浙江地区小儿性早熟的病因分析及证候分布研究  

Etiology analysis and the syndrome distribution research of pediatric sexual precocity in Zhejiang

作　　者：陈梅[1] 陶敏[1] 董勤[1] 

机构地区：[1]浙江中医药大学第一附属医院,浙江杭州310006

出　　处：《中医儿科杂志》2014年第5期41-44,共4页Journal of Pediatrics of Traditional Chinese Medicine

摘　　要：目的分析浙江地区小儿性早熟的病因及证候分布。方法采用调查表临床研究的方法共调查儿童192例,经Spearman检验对调查问卷进行统计分析。结果性早熟的患儿中女童占95.8%,男童占4.2%。性早熟的发病情况与食用牛初乳、蜂皇浆、蚕蛹等有相关性;与父母青春期发育情况、患儿出生时情况、饮食习惯、生活习惯等多种因素无相关性。186例性早熟儿童中136例属于肾虚火旺型(占73.12%),36例为肝经郁热型(占19.35%),14例为痰湿阻滞型(占7.53%)。结论性早熟以女童多见,病因学分析显示本病发病与使用牛初乳、蜂皇浆、蚕蛹等有相关性,临床中以肾虚火旺型为常见。Objective To analyze the pathogenesis of pediatric sexual precocity in Zhejiang and the syndrome distribution. Methods By questionnaire, 192 children were investigated and statisticly analyzed by Spearman test. Results In the children of sexual precocity , girls accounted for 95.8% , boys for 4.2%. The incidence of sexual precocity was related to eating edible eolostrum, royal jelly, and silkworm; there was no correlation with various factors and adolescent development of their parents at birth, other eating habits, living habits. In 186 cases of sexual precocity, 136 cases belonging to the type of fire hyperactivity due to yin deficiency of the kidney （ accounting for 73.12% ） , 36 cases of stagnated heat of liver channel （ for 19.35% ） , 14 cases of phlegm dampness stagnation type （7.53%）. Conclusion There are more sexual precocity girls than boys. Etiology analysis showed that there was correlation between the onset of the disease and eating bovine eolostrum, royal jelly, and silkworm. The clinically most common type is yang hyperactivity based on kidney yin deficiency.

关 键 词：性早熟 病因分析 证候学研究 

分 类 号：R725.8[医药卫生—儿科]