OBJECTIVE: To compare differences in the intelligence and physical developmental levels of children with congenital hypothyroidism (CH) who received initial treatment at different times. METHODS: Forty-nine children with CH diagnosed by neonatal screening between September 2008 and September 2011 were enrolled in this study. According to the timing of initial treatment with thyroid hormone, they were classified into two groups: 0.05) at 6 months old, 1 year and 2 years old. However, heights and weights in the 0.05). CONCLUSIONS: The timing of initial treatment with thyroid hormone appears to be associated with the intelligence and physical development in children with CH. Treatment starting at less than 1 month of life contributes to improved physical and intelligence development compared with treatment starting at 1 to 3 months of life.
Key words
Neonatal screening /
Congenital hypothyroidism /
Intelligence development /
Physical development /
Child
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References
[1]高莉莉,徐春萍,董晨.婴儿先天性甲状腺功能低下症的误诊原因分析[J].实用儿科临床杂志,2003,18 (12):994-995.
[2]贾政军,王华,黄定梅,雷花香,彭向京,胡蓉,等.湖南省9万例新生儿先天性甲状腺功能减低症筛查[J].中国当代儿科杂志,2004,6(1):53-54.
[3]沈晓明,王卫平.儿科学[M].第7版.北京:人民卫生出版社,2008:426.
[4]American Academy of Pediatrics; Committee on Cenetics. Newborn screening fact sheets[J].Pediatrics, 1996, 98(5): 473-475.
[5]万方,黄晓东,叶军.病理性甲状腺激素的动态观察及其临床意义[J].临床儿科杂志,1996,14(6): 368-369.
[6]薛辛东.儿科学[M].北京:人民卫生出版社,2005:464-467.
[7]王芳,杨尧,杨晓,王春枝,何玺玉.92例先天性智力低下患儿细胞遗传学分析[J].中国当代儿科杂志, 2011,13(8): 651-653.
[8]Oerbeck B, Sundet K, Kase BF, Heyerdahl S. Congenital hypothyroidism: influence of disease severity and L-thyroxine treatment on intellectual, motor, and school-associated outcomes in young adults[J]. Pediatrics, 2003, 112(4): 923-930.
[9]Wasniewska M, De Luca F, Cassio A,Oggiaro N,Gianino P,Delvecchio M, et al. In congenital hypothyroidism bone maturation at birth may be a predictive factor of psychomotor development during the first year of life irrespective of other variables related to treatment[J]. Eur J Endocrinol, 2003, 49(1): 1-6.
[10]Hindmarsh PC. Optimisation of thyroxine dose in congenital hypo-thyroidism[J]. Arch Dis Child, 2002, 86(2): 73-75.
[11]蒋群,韩连书,叶军,顾学范.先天性甲状腺功能减低症患儿甲状腺形态学改变和治疗时机对智力发育的影响[J]. 中华内分泌代谢杂志,2007,23(6):498-500.
[12]文伟,何慧静,董国庆,朱岩,黄晓春,伍小秋,等.深圳地区先天性甲状腺功能减退症的治疗及远期随访[J]. 实用儿科临床杂志,2008,23(5):798-799.
[13]李春华,黄丽琼,黄海忠.不同时机治疗先天性甲状腺功能减低症[J].海南医学,2011,22(3):104-105.
[14]Rovet JF. Children with congenital hypothyroidism and their siblings: do they really differ?[J]. Pediatrics, 2005, 115(1): e52-e57.