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目的了解怀化市先天性甲状腺功能减低症(CH)筛查情况和治疗状况,探讨一条真正适合经济欠发达地区的CH患儿的管理办法,提高该地区的出生人口素质。方法通过对30例目前还在治疗病例的追踪和随访,并对其最近一次体格发育、智力发育、骨龄和甲状腺功能等资料进行总结和分析。结果怀化市的33例CH患儿中规范治疗的18人,仅占54.5%,但随着经济形势的好转,规范治疗率在逐年提高,差异有统计学意义。通过评估30名CH患儿的体格发育均在正常范围。有一例患儿骨龄落后同龄儿童两年以上。虽无智力发育迟缓者,但与其他地区甲低患儿相比普遍表现适应能力不佳。这与较低的依从性有关。从而提出四点改善管理的办法。以提高治疗的依从性。结论通过各种方法提高新生儿疾病筛查率,早期发现、早期诊断及治疗CH患儿,避免智力低下等损害,提高人口素质。
Objective To understand the screening and treatment of congenital hypothyroidism (CH) in Huaihua City, and to explore a management method for CH children that is suitable for economically underdeveloped areas and to improve the quality of births in this area. Methods The follow-up and follow-up of 30 cases are still under treatment, and the latest physical development, mental development, bone age and thyroid function were summarized and analyzed. Results Of the 33 CH children treated in Huaihua City, 18 were standardized treatment, accounting for only 54.5%. However, with the improvement of economic situation, the standard treatment rate increased year by year with significant difference. By assessing the 30 children with CH physical development are in the normal range. A case of children with bone age behind age children more than two years. Although no mental retardation, but compared with children with hypothyroidism in other areas generally poor performance adaptability. This is related to lower compliance. Thus put forward four ways to improve management. To improve treatment compliance. Conclusion Through various methods to improve neonatal screening rate, early detection, early diagnosis and treatment of CH children, to avoid mental retardation and other damage and improve the quality of the population.