综合干预矮身材青少年焦虑情绪的疗效分析  

Analysis on the curative effect of comprehensive intervention on anxious emotion of the teenagers with short stature

作　　者：姜志红[1] 马志萍[1] 李俊玲 李曦[1] 

机构地区：[1]河南科技大学第一附属医院,河南洛阳471003 [2]河南省汝阳县人民医院儿科

出　　处：《中国妇幼保健》2012年第18期2758-2760,共3页Maternal and Child Health Care of China

基　　金：河南科技大学青年科学基金资助项目〔2010QN0038〕;河南省科学技术厅科技成果鉴定〔2011第2067号〕

摘　　要：目的:探索心理咨询结合生长激素(GH)治疗矮身材青少年焦虑情绪的方法。方法:用体格检查表、《焦虑自评量表》(SAS)从1 000名中学生中筛查出有焦虑性情绪的16名矮身材、35名偏矮身材青少年,分为心理治疗组、GH结合心理治疗组,未治疗的对照组。心理咨询治疗每周做1次,分泌型重组人GH按照剂量0.15～0.20 IU.kg-1.d-1,每天1次,于晚上睡觉前30min皮下注射。治疗前后进行SAS评定。结果:GH结合心理治疗组、心理治疗组的SAS标准分平均值低于治疗前。GH结合心理治疗组青少年的SAS标准分平均值低于心理治疗组,而对照组青少年的SAS标准分平均值高于2个治疗组,差异均有统计学意义。结论:身材矮小容易导致焦虑情绪,GH结合心理治疗对矮身材青少年焦虑情绪的效果优于单纯心理治疗。Objective： To explore the curative effect of psychological consultation combined with growth hormone （GH） for treat- ment of anxious emotion of short teenagers. Methods： Physical examination table and self - rating anxiety scale （ SAS ） were used to screened out 16 teenagers with short stature and 35 teenagers with comparatively short stature from 1 000 middle school students, then they were divided into psychotherapy group, GH plus psychotherapy group, and control group. Psychological consultation was conducted once a week, secretory recombinant human GH was applied by subcutaneous injection at 30 munites before sleeping according the dose of 0. 15 - 0. 20 IU·kg^-1·d^-1 , once a day. SAS was carried out before and after treatment. Results： The mean values of SAS in GH plus psycho- therapy group and psychotherapy group after treatment were significantly lower than those before treatment. The mean value of SAS in GH plus psychotherapy group was significantly lower than that in psychotherapy group, while the mean value of SAS in control group after treat- ment was significantly higher than those in the other two groups, there was statistically significant difference. Conclusion： The teenagers with short stature lead to anxious emotion easily, the curative effect of GH combined with psychotherapy is superior to the curative effect of simple psychotherapy for relieving anxious emotion of the teenagers with short stature.

关 键 词：矮身材 焦虑情绪 生长激素 心理咨询 

分 类 号：R179[医药卫生—妇幼卫生保健]