CAJ | 학술논문

目的分析先天性甲状腺功能减低症患儿甲状腺激素替代治疗后的气质特征,以寻求改善患儿生存及生活质量的最佳方案.方法选取2003年6月至2006年12月本院确诊的先天性甲状腺功能减低症患儿30例,年龄(2.9±0.5)岁,选取年龄、性别相匹配正常儿童45名为对照组,采用上海第二医科大学附属新华医院开发的Carey系列气质量表中的TTS进行调查.结果先天性甲状腺功能减低症患儿治疗后的气质类型分布趋向:中间偏难型(I-D型)占40.0%,容易抚养型(E型)占26.7%,抚养困难型(D型)占20.0%,中间偏易型(I-E型)占6.7%,发动缓慢型(S型)占6.7%,与正常儿童比较差异有统计学意义(χ2=12.89,P＜0.05).先天性甲状腺功能低下症患儿替代治疗后活动水平的分值低于对照组,而节律性、适应性、持久性、注意分散、反应阈的分值高于对照组,经统计学处理差异有统计学意义(P＜0.05).结论先天性甲状腺功能减低症患儿替代治疗后的气质类型比正常儿童消极,应针对患儿的气质特征进行综合治疗.
목적 분석선천성갑상선공능감저증환인갑상선격소체대치료후적기질특정,이심구개선환인생존급생활질량적최가방안.방법 선취2003년6월지2006년12월본원학진적선천성갑상선공능감저증환인30례,년령(2.9±0.5)세,선취년령、성별상필배정상인동45명위대조조,채용상해제이의과대학부속신화의원개발적Carey계렬기질량표중적TTS진행조사.결과 선천성갑상선공능감저증환인치료후적기질류형분포추향:중간편난형(I-D형)점40.0%,용역무양형(E형)점26.7%,무양곤난형(D형)점20.0%,중간편역형(I-E형)점6.7%,발동완만형(S형)점6.7%,여정상인동비교차이유통계학의의(χ2=12.89,P＜0.05).선천성갑상선공능저하증환인체대치료후활동수평적분치저우대조조,이절률성、괄응성、지구성、주의분산、반응역적분치고우대조조,경통계학처리차이유통계학의의(P＜0.05).결론 선천성갑상선공능감저증환인체대치료후적기질류형비정상인동소겁,응침대환인적기질특정진행종합치료.
Objective To analyse the temperament characteristics of congenital hypothyroidism after replacement therapy and find the best ways to improve the quality of life. Methods From 2003 to 2006,there were 30 children aged (2.9±0.5) with congenital hypothyroidism diagnosed in the second people's hospital of Liaocheng and 45 normal children at that age,sex matched with congenital hypothyroidism patients who were tested by TTS in Carey temperament scale which was developed by Xinhua hospital affliated to the second medical university of Shanghai. Results There were significant differences between congenital hypothyroidism group and normal group(P<0.05). The scores of the congenital hypothyroidism group were higher than that of normal group in their activity level,rhythmicity,adaptability,persistence,distraction and threshold of reaction. Conclusions The temperament of congenital hypothyroidism children have peculiar characteristics, and they have a more negative temperament.