儿童生长贴联合儿童拉伸操对特发性矮身材儿童身高影响
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摘要
目的探讨儿童生长贴联合儿童拉伸操对特发性矮身材儿童身高影响。方法选择2016年1月～2017年1月台州恩泽医疗中心(集团)恩泽医院和路桥医院儿童生长发育科因特发性矮身材就诊的患儿120例;按就诊顺序采用随机数字法分为对照组、观察组1、观察组2、观察组3各30例,对照组给予充分睡眠、饮食和运动疗法,观察组1在此基础上给予儿童生长贴;观察组2在此基础上给予儿童拉伸操;观察组3在此基础上给予儿童生长贴联合儿童拉伸操,疗程均为12个月。比较4组治疗前后身高、身高增长值、生长速度,骨龄、预测成年身高。结果4组患儿治疗前进行身高比较,无显著性差异(F=1.24,P>0.05);治疗后12个月身高比较,差异有统计学意义(F=9.04,P<0.01);对照组治疗后12个月身高增长无统计学意义(t=1.94,P>0.05),而观察组1、观察组2和观察组3治疗后12个月较治疗前差异有统计学意义(t=5.31、5.69、6.67,P<0.01);4组身高增长值比较,差异有统计学意义(F=71.33,P<0.01);4组身高生长速度治疗后6个月和12个月比较,差异有统计学意义(F=33.69、45.75,P<0.01),治疗后BA比较,差异无统计学意义(F=0.97,P>0.05);治疗后预测成年身高比较差异有统计学意义(F=37.18,P<0.01)。结论儿童生长拉伸操联合儿童生长贴可显著增加身高增长值,加快生长速度,而不加快骨龄增长。
Objective To investigate the effect of children's growth stickers combined with children's stretching exercises on the height of children with idiopathic short stature. Methods 120 children with idiopathic short stature in the Department of Child Growth and Development in Enze Hospital and Luqiao Hospital of Taizhou Enze Medical Center(Group) from January 2016 to January 2017 were randomly selected. According to the order of treatment. The patients were divided into control group, observation group 1, observation group 2, observation group 3, with 30 cases in each group. The control group was given sufficient sleep, diet and exercise therapy. The observation group 1 was given children growth stickers on the above basis. The observation group 2 was given children stretching exercise on this basis.The observation group 3 was given children growth stickers combined with children's stretching exercises on the above basis. All the patients were treated for 12 months. The height, height growth value, growth rate, bone age and predicted adult height before and after treatment in the 4 groups were compared. Results There were no significant differences in height between the four groups before treatment(F=1.24,P>0.05). There were significant differences in height after treatment for 12 months(F=9.04,P<0.01). There was no significant difference in height growth in the control group after treatment for 12 months(t=1.94,P>0.05). The differences between observation group 1, observation group 2 and observation group 3 were significant before and after 12 months' treatment(t=5.31,5.69,6.67,P<0.01). There were significant differences in height growth value between 4 groups(F=71.33,P<0.01). The difference in height growth rate at 6 months and 12 months after treatment was significant among the 4 groups(F=33.69,45.75,P<0.01). There was no significant difference between B and A after treatment(F=0.97,P>0.05). The difference in predicted adult height was significant after treatment(F=37.18,P<0.01). Conclusion Children's growth stretching exercise combined with children's growth stickers can significantly increase the height growth value and accelerate growth rate without accelerating bone age growth.
