Clinical Study the Relationship Between High-TSH Degree and Changes of LDL-C in Yunnan Plateau (China) Pregnant Patients’ Serum

Bin Li, K. Yan, Tian Meng
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Abstract

Objective: It was to investigate the relationship between high thyrotropin, thyroid stimulating hormone (TSH) degree and changes of low-density lipoprotein cholesterol (LDL-C) in Yunnan Plateau pregnant patients’ serum in China; Methods: All pregnant woman were collected from the Kunming Angel Women's and Children's Hospital from January 2021 to October 2022, who were diagnosed by the endocrinology department, during their pregnancy. Then it analyzed their biochemical indicators levels and blood liquid parameters changes in their serum. Additionally, we investigated their epidemiological data, including the treatment history of hypothyroidism; Results: High-TSH degree and increasing of LDL-C level were both risk factors leading to hypertension, cardiovascular symptoms, symptoms of digestive tract, pregnancy ultrasound indicating small-sized fetus (P<0.05). Importantly, they reinforce each other on patients. Their increasing caused gestational diabetes mellitus, preterm birth history and autoimmune diseases in Yunnan plateau (China). TSH≥4.3 m IU/L and DL-C≥3.6 mmol/L in the pregnant patients’ serum, which were approved by obstetric professional committee of that Hospital. Furthermore, only in high-TSH degree group, their high cholesterol could cause premature birth, elevated blood sugar, high blood pressure prenatal, postpartum infection and preeclampsia (P<0.05); Conclusion: These risk factors (high-TSH and LDL-C changes) could affect the health of pregnant, maternal and fetal, which should be taken to manage it so as to improve the perinatal health.
云南高原孕妇血清高tsh水平与LDL-C变化关系的临床研究
目的:探讨云南高原孕妇血清中高促甲状腺素、促甲状腺激素(TSH)水平与低密度脂蛋白胆固醇(LDL-C)变化的关系;方法:收集2021年1月~ 2022年10月在昆明天使妇幼医院内分泌科诊断的妊娠期孕妇。然后分析他们的血清生化指标水平和血液液体参数的变化。此外,我们调查了他们的流行病学资料,包括甲状腺功能减退的治疗史;结果:高tsh水平和LDL-C水平升高均是导致高血压、心血管症状、消化道症状、妊娠超声提示小胎的危险因素(P<0.05)。重要的是,它们在患者身上相互强化。它们的增加导致了云南高原的妊娠期糖尿病、早产史和自身免疫性疾病。孕妇血清TSH≥4.3 m IU/L, DL-C≥3.6 mmol/L,经该院产科专业委员会批准。只有高tsh水平组高胆固醇才会导致早产、高血糖、产前高血压、产后感染和先兆子痫(P<0.05);结论:高tsh和LDL-C变化是影响孕、母、胎健康的危险因素,应加以控制,以改善围生期健康。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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