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目的了解汕头市中小学生生长发育及矮小情况,调查其病因并探索防治方法。方法对汕头市金平区7～14岁23927名学生进行生长发育指标的测量及体检,筛查出身高小于同年龄、同性别组2个标准差以上学生,抽取其空腹外周血检测三碘原氨酸(FT3),游离甲状腺素(FT4),促甲状腺素(TSH),生长激素(GH),并将发现的亚临床甲状腺功能减退者以随机、自愿为原则分为治疗组和对照组,比较其治疗效果。结果汕头市中小学生矮小身材检出率为1.01%,其中甲状腺功能减退疾病引起的矮小占矮身材检出率的9.9%。结论早期的甲状腺素治疗对甲状腺功能减退疾病引起的矮小有良好的治疗效果。如果能及时发现导致儿童矮小的原因并进一步治疗,对矮小少年儿童的生长发育有重要意义。
Objective To understand the growth and shortness of primary and secondary school students in Shantou, investigate their etiology and explore ways of prevention and treatment. Methods A total of 23927 students aged 7-14 years old in Jinping District of Shantou City were enrolled in the study. Growth and development indexes were measured and two students with standard deviation above or equal to the same age were screened. Fasting peripheral blood was collected to test triiodine FT3, TS4, TSH and GH were divided into treatment group and control group based on the principle of randomization and voluntary finding of subclinical hypothyroidism. Therapeutic effect. Results The detection rate of short stature among primary and secondary students in Shantou was 1.01%, among which the short stature caused by hypothyroidism accounted for 9.9% of the short stature. Conclusion The early treatment of thyroid hormone hypothyroidism disease caused by the short have a good therapeutic effect. If you can promptly find the cause of dwarfing children and further treatment, the growth and development of dwarf children is of great significance.