正常妊娠妇女的甲状腺特征和血脂水平

Raj Kumar, Sudeep Kumar, Manisha Arora, Dinesh Kumar, Sumesh Prasad Sah, Shivani Sharma
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摘要

目的:探讨正常妊娠妇女甲状腺功能及血脂水平的变化。方法:本观察性研究于2021年6月至2022年2月在印度北方邦加济阿巴德Santosh医学院生物化学系进行。在这项研究中,200名普通孕妇参加了研究。采用酶联免疫吸附试验(ELISA)法测定甲状腺特征,采用酶促试剂盒法测定血脂特征。所有数据均以均数和标准差表示,采用SPSS version 17进行统计分析。结果:本观察性研究发现,与妊娠早期相比,妊娠中期的平均T3、T4和TSH水平显著升高。相反,与妊娠中期相比,妊娠晚期T3、T4和TSH的平均值有所下降。总胆固醇、甘油三酯和低密度脂蛋白胆固醇的平均水平显著升高,而高密度脂蛋白胆固醇的平均值在妊娠中期和晚期与妊娠早期相比显著降低。结论:本研究显示血脂和甲状腺代谢异常。甲状腺特征的改变可能与不良的产科结局有关。脂质参数的改变,主要是高TG和低HDL-C浓度,可能促进血管功能障碍和氧化应激。
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Thyroid Profile and Serum Lipid Level in Women with Normal Pregnancy
Objective: To evaluate the changes in thyroid profile and serum lipid level in normal pregnancy.Methods: This observational study was conducted at the Department of Biochemistry of Santosh Medical College, Ghaziabad, UP, India, from June 2021 to February 2022. In this study, 200 average pregnant women were enrolled. The thyroid profile was estimated using the ELISA method, and the lipid profile was measured using the enzymatic kit method. All data were expressed as means and standard deviations, and SPSS version 17 was used for statistical analysis.Results: This observational study observed that the mean T3, T4, and TSH levels increased significantly in the second trimester compared to the first trimester. In contrast, the mean value of T3, T4, and TSH decreased in the third trimester as compared to the second trimester. The mean levels of total cholesterol, triglyceride, and LDL-cholesterol increased significantly, while the mean value of HDL-cholesterol decreased significantly in the second and third trimesters when compared to the first trimester.Conclusion: This study demonstrated abnormal lipid and thyroid metabolism. Changes in thyroid profile may be associated with adverse obstetric outcomes. The altered lipid parameters, mainly High TG and low HDL-C concentrations, may promote vascular dysfunction and oxidative stress.
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