先天性甲状腺功能减低症学龄期儿童行为问题的对照研究  

Control study on behavioral problems of school- age children with congenital hypothyroidism

作　　者：黄赛君[1] 苏晞[1] 俞红[1] 何瑞雪[2] 吴翠玲[1] 

机构地区：[1]广东省佛山市妇幼保健院儿童保健科,528000 [2]中山大学公共卫生学院

出　　处：《中国妇幼保健》2015年第2期209-212,共4页Maternal and Child Health Care of China

基　　金：佛山市科技局重点项目〔2012AA100371〕

摘　　要：目的：了解先天性甲状腺功能减低症（CH）学龄期儿童行为问题发生率、分布及其行为问题特征,为减少其行为问题进一步改善患儿预后以及提高其生存质量提供理论依据。方法：运用Achenbach儿童行为量表（CBCL）对36例CH儿童（男童16例,女童20例,年龄6~12.9岁）和与之匹配的72例正常儿童进行测试,对其测试结果进行比较分析。结果：CH组儿童行为问题发生率为22.22%高于对照组的8.33%,差异有统计学意义（P〈0.05）;CH组男、女童行为问题发生率差异无统计学意义（P〉0.05）,CH组女童在体诉及违纪因子得分高于对照组。结论：CH学龄期儿童存在一定行为问题,治疗时需注意甄别以利于早期干预,以便患儿在生理、心理方面均能达到良好状态。Objective： To understand the incidence rate, distribution and characteristics of behavioral problems among the school -age children with congenital hypothyroidism （CH）, provide a theoretical basis for reducing behavioral problems, further improving prognosis and the quality of life. Methods： Achenbach Child Behavior Checklist was used to test 36 children with CH （ 16 boys and 20 girls, 6 - 12. 9 years old） and 72 normal children, then the results were compared and analyzed. Results： The incidence rate of behavioral prob- lems in CH group was 22. 22%, which was statistically significantly higher than those in control group （8.33%） （P 〈 0. 05 ） ; in CH group, there was no statistically significant difference between boys and girls （P 〉 0.05 ）, the scores of symptomatic factor and disobedient factor in girls in CH group were higher than those in control group. Conclusion： Certain behavioral problems exist in the school -age children with CH, more attention should be paid to discrimination during treatment for early intervention in order to achieve good conditions in aspects of physiology and psychology.

关 键 词：先天性甲状腺功能减低症 学龄期儿童 行为问题 

分 类 号：R174[医药卫生—妇幼卫生保健]