670例以矮小为主诉的患儿及其家长对生长迟缓认知状况的调查  

An investigation on the knowledge of stunt of the 670 patients and their parents ,whose chief complains were short stature

作　　者：张殿喜[1] 朱惠娟[1] 王凤丹[1] 龚凤英[1] 潘慧[1] 邓洁英[1] 金自孟[1] 史轶蘩[1] 

机构地区：[1]中国医学科学院北京协和医学院（清华大学医学部）北京协和医院内分泌科,北京市100730

出　　处：《中国基层医药》2007年第4期580-581,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的了解以矮小为主诉的患儿及家长对生长迟缓的认知情况。方法对670例患儿及其家长进行专人负责的问卷调查。结果670例患儿中男女比例为471：191,就诊平均年龄（12．6±5．2）岁,身高＜第3百分位者占61-8%,≥第3百分位者占38．2%,身高＞第10百分位则占10．5%;仅有20%家长经常过问孩子身高并记录,75%家长无法提供孩子目前的身高,30%家长认为孩子属于“晚长”。为了增高,10%家长让孩子吃过所谓的增高药物（具体成分均不详）,2．5%左右孩子曾接受器械增高,10．5%的孩子曾穿过增高鞋,但几乎无效。结论目前有相当多家长缺乏正常的儿童生长发育知识。临床实践中要进一步完善对患者教育宣传机制,加强医患交流,避免“增高”误区。Objective To investigate the knowledge of stunt of patients and their parents,whose chief complains were short stature. Method A questionnaire was administered to 670 patients and their parents. Results In the 670 cases, the rate of boys to girls was 471：191, the mean age when hospitalized was （12.6±5.2 ） years old, 61.19 % patients＇ height was 〈 3 %, 38.21% patients＇ height ≥3 %, and 10.45 % patients＇ height 〉 10 %. Only 20 % of the parents often recorded their children＇s height,75 % didn＇t know the present height of their children and 30% thought their ＇children＇s dwarfism due to growing late. In order to grow higher, 10% children had take ＂heightening drug＂, about 2.5 % had received machine heightening, and 10.5 % had worn ＂heightening shoes＂, however,all the methods did not work at all. Conclusions At present,most parents lack the knowledge of normal growth and development. Normal height is misconceived to be short, or dwarfism to growing late and in this way they miss the best time for treating. In clinical practice, health education and doctors-patients communication needs strengthening to avoid the misunderstanding in heightening.

关 键 词：矮小症 身高 健康教育 

分 类 号：R72[医药卫生—儿科]