在出生时体重小于2500克的早产新生儿中甲状腺激素水平,用巴比塔尔治疗
Elham Bidabadi1, Marjaneh Zarkesh1, Maryam Mirzaiichaghakabudi1
1Pediatric Diseases Research Center, Guilan University of Medical Sciences, Rasht, Iran Elham Bidabadi and Marjaneh Zarkesh are equal contributions to this work and designated as cofirst authors.
Iranian journal of child neurology
|December 11, 2023
概括
在早产新生儿中,费诺巴比他治疗没有显著改变甲状腺激素水平 (T4和TSH). 在头周长较小的婴儿中观察到轻微的TSH变化,但整体甲状腺功能保持稳定.
科学领域:
- 新生儿医学 新生儿医学
- 内分泌学 在内分泌学.
- 药理学 药理学是指药理学的学科.
背景情况:
- 众所周知,诺巴比塔尔会影响成人和儿童的甲状腺功能.
- 过早出生的新生儿是易受伤害的群体,存在改变甲状腺激素水平的潜在风险.
研究的目的:
- 评估费诺巴比特治疗对早产新生儿甲状腺激素水平的影响.
- 在这个人群中评估甲状腺激素 (T4) 和甲状腺刺激激素 (TSH) 的变化.
主要方法:
- 一组94名早产新生儿 (出生体重≤2500克) 在生命的头15天内接受了巴比他.
- 测量了血清TSH和T4总水平在开始服用Phenobarbital之前和三个月后.
- 分析了数据,考虑了各种因素,包括性别,妊娠年龄,出生体重和头周长.
主要成果:
- 在整个早产新生儿组中,费诺巴比他治疗没有导致平均T4 (12.24对12.07) 或TSH (5.34对5.15) 水平的显著变化.
- 在头周长小于32厘米的早产婴儿中,发现了TSH水平的统计学显著差异 (p=0.030).
结论:
- 费诺巴比塔尔的使用不会显著改变体重小于2500克的早产新生儿的血清甲状腺激素水平.
- 虽然TSH在脑周长较小的小组中显示出显著差异,但整体甲状腺功能没有受到重大影响.
相关概念视频
Synthesis and Regulation of Thyroid Hormones
4.6K
Low blood levels of the thyroid hormones — triiodothyronine (T3) and thyroxine (T4) — signal the hypothalamus to release the thyrotropin-releasing hormone (TRH). TRH then reaches the pituitary gland and stimulates the release of thyroid-stimulating hormone(TSH) into the bloodstream.
Upon reaching the thyroid gland, TSH stimulates the follicular cells' active uptake of iodide ions from the blood. The ions diffuse to the apical surface of the cells and are oxidized to iodine. The...
Upon reaching the thyroid gland, TSH stimulates the follicular cells' active uptake of iodide ions from the blood. The ions diffuse to the apical surface of the cells and are oxidized to iodine. The...
4.6K
Functions of Thyroid Hormones
2.8K
The thyroid hormone (TH) plays a pivotal role in the intricate orchestration of physiological processes, exerting profound effects on development, metabolism, and homeostasis throughout different life stages.
TH is indispensable for the normal development and maturation of the skeletal, muscular, and nervous systems during fetal and childhood growth. It facilitates bone mineral turnover and regulates protein synthesis in developing tissues, contributing significantly to overall growth and...
TH is indispensable for the normal development and maturation of the skeletal, muscular, and nervous systems during fetal and childhood growth. It facilitates bone mineral turnover and regulates protein synthesis in developing tissues, contributing significantly to overall growth and...
2.8K
Sedatives and Hypnotics Drugs: Barbiturates
288
Sedatives and hypnotics encompass a drug class that acts on the central nervous system (CNS) to alleviate anxiety, promote relaxation and induce sleep.These drugs function by amplifying the actions of the neurotransmitter γ-aminobutyric acid (GABA), resulting in reduced neuronal activity. Barbiturates, a subset of sedatives and hypnotics first synthesized in the late 1800s, are categorized into ultra-short, short, intermediate, and long-acting groups based on their duration of effect. A...
288
The Thyroid Gland
3.9K
The thyroid gland is a small, butterfly-shaped gland located in the neck and covers the anterior surface of the trachea. The gland has two lateral lobes connected by a thin tissue mass called the isthmus. Internally, each lobe comprises many small spherical structures known as thyroid follicles, surrounded by a network of blood vessels.
The follicles have a central cavity lined by simple cuboidal to squamous epithelial cells called follicular cells. These cells produce the glycoprotein...
The follicles have a central cavity lined by simple cuboidal to squamous epithelial cells called follicular cells. These cells produce the glycoprotein...
3.9K
Major Hormones and Their Functions
419
Hormones, the biochemical messengers produced by endocrine glands, are pivotal in regulating bodily functions and maintaining homeostasis. Each hormone's balance is crucial; imbalances can lead to significant physiological disruptions. Major hormones include oxytocin, cortisol, epinephrine, estrogen, testosterone, thyroxine, growth hormone, insulin, and glucagon.
Oxytocin, produced in the hypothalamus and released by the pituitary gland, plays a role in social bonding, childbirth, and...
Oxytocin, produced in the hypothalamus and released by the pituitary gland, plays a role in social bonding, childbirth, and...
419
Hypoglycemia and Glucagon
266
Without prolonged fasting, healthy individuals maintain blood glucose levels above 3.5 mM due to a well-adapted neuroendocrine counterregulatory system that effectively prevents acute hypoglycemia, a potentially life-threatening condition. The primary clinical scenarios for hypoglycemia encompass diabetes treatment, inappropriate production of endogenous insulin or insulin-like substances by tumors, and the use of glucose-lowering agents in non-diabetic individuals. Notably, hypoglycemia in the...
266


