Journal of Developmental Medicine(Electronic Version)   2013, Vol. 1   Issue (1): 23-27    DOI:  | 
										 
				   
				
					
						
							
								
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    					| The establishment Of
regiOnal,gestational age,method-specific thymidfuncti On referencerangesin the evaluatiOn
of thyroid functiOn during pregnancy | 
  					 
  					  										
						| zHANG Ning YAN su—wen。XU Bin
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						No.202 Hospltal of PLA.FamilyPlallllingPfenatal aIld Postnatal Care Reseafch Institute of PLA,shenyallg l l o003,China
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													     		                            						                            																	    Abstract  【Abstract】 objectiVes To establish trimeste卜as weU 
 as before 9 weeks of 
 pregllaIlcy—and 
 method— 
 specific 
 semm reference interval for 
 thyroid stimulating homone(rI’SH),fke thymid 
 hoHnones 
 Fr4),free 
 three 
 triiodothyronine(FT3)in 
 local area.Methods 
 According 
 to the standards of National Academy of Clinical 
 Biochemistry(NACB),279 women 
 in 
 pre—pregnancy 
 and 2946 in 
 pregnancy period 
 were screened to test semm 
 FT3,FT4 and TSH 
 level variation rate in each trimester aboVe.Results Both mean or median Value of TSH 
 were decreased to a minimum at 8一l 1 weeks of 
 gestation,established 
 of the bottom,and then increased 
 slo“y, 
 retuming 
 the 
 pI℃一pregnancy 
 level when 
 perinatal period nearby;FT3 
 and 
 FT4 
 also showed a reduction with the 
 gestational age gmwth.Diagnosis 
 with the reference interval of 
 pre—pregnancy 
 women would lead 
 misjudge 
 in 
 about 
 4.8%TsH,15.1%FT3 
 and 
 50%I■’4 
 abnomalities in each 
 pregnancy 
 trimester.Conclusion 
 Labomtory 
 specific 
 reference inteⅣal should be based on different 
 experimentaI apparatus, methods,and 
 service 
 objects 
 at di饪色rent 
 gestation stages.Further study 
 should focus on the 
 possiblity 
 of FT4 decline rates as a standard for 
 Immunoassay method and reagent selection during pregnancy. 
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															    															    															    																	Published: 06 September 2019
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															| Cite this article:    | 
														 
														
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															zHANG Ning YAN su—wen。XU Bin. The establishment Of
regiOnal,gestational age,method-specific thymidfuncti On referencerangesin the evaluatiOn
of thyroid functiOn during pregnancy[J]. Journal of Developmental Medicine(Electronic Version), 
																																2013, 1(1): 23-27.
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															| URL:   | 
														 
														
															| http://www.fyyxzz.com/EN/     OR     http://www.fyyxzz.com/EN/Y2013/V1/I1/23 | 
														 
													 
												 
												
												
												
											
											 
											
											 
										 
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