张莹

【摘要】目的：从综合角度探析儿童性早熟的流行特征以及影响因素。方法：随机选取在我院接受治疗的50例性早熟儿童作为观察组，另选50例正常儿童作为对照组，通过对多因素Logistic回归分析的应用，结合两组儿童的状况，综合分析出影响儿童性早熟的各类因素。结果：在两组儿童的年龄上，对比差异无统计学意义（P>0.05），而观察组儿童的骨龄、身高、体制以及BMI值均高于对照组儿童，差异具有统计学意义（P<0.05）。通过综合角度分析得出，儿童性早熟与家庭环境、阅读书籍、饮食习惯等客观因素有关。结论：结合研究实验的最终结果进行分析，儿童性早熟除了和家庭环境、阅读书籍以及饮食习惯有关之外，还与母亲的初潮年龄存在一定的关联性，创设良好的生活环境、养成良好的饮食习惯都能够帮助儿童健康的成长，同时预防性早熟的发生，从而有效的降低儿童性早熟的发病率。

【关键词】儿童;性早熟;客观因素

[Abstract] Objective：To explore the epidemiological characteristics and influencing factors of precocious puberty in children from a comprehensive perspective. Methods：50 cases of precocious puberty children treated in our hospital were randomly selected as the observation group and 50 cases of normal children as the control group. Through the application of multivariate logistic regression analysis， combined with the situation of two groups of children， various factors affecting precocious puberty of children were comprehensively analyzed. Results： There was no significant difference in age between the two groups （P > 0.05）， but the bone age， height， system and BMI of the children in the observation group were higher than those in the control group （P < 0.05）. Through comprehensive analysis， it is concluded that children's precocious puberty is related to objective factors such as family environment， reading books， eating habits and so on. Conclusion： According to the analysis of the final results of the study， besides the family environment， reading books and eating habits， children's precocious puberty is also related to their mother's age at menarche. Creating a good living environment and developing good eating habits can help children grow up healthily， and at the same time， children's precocious puberty is also related to their mother's age at menarche. To prevent the occurrence of precocious puberty， so as to effectively reduce the incidence of precocious puberty in children.

[Key words] children; precocious puberty; objective factors

【中圖分类号】R725.8

【文献标识码】A

【文章编号】2095-6851（2020）03-256-01

1 资料与方法

1.1 一般资料

随机选取在我院接受治疗的50例性早熟儿童作为观察组，另选50例正常儿童作为对照组，观察组男孩20例，女孩30例;对照组男孩25例，女孩25例。两组儿童的年龄基本保持在7岁～10岁区间。此次研究实验在征得儿童家属同意下进行，两组儿童的一般资料并无明显差异，具有统计学意义（P<0.05）[1]。

1.2 方法

首先，我院将采用问卷调查的方式对两组儿童的基本资料进行具体的调查统计，其次就是两组儿童的骨龄测定，具体测量内容如下：身高、体重、BMI，同时结合G-P图谱法对两组儿童的各项指标进行测定。最后就是两组儿童的性激素水平的测定，在测量儿童的性激素水平时需注意采集早晨空腹时的静脉血，静脉血要求为2ml，3000r/min，30min离心提取上清液，然后利用化学发光免疫分析仪以及其他的辅助手段对儿童的性激素分泌水平进行测定[2]。

1.3 观察标准

本次研究实验将两组儿童的一般资料作为观察标准。