Progress of thyroid dysfunction in premature infants
10.3760/cma.j.issn.1673-4408.2022.01.012
- VernacularTitle:早产儿甲状腺功能障碍的研究进展
- Author:
Cong ZHANG
1
;
Rongxiu ZHENG
Author Information
1. 天津医科大学总医院儿科 300052
- Keywords:
Premature infants;
Thyroid;
Embryogenesis;
Neonatal screening;
Outcomes
- From:
International Journal of Pediatrics
2022;49(1):52-57
- CountryChina
- Language:Chinese
-
Abstract:
The hypothalamic-pituitary-thyroid axis gradually becomes mature at gestational age of 30~35 weeks.With the improvement of the treatment level of premature infants, the gestational age of surviving premature infants gradually decreases, and the thyroid axis of young premature infants is immature.Meanwhile, premature infants are more prone to systemic complications, such as ischemia and hypoxia, severe infection, etc., which aggravate the influence on thyroid.Clinically, more and more premature infants are found to be complicated with congenital hypothyroidism, temporary hypothyroxemia, hyperthyrotropin, delayed thyrotropin elevation, low T 3 syndrome and other problems.Abnormal thyroid function affects the outcome of the treatment of premature infant diseases.Early detection and early treatment is the key to improve the treatment, metabolism and the development of premature infant.At present, the timing of screening and treatment of premature thyroid disease is still controversial.In this review, the thyroid function and outcome of premature infants under different pathological conditions are summarized and analyzed to provide a reliable basis for rational selection of screening opportunities and treatment strategies for thyroid diseases in clinical practice.
