河北省CH患儿治疗状况调查研究

The Study of the therapeutic status for newborn congenital hypothyroidism in Hebei province

目的:了解河北省2000～2008年确诊的先天性甲状腺功能减低症(CH)患儿的治疗状况,总结河北省在CH患儿治疗方面的经验和不足,促进CH患儿的治疗工作。方法:采用查阅病历与上门访视或电话随访的方式对河北省2000年1月～2008年9月确诊的615例CH患儿的治疗状况进行调查。结果:共确诊CH患儿615例,其中男婴300例,女婴315例,到2008年9月底治愈99例,继续治疗378例,治疗一段时间放弃治疗48例,确诊后即放弃治疗74例,并发其他疾病死亡6例,失访10例。结论:河北省CH患儿的治疗率为77.6%,仍有一部分患儿不能得到有效的治疗,在今后的工作中要大力提高治疗率,使CH患儿的智力和体格发育达到正常标准,减少残疾的发生,提高人口素质。

Objective：Investigating the therapeutic status of congenital hypothyroidism （CH） in Hebei province,to find better way to guide the future treatment.Methods：The clinical data of 615 CH cases from January 2000 to September 2008 were investigated and follow-up were conducted.Results：Among 615 CH cases,99 cases were cured,378 cases were treating,48 cases gave-up treating after treatment,74 cases gave-up treatment after diagnosis,6 cases dead,10 cases were lost.Conclusion：The rate of treatment is 77.6%.It should be performed to increase the rate of CH treatment,to prevent and reduce occurrence of health problem of newborn.