在智利,先天性甲状腺功能低下症的发病率正在增加
Francisca Grob1,2, Gabriel Cavada3, Gabriel Lobo4
1Division of Pediatrics, School of Medicine, Pontificia Universidad Católica de Chile, Santiago 8330077, Chile.
International journal of neonatal screening
|August 22, 2025
概括
出生性甲状腺功能低下 (CH) 的发病率正在上升,原因是较轻症患者的检测效果更好. 这一趋势凸显了持续监测的必要性,以了解新生儿中CH的原因.
科学领域:
- 内分泌学
- 儿童医学
- 公共卫生
背景情况:
- 遗传性甲状腺功能低下 (CH) 是神经认知障碍的主要可预防原因.
- 在全球范围内观察到CH的发病率上升.
- 新生儿查对于早期发现和治疗CH至关重要.
研究的目的:
- 描述27年内CH发病率的时间趋势
- 确定增加CH率的潜在驱动因素.
- 分析生化标志物,妊娠年龄和病因亚型的变化.
主要方法:
- 从智利最大的查中心对27年 (1997-2023) 的新生儿查数据进行分析.
- 包括3225216名新生儿,占全国新生儿的51.1%.
- 普莱斯-温斯回归用于模拟年度CH发病率和相关因素的趋势分析.
主要成果:
- 确诊的1550个CH病例,平均发病率为每10,000个活产儿中的4. 9个.
- 观察到CH发病率每年显著增加 (0. 067/10,000人).
- 发现轻度的CH病例增加,查TSH值下降,T4水平上升,甲状腺外皮转变为缺血.
结论:
- 持续增加的CH发病率表明轻度疾病的识别能力有所提高.
- 降低TSH值和改善局部腺体检测有助于观察到的趋势.
- 建议对环境,营养和遗传因素进行进一步的监测,以阐明CH的原因.
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