Objective To investigate the effect of children's growth stickers combined with children's stretching exercises on the height of children with idiopathic short stature. Methods 120 children with idiopathic short stature in the Department of Child Growth and Development in Enze Hospital and Luqiao Hospital of Taizhou Enze Medical Center(Group) from January 2016 to January 2017 were randomly selected. According to the order of treatment. The patients were divided into control group, observation group 1, observation group 2, observation group 3, with 30 cases in each group. The control group was given sufficient sleep, diet and exercise therapy. The observation group 1 was given children growth stickers on the above basis. The observation group 2 was given children stretching exercise on this basis.The observation group 3 was given children growth stickers combined with children's stretching exercises on the above basis. All the patients were treated for 12 months. The height, height growth value, growth rate, bone age and predicted adult height before and after treatment in the 4 groups were compared. Results There were no significant differences in height between the four groups before treatment(F=1.24,P>0.05). There were significant differences in height after treatment for 12 months(F=9.04,P<0.01). There was no significant difference in height growth in the control group after treatment for 12 months(t=1.94,P>0.05). The differences between observation group 1, observation group 2 and observation group 3 were significant before and after 12 months' treatment(t=5.31,5.69,6.67,P<0.01). There were significant differences in height growth value between 4 groups(F=71.33,P<0.01). The difference in height growth rate at 6 months and 12 months after treatment was significant among the 4 groups(F=33.69,45.75,P<0.01). There was no significant difference between B and A after treatment(F=0.97,P>0.05). The difference in predicted adult height was significant after treatment(F=37.18,P<0.01). Conclusion Children's growth stretching exercise combined with children's growth stickers can significantly increase the height growth value and accelerate growth rate without accelerating bone age growth.
引文
[1]陈立黎,朱高慧,熊丰,等.重组人生长激素治疗儿童特发性矮小症远期疗效分析[J].儿科药学杂志,2018,24(6):13-16.
[2]颜惠萍,周利,彭榕,等.重组人生长激素联合心理干预治疗矮小症患儿的临床研究[J].中国现代医生,2017,55(9):82-84.
[3]缪爱梅.重组人生长激素治疗小儿特发性矮小症的疗效[J].临床医药文献电子杂志,2016,3(50):10025-10028.
[4]田慧,曾远辉.中西医结合治疗特发性矮小症近期疗效分析[J].中医儿科杂志,2017,13(6):39-43.
[5]中华医学会儿科学会内分泌遗传代谢学组.矮身材儿童诊治指南[J].中华儿科杂志, 2008,46(6):428-430.
[6]张雪霜,熊丰,朱岷,等.重组人生长激素治疗不同病因矮小症患儿效果观察[J].第三军医大学学报,2016,38(16):1889-1894.
[7]常波,苏芊.矮身材的治疗进展[J].中国中西医结合儿科学,2015,7(3):207-212.
[8]陈凌华,赵慧,张素珍,等.矮小症儿童主观生活质量和社会适应能力的研究[J].中国儿童保健杂志,2016,24(12):1271-1273.
[9]且迪,杨凡.不同剂量重组人生长激素治疗小于胎龄儿矮小症的疗效分析[J].中国当代儿科杂志,2016,18(3):247-253.
[10]王丽芳,顾月琴,贾立山,等.太仓市3~14岁儿童身材矮小发生率及其影响因素研究[J].儿科药学杂志,2018,24(3):20-24.
[11]俞建,时毓民.矮小症的中医临床研究与展望[J].中国中西医结合儿科学,2015,7(3):193-195.
[12]谭克理,何军锋,屈娅婷,等.艾灸和运动综合方案干预肾精亏虚矮小症疗效观察[J].中国针灸,2009,29(8):613-615.
[13]屈娅婷,何军锋,张国民,等.肾虚矮小症雄性大鼠骨代谢异常及艾灸和运动综合方案干预的研究[J].中医药导报,2008,14(11):13-15.
[14]陈姜,黄海清,范英珊,等.体育运动对青少年矮身材及骨龄的影响[J].中国校医,2002,16(4):295-296.
[15]郭春艳,贺波,呼延佳,等.重组人生长激素对身材矮小儿童增高疗效的相关影响因素分析[J].中国儿童保健杂志,2015,23(2):147-152.
[16]孙艳艳,汪永红,封玉琳.中医调治脾肝肾在治疗矮小症中的应用[J].中国中西医结合儿科学,2015,7(3):213-215.
