黑龙江医学
黑龍江醫學
흑룡강의학
HEILONGJIANG MEDICAL JOURNAL
2015年
6期
629-630,631
,共3页
儿童矮小症%病因%回顾性分析
兒童矮小癥%病因%迴顧性分析
인동왜소증%병인%회고성분석
Children short stature%Pathogen%Retrospective analysis
目的：分析儿童矮小症病因、治疗及与年龄相关性。方法收集2012－03～2014－02间我院儿科门诊收治200例矮小症儿童临床资料行回顾性分析，分析患儿的一般临床资料、诊断及相关检查，将所得数据进行统计分析，分析出儿童矮小症病因及其与年龄相关性。结果生长激素缺乏症、生长激素神经分泌障碍、甲状腺功能减退、宫内发育迟缓、特发性矮小、性早熟、营养缺乏为儿童矮小症常见病因。其中生长激素缺乏症、生长激素神经分泌障碍、特发性矮小、性早熟＞7岁儿童发生率明显高于≤7岁患儿，差异有统计学意义（ P＜0．05），营养缺乏、Tumerg综合征、21－三体综合征≤7岁患儿发病率明显高于＞7岁患儿，差异有统计学意义（ P＜0．05）。结论临床中致儿童矮小症病因较多，常见有生长激素缺乏症、生长激素神经分泌障碍、甲状腺功能减退、宫内发育迟缓、特发性矮小、性早熟、营养缺乏等，临床早期诊断并干预可促进患儿生长，改善患儿预后。
目的：分析兒童矮小癥病因、治療及與年齡相關性。方法收集2012－03～2014－02間我院兒科門診收治200例矮小癥兒童臨床資料行迴顧性分析，分析患兒的一般臨床資料、診斷及相關檢查，將所得數據進行統計分析，分析齣兒童矮小癥病因及其與年齡相關性。結果生長激素缺乏癥、生長激素神經分泌障礙、甲狀腺功能減退、宮內髮育遲緩、特髮性矮小、性早熟、營養缺乏為兒童矮小癥常見病因。其中生長激素缺乏癥、生長激素神經分泌障礙、特髮性矮小、性早熟＞7歲兒童髮生率明顯高于≤7歲患兒，差異有統計學意義（ P＜0．05），營養缺乏、Tumerg綜閤徵、21－三體綜閤徵≤7歲患兒髮病率明顯高于＞7歲患兒，差異有統計學意義（ P＜0．05）。結論臨床中緻兒童矮小癥病因較多，常見有生長激素缺乏癥、生長激素神經分泌障礙、甲狀腺功能減退、宮內髮育遲緩、特髮性矮小、性早熟、營養缺乏等，臨床早期診斷併榦預可促進患兒生長，改善患兒預後。
목적：분석인동왜소증병인、치료급여년령상관성。방법수집2012－03～2014－02간아원인과문진수치200례왜소증인동림상자료행회고성분석，분석환인적일반림상자료、진단급상관검사，장소득수거진행통계분석，분석출인동왜소증병인급기여년령상관성。결과생장격소결핍증、생장격소신경분비장애、갑상선공능감퇴、궁내발육지완、특발성왜소、성조숙、영양결핍위인동왜소증상견병인。기중생장격소결핍증、생장격소신경분비장애、특발성왜소、성조숙＞7세인동발생솔명현고우≤7세환인，차이유통계학의의（ P＜0．05），영양결핍、Tumerg종합정、21－삼체종합정≤7세환인발병솔명현고우＞7세환인，차이유통계학의의（ P＜0．05）。결론림상중치인동왜소증병인교다，상견유생장격소결핍증、생장격소신경분비장애、갑상선공능감퇴、궁내발육지완、특발성왜소、성조숙、영양결핍등，림상조기진단병간예가촉진환인생장，개선환인예후。
Objective To analyze the relationship of etiology and treatment and age of children with short stature .Methods Collec-ting clinical data of 200 children with short stature in outpatient department of pediatrics from March , 2012 to February, 2014 in the hospi-tal, analyzing general clinical data , and analyzing the relationship of etiology of short stature children with age .Results Microsomia chil-dren common disease was caused by the growth hormone deficiency , growth hormone neurosecretory disorder , hypothyroidism , intrauterine growth retardation , idiopathic short stature , precocious puberty , the lack of nutrition.More than 7 years old children with growth hormone deficiency , growth hormone neurosecretory disorder , idiopathic short stature and precocious puberty incidence were significantly higher than those in less than 7 years old children, with statistical significance(P<0.05);the incidence of children younger than 7 years old, lack of nutrition, Tumer syndrome and trisomy 21-syndrome were significantly higher than older than 7 years old, with statistical significance ( P<0.05).Conclusion The causes of etiology of children with short stature in clinic were a lot ,with growth hormone deficiency , growth hormone neurosecretory disorder , hypothyroidism , intrauterine growth retardation , idiopathic short stature , precocious puberty , the lack of nutrition etc commonly ,and clinical early diagnosis and intervention can promote the growth of children and improve the prognosis .
