including the pregnant women’s basic situation, the way of obtaining the information, their understanding level of thyroid disorders, and their experience of thyroid function screening and screening time. The clinical data was analyzed after collected.  Results · Among 1 212 subjects, merely 214 (17.66%) subjects knew the thyroid disorders and considered it harmful to themselves during their pregnancy, and 659 (54.37%) subjects knew less about thyroid disorders, and 339 (27.97%) knew nothing about the two situations mentioned above. Among all the pregnant women in this study, 29 (2.39%) underwent thyroid function screening before pregnancy, 185 (15.26%) in the first-trimester, 635 (52.39%) during the second and third trimesters, and 363 (29.95%) didn't get thyroid function screening at all. The level of knowing thyroid disorders has a positive correlation to screening ratio in total and the pre-pregnant and first-trimester screening ratio (r=0.57, r=0.15, P=0.000).  Conclusion · Raising childbearing-aged women’s awareness of thyroid disorders and their harms to pregnancy will be helpful for improving thyroid function screening ratio in pregnancy.

Key words: pregnancy, thyroid disorder, questionnaire, healthy birth and child development