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印度新生儿筛查项目的必要性:一项国家优先事项。

Need for neonatal screening program in India: A national priority.

作者信息

Sareen Neha, Pradhan Ritu

机构信息

Department of Human Nutriion, All India Institute of Medical Sciences, New Delhi, India.

Government Home Science College, Chandigarh, India.

出版信息

Indian J Endocrinol Metab. 2015 Mar-Apr;19(2):204-20. doi: 10.4103/2230-8210.149315.

Abstract

In India, out of 342 districts surveyed, 286 have been identified as endemic to iodine deficiency (ID). Research studies conducted in school age children (SAC), Adolescent girls, Pregnant Mothers (PMs) and Neonates have documented poor iodine nutritional status. As observed by total goiter rate of more than 5% and median urinary iodine concentration level of <100 μg/l in SAC and <150 μg/l in PMs as prescribed cutoff of World Health Organization. And higher thyroid stimulating hormone levels among neonates. ID leads to compromised mental development and hence which remain hidden and not visible to family, program managers and administrator. The present review describes the current status of ID in different parts of the country. With a view to strongly recommend the implementation of Neonatal screening program for ID so that the optimal mental development of children can be achieved.

摘要

在印度,在所调查的342个地区中,有286个被确定为碘缺乏病(ID)的流行地区。针对学龄儿童(SAC)、青春期女孩、孕妇(PMs)和新生儿开展的研究表明,这些人群的碘营养状况较差。根据世界卫生组织规定的临界值,学龄儿童的甲状腺肿总患病率超过5%,尿碘中位数浓度水平低于100μg/l,孕妇低于150μg/l。新生儿的促甲状腺激素水平较高。碘缺乏会损害智力发育,而这一点对家庭、项目管理人员和行政人员来说仍然是隐藏且不易察觉的。本综述描述了该国不同地区碘缺乏病的现状。旨在强烈建议实施碘缺乏病新生儿筛查项目,以便实现儿童的最佳智力发育。

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本文引用的文献

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Iodine deficiency status amongst school children in Pauri, Uttarakhand.
Indian Pediatr. 2014 Jul;51(7):569-70. doi: 10.1007/s13312-014-0449-1.
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Status of iodine deficiency among pregnant mothers in Himachal Pradesh, India.印度喜马偕尔邦孕妇碘缺乏状况
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