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甲状腺功能减退症患儿的P300事件相关电位

P300 event-related potential in children with hypothyroidism.

作者信息

Ravi Naveen, Bharshankar Rajay N, Hulke Sandip M, Thakre Avinash Eknath, Wakode Santosh Laxman, Subba Krishna N, John Nitin Ashok, Taranikanti Madhuri, Kalpana M, Prafull K, Daulatabad Vandana S, Singhal Anish, Ganji Vidya, Umesh Madhusudhan, Gaur Archana

机构信息

Department of Physiology, AIIMS, Bibinagar, Telangana, India.

Department of Physiology, AIIMS, Bhopal, Madhya Pradesh, India.

出版信息

J Family Med Prim Care. 2025 Jul;14(7):2892-2896. doi: 10.4103/jfmpc.jfmpc_297_25. Epub 2025 Jul 21.

Abstract

BACKGROUND

Hypothyroidism is a common endocrine disorder, which adversely affects the developing central nervous system in the pediatric population. Despite treatment, patients may continue to experience neurological impairments such as cognitive dysfunction. P300 is an event-related potential (ERP) which is often considered as a marker for cognition. In this study, P300 was recorded in hypothyroid children.

MATERIALS AND METHODS

This study involved 52 children between the ages of 8 and 15 years who were newly diagnosed with hypothyroidism. Auditory P300 latencies and amplitudes were recorded in the study population at the time of diagnosis, 1-month and 6-months follow-up. A value of < 0.05 was assigned for statistical significance, and Kruskal-Wallis test was used to assess the same.

RESULTS

Although the amplitudes and latencies of P300 appeared to increase and decrease respectively, during successive follow-ups compared to the values recorded at the time of diagnosis. However, these changes were not statistically significant ( > 0.05).

CONCLUSION

This study did not show any significant changes in P300 latencies and amplitudes. A shorter follow-up timeframe and a smaller sample size are possible limitations of this study. There is a possibility that P300 may show considerable changes over a longer course of disease management.

摘要

背景

甲状腺功能减退是一种常见的内分泌疾病,对儿童发育中的中枢神经系统有不利影响。尽管进行了治疗,但患者可能仍会出现认知功能障碍等神经损伤。P300是一种事件相关电位(ERP),常被视为认知的标志物。在本研究中,对甲状腺功能减退儿童进行了P300记录。

材料与方法

本研究纳入了52名年龄在8至15岁之间新诊断为甲状腺功能减退的儿童。在诊断时、随访1个月和6个月时记录研究人群的听觉P300潜伏期和波幅。统计学显著性设定为P值<0.05,并使用Kruskal-Wallis检验进行评估。

结果

尽管与诊断时记录的值相比,在连续随访期间P300的波幅和潜伏期似乎分别增加和缩短。然而,这些变化无统计学显著性(P>0.05)。

结论

本研究未显示P300潜伏期和波幅有任何显著变化。较短的随访时间和较小的样本量可能是本研究的局限性。在更长的疾病管理过程中,P300有可能显示出相当大的变化。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bb8b/12349784/47ffa687804a/JFMPC-14-2892-g001.jpg

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