早产儿暂时性甲状腺功能减退症与胎龄、出生体质量关系的研究  

Study on relationship between premature temporary hypothyroidism with gestational age and birth weight

作　　者：郭静[1] 张耀东[1] 熊虹[1] 康文清[1] 

机构地区：[1]郑州市儿童医院新生儿重症监护室,河南郑州450000

出　　处：《现代医药卫生》2013年第3期338-338,341,共2页Journal of Modern Medicine & Health

摘　　要：目的探讨早产儿暂时性甲状腺功能减退症与胎龄、出生体质量的关系。方法选择2011年1—12月住院早产儿41例,出生后第7天采集静脉血检测甲状腺素(T4)、游离甲状腺素(FT4)、三碘甲状腺原氨酸(T3)、游离三碘甲状腺原氨酸(FT3)、促甲状腺激素(TSH)等,并分析其与出生胎龄、出生体质量的关系。结果胎龄越小,出生体质量越低,暂时性甲状腺功能减退症的发生率越高。结论早产儿暂时性甲状腺功能减退症的发生与出生时胎龄及体质量有关。因此,防止早产、减少低出生体质量是减少早产儿暂时性甲状腺功能减退症的关键,这对于提高出生人口素质有积极的意义。] Objective To investigate the correlation between temporary hypothyroidism （TH） with gestational age and birth weight in premature infants. Methods 41 hospitalized prematures from January to December 201! were selected. The ve- nous blood samples were collected on 7 d after birth for detecting thyroxine （T4）, free thyroxine （FT4）, triiodo thyrouine （T3）, free triiodo thyronine （FT3） and thyrotropic hormone （TSH）. Meantime, their relation with gestational age and birth weight was an- alyzed. Results The smaller the gestational age,the lower the birth weight and the higher the incidence rate of transient hy- pothyroidism. Conclusion The occurence of premature TH is associated with the birth weight and gestational age. Therefore, preventing premature delivery and reducing low birth weight are the key to decrrease the occurence of TH in premature infants, which has the positive significance to improve the population quality.

关 键 词：婴儿 早产 甲状腺功能减退症 孕龄 出生体重 

分 类 号：R581.2[医药卫生—内分泌]