基层医院儿童矮小症治疗初探

[目的]探讨基层医院儿童矮小症的治疗.[方法]对安岳县诊断明确的矮小儿童进行差别综合治疗,包括:心理辅导、饮食指导、睡眠调理、肠道调理、营养促进、加强锻炼以及生长激素(Gh)、左旋甲状腺素治疗等,观察期12个月. [结果]244例矮小儿童有21例接受GH治疗,12个月生长大于12 cm共15例,占71.4％,12个月生长大于6 cm共6例,占28.6％,12月生长小于6 cm共0例,223例接受除外GH的差别综合治疗,12个月生长大于12 cm共102例,占45.7％,12个月生长大于6 cm共98例,占43.9％,12月生长小于6 cm共23例,占10.4％.两组的显效率分别为71.4％、45.7％,有效率分别为28.6％、43.9％,无效分别为0％、10.4％. [结论]Gh是治疗儿童矮小症的关键,但是除外GH的差别综合治疗在一定程度上也能达到有效提升儿童身高的目的,而且可以减轻其家庭负担,值得在基层医院推广运用.

OBSERVATION ON SHORT STATURE OF CHIDREN IN BASIC LEVEL HOSPITALS

[Objective]To study microsomia children treated in basic level hospitals.[Methods]For 12 months,microsomia children with differential treatment,including psychological counseling,diet guidance,sleep conditioning,digestive conditioning,intestinal nutrition promotion,strengthening exercise,growth hormone(Gh)and thyroxine treatment,were observed and studied in Anyue County.[Results]In the 244 cases,21 cases were treated by Gh for 12 months,of which 15 cases grew by more than 12cm,accounting for 71.4%,and 6 cas...