普通儿科医生甲状腺功能检查解释。

IF 1.1 4区医学 Q3 PEDIATRICS

Archives of Disease in Childhood-Education and Practice Edition Pub Date : 2024-12-10 DOI:10.1136/archdischild-2024-327932

Amelia Isadora Alice Hardy, Lesley Tetlow, Leena Patel, Indraneel Banerjee

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引用次数: 0

摘要

甲状腺功能检查（TFT）是一项常见的调查，通常由普通儿科医生和全科医生进行。TFT包括血清游离甲状腺素（fT4）和促甲状腺激素（TSH）的测量，以指导甲状腺功能减退和甲状腺功能亢进的诊断和治疗，需要左旋甲状腺素（LT4）和卡咪唑等药物治疗。甲状腺激素在生命早期神经发育中起关键作用；因此，需要正确解释TFT以优化治疗结果。TFT需要与影响因素相结合，如并发疾病、饮食、肥胖的存在、检测干扰和不坚持治疗。

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Thyroid function test interpretation for general paediatricians.

A thyroid function test (TFT) is a common investigation, often undertaken by general paediatricians and general practitioners. TFT involves the measurement of serum free thyroxine (fT4) and thyroid stimulating hormone (TSH) to guide the diagnosis and management of hypothyroidism and hyperthyroidism, requiring treatment with medications such as levothyroxine (LT4) and carbimazole. Thyroid hormones play a crucial role in early life neurodevelopment; therefore, the correct interpretation of TFT is required to optimise treatment outcomes. TFT needs to be contextualised to influencing factors such as intercurrent illness, diet, presence of obesity, assay interference and non-adherence to treatment.

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来源期刊

Archives of Disease in Childhood-Education and Practice Edition 医学-小儿科

CiteScore

1.70

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： Archives of Disease in Childhood is an international peer review journal that aims to keep paediatricians and others up to date with advances in the diagnosis and treatment of childhood diseases as well as advocacy issues such as child protection. It focuses on all aspects of child health and disease from the perinatal period (in the Fetal and Neonatal edition) through to adolescence. ADC includes original research reports, commentaries, reviews of clinical and policy issues, and evidence reports. Areas covered include: community child health, public health, epidemiology, acute paediatrics, advocacy, and ethics.