济南地区正常妊娠妇女各期甲状腺功能指标的参考值范围评估

doi:10.6040/j.issn.1671-7554.0.2015.053

摘要/Abstract

摘要： 目的评估济南地区妊娠妇女妊娠各期特异性血清游离三碘甲状腺原氨酸(FT3)、游离甲状腺素(FT4)及血清促甲状腺激素(TSH)的正常参考范围。方法妊娠妇女370例作为研究组,非妊娠期妇女60例作为对照组,根据美国国家临床生化研究院(NACB)指南的推荐,电化学发光法测定TSH、FT4、FT3、抗甲状腺球蛋白抗体(TgAb)、抗甲状腺过氧化物酶抗体(TPOAb)及促甲状腺激素受体抗体(TRAb)血清学水平。结果血清FT3、FT4、TSH在妊娠早期(1~12周末)的参考范围分别为3.33~5.78、3.07~5.52、2.91~5.46 pmol/L,在妊娠中期(13~27周末)的参考范围分别为12.60~18.94、8.74~17.23、8.64~17.21 pmol/L,妊娠晚期(28~40周)的参考范围分别为0.27~4.27、0.53~4.75、0.76~4.59 mIU/L。结论济南地区妊娠妇女的血清甲状腺激素水平具备地域上的特异性,与非妊娠时期差异较大,与ATA建议的妊娠期甲状腺功能指标参考范围结果差别较大。

关键词: 促甲状腺激素, 甲状腺素, 妊娠, 参考范围

Abstract: Objective To establish the refernce ranges for specific serum FT3, FT4 and TSH in different stages of the pregnant women of Jinan City, China. Methods A total of 370 pregnancy women were chosen as the study group, and 60 non-pregnancy women were chosen as the control group. According to the guidelines of United States National Institute of Clinical Biochemical(NACB), the serum levels of TSH, FT4, FT3, thyroglobulin antibody(TgAb), thyroid peroxidase antibody(TPOAb), thyrotrophin receptor antibody(TRAb)were detected by electrochemiluminescence method. Results The reference ranges of the serum levels of FT3, FT4 and TSH during the early, medium, and late periods were 3.33-5.78, 3.07-5.52, 2.91-5.46 pmol/L; 12.60-18.94, 8.74-17.23, 8.64-17.21 pmol/L; and 0.27- 4.27, 0.53- 4.75, 0.76- 4.59 mIU/L. Conclusion The reference ranges of the serum levels of FT3, FT4 and TSH at the different gestation stages in Jinan City have a large difference between the pregnant women of the other areas, and also have a large difference of the reference ranges of the pregnant women recommended by ATA.

Key words: Thyroid stimulating hormone, Thyroxine, Reference range, Pregnancy

中图分类号:

R714.5

申妍,左常婷. 济南地区正常妊娠妇女各期甲状腺功能指标的参考值范围评估[J]. 山东大学学报（医学版）, 2016, 54(5): 34-38.

SHEN Yan, ZUO Changting. Estimation of reference range for thyroid functional parameter in pregnant women of Jinan City, China[J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2016, 54(5): 34-38.

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