摘要《妊娠和产后甲状腺疾病诊治指南》(第2版)是2012年指南的更新.指南新增1个章节,提出78个问题,给出66个推荐.修定了妊娠期甲状腺功能减退促甲状腺激素诊断切点值、妊娠期甲状腺功能减退和甲状腺功能亢进药物治疗等,制定了妊娠前促甲状腺激素筛查后处理流程图,旨在为临床医师对相关问题做出临床决策提供参考.

abstractsThe guideline on diagnosis and management of thyroid diseases during pregnancy and postpartum (2nd edition) is an update of the previous version published in 2012. This new edition consists of 78 questions and 66 recommendations. There is also an additional chapter. Moreover, the diagnostic cut-off point, pharmaceutic treatment of hypothyroidism and hyperthyroidism during pregnancy were revised. In addition, a flow chart was developed to elaborate the management strategy after pre-pregnancy thyrotropin screening. This guideline aims to present all the relevant evidence on the diagnosis and management of thyroid diseases during pregnancy and postpartum to facilitate clinical decision-making.