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九年苯丙酮尿症(PKU)筛查结果(作者译)

[Results of a nine-year phenylketonuria (PKU) screening (author's transl)].

作者信息

Menne F

出版信息

MMW Munch Med Wochenschr. 1975 Jan 10;117(2):63-8.

PMID:164621
Abstract

The percentage of children in Nordrhein-Westfalen who were tested for PKU free of charge and on a voluntary basis rose from 25.3% (1966) to 99.5% (1973). Among 1,431,999 newly born children, 262 children with suspected PKU were found, 225 of them diagnosed early and 37 late, 181 with "typical" and 81 with "atypical" PKU. Most of 102 children with late diagnosed PKU had an I.Q. of 80-50 or less, while in 95 children treated early, it was over 91 in 80% and below 90 in only 20%. There was a statistically highly significant difference in the I.Q. distribution between patients diagnosed early and those diagnosed late, while the mental development of phenylketonuria patients treated early was not different from that of a homogenous population group under the same conditions. After extending the test program in 1966, 1 maple syrup urine disease, 3 homocystinurias, 3 galactosemias and 1 galactokinase deficiency were found in addition to PKU.

摘要

北莱茵 - 威斯特法伦州免费且自愿接受苯丙酮尿症(PKU)检测的儿童比例从1966年的25.3%升至1973年的99.5%。在1,431,999名新生儿中,发现262名疑似PKU患儿,其中225名早期确诊,37名晚期确诊,181名患“典型”PKU,81名患“非典型”PKU。102名晚期确诊的PKU患儿中,多数智商在80 - 50及以下,而95名早期接受治疗的患儿中,80%的智商超过91,仅20%低于90。早期确诊和晚期确诊患者的智商分布存在统计学上的高度显著差异,而早期接受治疗的苯丙酮尿症患者的智力发育与相同条件下的同质人群组无异。1966年扩大检测项目后,除PKU外,还发现1例枫糖尿症、3例同型胱氨酸尿症、3例半乳糖血症和1例半乳糖激酶缺乏症。

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