中国保健营养（中旬刊）
中國保健營養（中旬刊）
중국보건영양（중순간）
China Hwalth Care & nutrition
2013年
10期
541-542
,共2页
赵晓芬%吴玉芹%蔡芝兰%李杨方%邱丽玲%王爱萍
趙曉芬%吳玉芹%蔡芝蘭%李楊方%邱麗玲%王愛萍
조효분%오옥근%채지란%리양방%구려령%왕애평
早产儿%甲状腺功能%三碘甲状腺原氨酸%甲状腺素%促甲状腺素%化学发光法
早產兒%甲狀腺功能%三碘甲狀腺原氨痠%甲狀腺素%促甲狀腺素%化學髮光法
조산인%갑상선공능%삼전갑상선원안산%갑상선소%촉갑상선소%화학발광법
Premature infant%Thyroid function%Tri odothyronine%Thyroxine%Thyrotropin%Chemistry luminescent technique
目的：探讨早产儿甲状腺功能检测的临床意义。方法：将我科2011年1月～12月收治的114例早产儿分为两组：A 组45例，胎龄<34周；B 组69例，胎龄≥34周；对照组选择同期住院的诊断为普通肺炎的足月儿60例。应用化学发光法对三组新生儿血清三碘甲状腺原氨酸（TT3）及甲状腺素（TT4）和促甲状腺素（TSH）水平进行检测。结果：A、B 组 TT3均低于对照组(P<0.05)，A、B 组 TSH 均高于对照组(P<0.05)，差异有统计学意义。三组 TT4比较，A 组低于对照组，B 组与对照组比较差异无统计学意义（P>0.05）。A 组 TT3、TT4均低于 B 组(P<0.05)，差异有统计学意义。A、B 组 TSH 均升高（P>0.05），差异无统计学意义。结论：早产儿出生后易发生暂时性甲状腺功能低下，且与胎龄密切相关,对早产儿特别是小胎龄的早产儿检测甲状腺功能是必要的。
目的：探討早產兒甲狀腺功能檢測的臨床意義。方法：將我科2011年1月～12月收治的114例早產兒分為兩組：A 組45例，胎齡<34週；B 組69例，胎齡≥34週；對照組選擇同期住院的診斷為普通肺炎的足月兒60例。應用化學髮光法對三組新生兒血清三碘甲狀腺原氨痠（TT3）及甲狀腺素（TT4）和促甲狀腺素（TSH）水平進行檢測。結果：A、B 組 TT3均低于對照組(P<0.05)，A、B 組 TSH 均高于對照組(P<0.05)，差異有統計學意義。三組 TT4比較，A 組低于對照組，B 組與對照組比較差異無統計學意義（P>0.05）。A 組 TT3、TT4均低于 B 組(P<0.05)，差異有統計學意義。A、B 組 TSH 均升高（P>0.05），差異無統計學意義。結論：早產兒齣生後易髮生暫時性甲狀腺功能低下，且與胎齡密切相關,對早產兒特彆是小胎齡的早產兒檢測甲狀腺功能是必要的。
목적：탐토조산인갑상선공능검측적림상의의。방법：장아과2011년1월～12월수치적114례조산인분위량조：A 조45례，태령<34주；B 조69례，태령≥34주；대조조선택동기주원적진단위보통폐염적족월인60례。응용화학발광법대삼조신생인혈청삼전갑상선원안산（TT3）급갑상선소（TT4）화촉갑상선소（TSH）수평진행검측。결과：A、B 조 TT3균저우대조조(P<0.05)，A、B 조 TSH 균고우대조조(P<0.05)，차이유통계학의의。삼조 TT4비교，A 조저우대조조，B 조여대조조비교차이무통계학의의（P>0.05）。A 조 TT3、TT4균저우 B 조(P<0.05)，차이유통계학의의。A、B 조 TSH 균승고（P>0.05），차이무통계학의의。결론：조산인출생후역발생잠시성갑상선공능저하，차여태령밀절상관,대조산인특별시소태령적조산인검측갑상선공능시필요적。
Objective:To explore clinical significance of thyroid function detection in premature infants.Methods:114 premature infants were divided into two groups according to the gestational age:45 cases in the group A, less than 34 weeks of gestational age, and 69 cases in the group B, 34-37 weeks of gestational age. And 60 normal neonates composed contral group.Chemistry luminescent technique was applied to detect serum total triiodothyronine(TT3) ,Thyroxine ( TT4) and thyroid-stimulating hormone ( TSH ) in three groups. Results:The concentrations of serum T3 were significantly lower in the group A and group B than those in the controls,and the serum TSH were significantly higher in the group A and group B than those in the controls.The concentrations of serum T4 were significantly lower in the group A than those in the controls,whereas the serum T4 was not significantly different between the the group B and the controls.The concentrations of serum T3,T4 were significantly lower in the group A than those in the group B,whereas the serum TSH were high and were not significantly different between the group A and B.Conclusions:The thyroid function in the premature infants easily happened to be transiently low. And it is close relation to the gestational age.
