关注矮身材儿童的规范化诊疗  

Paying attention to the standardized diagnosis and treatment for children with short stature

作　　者：罗小平[1] 吴薇[1] LUO Xiaoping;WU Wei(Department of Pediatrics,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430000,China)

机构地区：[1]华中科技大学同济医学院附属同济医院儿科,武汉430000

出　　处：《中国中西医结合儿科学》2024年第5期369-371,共3页Chinese Pediatrics of Integrated Traditional and Western Medicine

摘　　要：矮身材对儿童的身心健康具有深远的影响,是儿童内分泌专科常见的疾病。儿童处于生长发育的快速变化时期,且矮身材的病因繁杂,漏诊、误诊、干预不足或过度干预等现象始终存在,需要强化规范化诊疗。本文讨论了儿童矮身材临床诊疗中面临的挑战,特别强调矮身材的诊疗一方面要做到精准诊断,寻找病因,另一方面治疗上要严格把握适应证,做到个体化治疗。与此同时,对未来矮身材的诊疗方向进行展望,对进一步规范化矮身材的诊疗行为提出建议,以期为临床医生和决策者提供有益的参考。Short stature has a significant impact on the physical and mental health of children,and it is a common disease in the endocrine department of pediatrics.Due to the rapid changes in children's growth and development and the complex etiology of short stature,there have always been such issues as missed diagnoses,misdiagnoses and insufficient intervention or overtreatment.This necessitates the strengthening of standardized diagnosis and treatment.This article discusses the challenges faced in the clinical diagnosis and treatment of children with short stature,especially emphasizing two aspects:one is to find out the etiology and make precise diagnosis,and the other is to perform individualized treatment strictly based on the indications.Meanwhile,the future direction of diagnosis and treatment of short stature is prospected,and suggestions are put forward for further standardization of diagnosis and treatment behavior of short stature,in order to provide useful reference for clinicians and policy makers.

关 键 词：矮身材 诊断 治疗 生长激素 儿童 

分 类 号：R339.35[医药卫生—人体生理学]