[17]张娟娟,李苏曼.健脾益肾方辨证加减治疗矮小症患儿的临床分析[J].辽宁中医杂志,2015,42(5):979-981.
[18]宋鹏,夏桂选.中医治疗矮小症临床文献分析[J].中国中西医结合儿科学,2015,7(4):323-325.
[19]张赛萍,叶进.叶进治疗儿童矮身材的经验采撷[J].浙江中医药大学学报,2017,41(10):825-827.
[20]刘建忠,王丽君,林连美,等.扶阳罐配合跑台运动对肾虚矮小症雄性大鼠生长发育相关因子的影响[J].湖北中医杂志,2016,38(3):14-17.
[2]颜惠萍,周利,彭榕,等.重组人生长激素联合心理干预治疗矮小症患儿的临床研究[J].中国现代医生,2017,55(9):82-84.
[3]缪爱梅.重组人生长激素治疗小儿特发性矮小症的疗效[J].临床医药文献电子杂志,2016,3(50):10025-10028.
[4]田慧,曾远辉.中西医结合治疗特发性矮小症近期疗效分析[J].中医儿科杂志,2017,13(6):39-43.
[5]中华医学会儿科学会内分泌遗传代谢学组.矮身材儿童诊治指南[J].中华儿科杂志, 2008,46(6):428-430.
[6]张雪霜,熊丰,朱岷,等.重组人生长激素治疗不同病因矮小症患儿效果观察[J].第三军医大学学报,2016,38(16):1889-1894.
[7]常波,苏芊.矮身材的治疗进展[J].中国中西医结合儿科学,2015,7(3):207-212.
[8]陈凌华,赵慧,张素珍,等.矮小症儿童主观生活质量和社会适应能力的研究[J].中国儿童保健杂志,2016,24(12):1271-1273.
[9]且迪,杨凡.不同剂量重组人生长激素治疗小于胎龄儿矮小症的疗效分析[J].中国当代儿科杂志,2016,18(3):247-253.
[10]王丽芳,顾月琴,贾立山,等.太仓市3~14岁儿童身材矮小发生率及其影响因素研究[J].儿科药学杂志,2018,24(3):20-24.
[11]俞建,时毓民.矮小症的中医临床研究与展望[J].中国中西医结合儿科学,2015,7(3):193-195.
[12]谭克理,何军锋,屈娅婷,等.艾灸和运动综合方案干预肾精亏虚矮小症疗效观察[J].中国针灸,2009,29(8):613-615.
[13]屈娅婷,何军锋,张国民,等.肾虚矮小症雄性大鼠骨代谢异常及艾灸和运动综合方案干预的研究[J].中医药导报,2008,14(11):13-15.
[14]陈姜,黄海清,范英珊,等.体育运动对青少年矮身材及骨龄的影响[J].中国校医,2002,16(4):295-296.
[15]郭春艳,贺波,呼延佳,等.重组人生长激素对身材矮小儿童增高疗效的相关影响因素分析[J].中国儿童保健杂志,2015,23(2):147-152.
[16]孙艳艳,汪永红,封玉琳.中医调治脾肝肾在治疗矮小症中的应用[J].中国中西医结合儿科学,2015,7(3):213-215.
[17]张娟娟,李苏曼.健脾益肾方辨证加减治疗矮小症患儿的临床分析[J].辽宁中医杂志,2015,42(5):979-981.
[18]宋鹏,夏桂选.中医治疗矮小症临床文献分析[J].中国中西医结合儿科学,2015,7(4):323-325.
[19]张赛萍,叶进.叶进治疗儿童矮身材的经验采撷[J].浙江中医药大学学报,2017,41(10):825-827.
[20]刘建忠,王丽君,林连美,等.扶阳罐配合跑台运动对肾虚矮小症雄性大鼠生长发育相关因子的影响[J].湖北中医杂志,2016,38(3):14-17.