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目的 :探讨病理性出生低体重儿甲状腺功能 (甲功 )变化及临床意义。方法 :对日龄大于 5天的出生低体重儿 5 2例及正常体重疾病儿 19例进行甲功动态观察及临床分析。结果 :(1)孕龄小及体重轻患儿甲状腺激素较对照组低 (P <0 .0 1) ,而各组 TSH值间无差异 ;(2 )甲功异常 5 3例 (74.6 % ) ,早产、低体重儿异常率较高 (P <0 .0 1) ;(3)合并多种疾病及病危程度高者甲功多项异常 ;结论 :早产、病理性出生低体重儿及正常体重儿均可致暂时性甲功异常 ,异常者可随合并疾病治愈而恢复正常 ,少数仍异常者可给甲状腺片治疗。
Objective: To investigate the changes of thyroid function (thyroid function) and its clinical significance in pathologically born low birth weight infants. Methods: A dynamic observation and clinical analysis of thyroid function in 52 cases of low birth weight infants older than 5 days and 19 cases of normal weight sickness were performed. Results: (1) Thyroid hormone in children with small gestational age and light body weight was lower than that in control group (P <0.01), but there was no difference between TSH values in each group. (2) There were 53 cases (74.6% (P <0.01). (3) A number of abnormalities of thyroid function were found in patients with high prevalence of multiple diseases and high risk of exacerbations. Conclusion: Preterm, pathologically low birth weight children and normal weight Children can cause temporary abnormal thyroid function, abnormalities can be cured with the merger and return to normal, a few exceptions may be treated thyroid tablets.