中国儿童的永久性与暂时性先天性甲状腺功能低下症:身体成长和预测性诺摩图
Xuejing Ding1, Zhiwei Liu1, Bin Zhang1
1Changzhou Medical Center, Changzhou Maternal and Child Health Care Hospital, Nanjing Medical University, Changzhou 213000, China.
The Journal of clinical endocrinology and metabolism
|December 17, 2023
概括
在新生儿查时,甲状腺刺激激素 (TSH) 和利沃西 (L-T4) 剂量有助于区分短暂的先天性甲状腺功能低下症 (TCH) 和永久的先天性甲状腺功能低下症 (PCH). 一个名ogram 改善早期预测,与类似的增长观察到在两组三岁.
科学领域:
- 儿科内分泌学 儿科内分泌学
- 新生儿查 新生儿查
- 增长和发展 增长和发展
背景情况:
- 区分短暂的先天性甲状腺功能低下症 (TCH) 和永久的先天性甲状腺功能低下症 (PCH) 缺乏可靠的标志物.
- 患有TCH与PCH的儿童的生长模式尚不清楚.
研究的目的:
- 分析TCH和PCH患者之间的生长差异.
- 开发一种用于早期区分TCH和PCH的编号表.
主要方法:
- 对被诊断患有TCH或PCH的儿童进行了回顾性分析.
- 接收器操作特征 (ROC) 分析,以评估预测标记.
- 开发多变量预测模型和增长比较.
主要成果:
- 新生儿查时的TSH初始水平在TCH中低于PCH.
- 在TCH中,Levothyroxine (L-T4) 剂量随年龄而下降,但不是PCH.
- 多变量模型和名图表显示,对区分TCH和PCH的预测效率有所提高,AUC高达0.922.
- 到三岁时,TCH和PCH组之间没有发现显著的生长差异.
结论:
- 新生儿查中的TSH和L-T4剂量对于早期TCH/PCH差异化非常有价值.
- 多变量模型和名ograms 提高预测准确度.
- 患有TCH和PCH的儿童在三岁时表现出类似的生长轨迹.
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