甲状腺功能减退症的新认识甲状腺功能减退症的新认识Recognize to HypothyroidismZuojie Luo M.D.Director&ProfessorEndocrinology departmentThe First Affiliated Hospital Guangxi Medical University重视妊娠期甲状腺功能减退的诊治重视妊娠期甲状腺功能减退的诊治临床甲减患病率0.30.5%亚临床甲减患病率1.86.15%低甲状腺素血症患病率1.111.5%自身免疫性甲状腺炎是妊娠期甲减的主要病因妊娠期甲减流行病学妊娠期甲减流行病学Shan ZY,et al.Eur J Clin Invest.2009;39(1):37-42.Casey BM,et al.Obstet Gynecol,2005,105:239-245.Allan WC,et al.J Med Screen,2000,7:127-130.胎儿甲状腺激素来源和脑发育胎儿甲状腺激素来源和脑发育Morreale de Escobar G,et al.J Clin Endocrinol Metab 85: