摘要
目的了解怀化市先天性甲状腺功能减低症(CH)筛查情况和治疗状况,探讨一条真正适合经济欠发达地区的CH患儿的管理办法,提高该地区的出生人口素质。方法通过对30例目前还在治疗病例的追踪和随访,并对其最近一次体格发育、智力发育、骨龄和甲状腺功能等资料进行总结和分析。结果怀化市的33例CH患儿中规范治疗的18人,仅占54.5%,但随着经济形势的好转,规范治疗率在逐年提高,差异有统计学意义。通过评估30名CH患儿的体格发育均在正常范围。有一例患儿骨龄落后同龄儿童两年以上。虽无智力发育迟缓者,但与其他地区甲低患儿相比普遍表现适应能力不佳。这与较低的依从性有关。从而提出四点改善管理的办法。以提高治疗的依从性。结论通过各种方法提高新生儿疾病筛查率,早期发现、早期诊断及治疗CH患儿,避免智力低下等损害,提高人口素质。
Objective To know the early screening and treatment of congenital hypothyroidism（CH） in Huaihua,to explore the proper and suitable management measures for CH children in the undeveloped areas,and to improve the qualities of people who were born in this district. Methods Thirty children with CH who was under treatment were tracked and followed-up.The data of physical development,intelligence development,bone age,and the thyroid function in the last physical examination were summarized and analyzed. Results Among the 33 CH children,18 children were received standardized treatment,only accounting for 54.5%.But with the development of economy,the standardized treatment was increased year by year,and the difference was statistically significant.Through the evaluation,the physical development of 30 CH children was all in the normal range.Only one child＇s bone age lay over two years behind than those of other children.Though no mental retardation occurred in the 33 children,as compared with the children in other areas,they all had common symptoms of poor adaptability which was related to low compliance.Therefore in order to improve the treatment compliance,we put forward four management measures. Conclusions Improvement of the neonatal screening rate through different ways and measures,early detection,early diagnosis and treatment of CH children are the four management measures.We should avoid mental retardation and other damage for children,and improve the quality of the population.
出处
《实用预防医学》
CAS
2010年第12期2454-2456,共3页
Practical Preventive Medicine
关键词
先天性甲低
筛查
早期治疗
Congenital hypothyroidism
Screening
Early treatment
