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目的:了解河北省2000～2008年确诊的先天性甲状腺功能减低症(CH)患儿的治疗状况,总结河北省在CH患儿治疗方面的经验和不足,促进CH患儿的治疗工作。方法:采用查阅病历与上门访视或电话随访的方式对河北省2000年1月～2008年9月确诊的615例CH患儿的治疗状况进行调查。结果:共确诊CH患儿615例,其中男婴300例,女婴315例,到2008年9月底治愈99例,继续治疗378例,治疗一段时间放弃治疗48例,确诊后即放弃治疗74例,并发其他疾病死亡6例,失访10例。结论:河北省CH患儿的治疗率为77.6%,仍有一部分患儿不能得到有效的治疗,在今后的工作中要大力提高治疗率,使CH患儿的智力和体格发育达到正常标准,减少残疾的发生,提高人口素质。
Objective: To understand the treatment of congenital hypothyroidism (CH) in Hebei Province from 2000 to 2008, and to summarize the experience and insufficiency of treatment of CH children in Hebei Province and to promote the treatment of CH children. Methods: The medical records of 615 children with CH diagnosed from January 2000 to September 2008 in Hebei Province were investigated by referring to the medical record and visiting or telephone follow-up. Results: A total of 615 CH patients were diagnosed, of which 300 were male infants and 315 were female infants. By the end of September 2008, 99 cases were cured, 378 cases were continued treatment, 48 cases were given up for a period of time, and 74 cases were given up after diagnosis , Complicated by other diseases in 6 cases, 10 cases were lost. Conclusion: The treatment rate of children with CH in Hebei Province is 77.6%. There are still some children who can not get effective treatment. In the future work, we should make great efforts to improve the treatment rate so as to make the mental and physical development of CH children reach the normal standard and reduce The occurrence of disability, improve the quality of the population.