肖爱　吴艳红　江霞

[关键词] 早期干预;身高矮偏离儿童;身高生长效果;骨龄年身高生长速率

[中图分类号] R174          [文献标识码] B          [文章编号] 1673-9701（2021）17-0057-03

The effect of early intervention in children with short height deviation

XIAO Ai   WU Yanhong   JIANG Xia

Department of Pediatrics， the Third People's Hospital of Jingdezhen City in Jiangxi Province， Jingdezhen   333000， China

[Abstract] Objective To explore the role of early intervention in children with short height deviation. Methods Using July to December 2019 as the time base， among all children with short stature deviation（below the 25th percentile of the same sex and the same age） in our hospital， 132 cases （ranging from 4 to 9-year-old children） were randomly selected as the study objects. They were divided into the control group and the observation group， with 66 cases in each group. The former adopted conventional intervention，and the latter adopted early intervention. One-year guidance and monitoring were conducted. The intervention effects of the two groups were compared. Results After the intervention， the height of boys in the observation group was（117.68±1.08） cm， which was higher than that of （114.45±2.23）cm in the control group，and the difference between the two groups was statistically significant （P<0.05）. After the intervention， the height of girls in the observation group was （114.84±1.68） cm， which was higher than that of （110.76±2.45） cm in the control group， and the difference between the two groups was statistically significant（P<0.05）. Conclusion Early intervention has a significant effect on the growth of children with short height deviation. It can not only significantly improve the height of patients， but also improve the quality of growth of patients. It has high application value and promotion value，and is suitable for large-scale popularization and implementation in clinical practice.

[Key words] Early intervention; Children with short height deviation; Height growth effect; Skeletal age height growth rate

身高是兒童成长和发育的重要指标，可以作为各国家和地区儿童健康发育的重要指标。身高生长是不可逆的，一旦骨垢线闭合后，身高就不会再有新的增高，因此，儿童时期是让身高达到理想水平的重要阶段[1]。儿童的身高不仅关系到自身的发展，也牵动着父母和家庭的担忧[2]。儿童身体一旦发生偏离情况，应当给予儿童适当的干预，从而确保其身高的正常发育。本研究将对早期干预身高矮偏离儿童身高生长效果评价进行深入研究，现报道如下。

1 资料与方法

1.1 一般资料

对4～9岁儿童测量身高、体重，比对中国儿童生长发育曲线图进行筛选，凡符合身高低于第25百分位以下的儿童，全部进行骨龄检测评价，建立相关资料信息库[3]，随机选取2019年7—12月在本院身高矮偏离儿童132例进行研究，将其按照动态随机分组法分为对照组和观察组，每组各66例。对照组男34例，占51.52%，女32例，占48.48%，年龄4～9岁，平均（5.51±1.31）岁;观察组男30例，占45.45%，女36例，占54.55%，年龄4～9岁，平均（5.53±1.29）岁;两组一般资料比较，差异无统计学意义（P>0.05），具有可比性

纳入标准：①所有患者均符合身高矮偏离诊断标准[4];②所有患者均在知情同意书上签字，并知晓相关研究流程;③本研究经过医院医学伦理会批准同意。

排除标准：①心脏肝肾等重要器官功能严重不全者;②精神类疾病或痴呆者;③过敏体质者。

1.2 方法

1.2.1 对照组  给予对照组患者常规护理干预（指导定期进行身高、体重及骨齡的测量）。任……