从速制订地方性亚临床克汀病诊断标准新版本

To formulate a new edition of the diagnostic criterion for endemic subclinical cretinism as soon as possible

由于地方性克汀病和地方性亚临床克汀病诊断 2个瑕疵的误导 ,使 2 0 0 0— 2 0 0 1年我国发表的有关亚克汀病 6篇论文中亚克汀病的患病率失真。这 2个瑕疵 :1对碘缺乏病的轻病型——与缺碘性甲状腺机能低下(甲低 )有关的精神功能受损 (我国学者称亚克汀病 )概念的认识模糊 ,将甲低所致的 3个亚临床征象作为诊断亚克汀病的辅助条件 ;2此标准的诊断思路混乱 ,在未经排除非缺碘病因的轻度低智中诊断亚克汀病。为尽早停止此诊断标准的负面影响 ,建议从速单独制订亚克汀病诊断标准。

As the misdirecting by 2 vague ideas exists in The Diagnosis for Endemic Cretinism and Endemic Subclinical Cretinism (Subcretin),6 mistaken morbidities of subcretin appeared in 6 original papers published on magazines in 2000~2001. These 2 vague ideas are as fellow:①the recognition about the mild type of iodine deficiency disorders--impaired mental function in children and adults with goiter associated with subnormal concentration of circulating thyroxine〔named endemic subclinical cretinism (subcretin) by Chinese scholars〕is blurred.3 hypothyroidism subclinical manifestations are contained in subsidiary diagnostic conditions for subcretin;②The inference route of this diagnostic criterion is confused,it misleded to diagnose subcretin among mild feeblemind children without exclusive diagnosis,so some mild feeblemind children associated with non-iodine deficiency factors were not ruled out.In order to stop the unfavourable influences from this diagnostic criterion at an early date, the author suggests to formulate a new diagnostic criterion for endemic subclinical cretinism independently as soon as possible.