日本出生队伍中的先天性甲状腺功能低下和甲状腺功能:来自日本环境和儿童研究的数据
Limin Yang1, Miori Sato1, Mayako Saito-Abe1
1Medical Support Center for the Japan Environment and Children's Study, National Research Institute for Child Health and Development, Tokyo, Japan.
概括
先天性甲状腺功能低下症 (CH) 影响6万名婴儿中有1名,增加了其他先天性疾病的风险. 这项研究为患有CH的2岁儿童提供了关键的甲状腺刺激激素 (TSH) 和自由甲状腺素 (fT4) 参考范围.
科学领域:
- 儿科 儿科 儿科
- 内分泌学 在内分泌学.
- 遗传学 是一个遗传学.
背景情况:
- 先天性甲状腺功能低下症 (CH) 是儿童早期最常见的激素和代谢疾病.
- 被诊断为CH的婴儿表现出更高的同时发生的先天性疾病的发病率.
研究的目的:
- 描述大规模出生队列中CH的流行情况.
- 为了确定血清甲状腺刺激激素 (TSH) 和自由甲状腺素 (fT4) 水平的参考范围,在2岁的儿童中.
- 分析CH与其他先天性异常之间的关联.
主要方法:
- 利用了来自日本环境和儿童研究 (JECS) 的数据.
- 通过新生儿查和医疗记录确定了171名CH儿童.
- 在2岁时分析了血清TSH和ft4水平.
主要成果:
- 发现CH的患病率为每10万人口中有170.5例.
- 在CH和先天性心脏缺陷 (11.7%),染色体异常 (19.3%) 和唐氏综合征 (13.5%) 之间观察到显著的关联.
- 2年后的TSH和ft4水平中位数分别为2.13μIU/mL和1.2 ng/dL,男孩的水平略高.
结论:
- 在患有CH的2岁儿童中,TSH和ft4的确定的参考范围对于准确的诊断和管理至关重要.
- 需要进一步评估,包括3岁后的试验性治疗,以区分永久性和短暂的CH.
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