超重与肥胖儿童肝脏多普勒彩超声像图的表现与分析

发布时间：2018-06-24 10:43

本文选题：超重肥胖儿童 + 肝肾　；参考：《东北师范大学》2014年硕士论文

【摘要】：改革开放以来，人们物质生活水平普遍提高。伴随着中国成功的实行独生子女政策，青少年物质生活水平得到了极大改善。【1】正如陈至立所讲，由于营养和饮食不当，加之学校偏重智育轻体育,青少年学生的体质近二十年来持续下降。儿童青少年是民族的未来，祖国含苞待放的花朵。但是，众所周知肥胖儿童的体质健康状况令国家、社会、家长和老师都为之担忧。由肥胖导致的一系列问题，一次又一次的拷问着我们的医生和体育工作者，少儿这些问题的产生，我们应该做些什么？近年来，肥胖儿童脂肪肝的检出率呈逐渐上升的趋势。由于一直以来形成的生活习惯加之自己本身不爱体育锻炼，那些慢性疾病把魔爪一步步的伸向他们。少儿的肥胖度和脂肪肝的发生呈正比关系，应该警醒的是，肥胖儿童肝脏有不同程度脂肪沉积不会有太大的身体感觉。这不同于肥胖成人的脂肪肝。本文的主要探究目的就是想运用多普勒超声图像，通过将肥胖儿童的肝脏影像学表现和正常儿童、肥胖成人以及自身的肾脏影像学图像进行比较，早期发现其肝脏的一些隐匿变化。通过随机抽取7～12岁肥胖儿童、正常儿童、肥胖成人各10名。测量身高、体重，计算身体质量指数以及体成份分析仪测定。实验数据和超声图像的对比分析显示，有的肥胖儿童的肝脏有脂肪沉积。超声筛查肝脏脂肪变化有其独特的优势，敏感、无创伤、简单、快捷等特点，建议有条件的学校，安排少儿定期做多普勒超声检查，以筛查肝脏的变化。在体育活动中，，应该将肥胖儿童从基本组中分开出来，为他们设计适合的体育教学活动。以达到更好地健身和减重的目的；家长要提高警惕培养少儿正确健康的饮食习惯，这是防治肥胖的重要前提。从临床医学来看，肥胖儿童脂肪肝方面的研究、对肥胖儿童肝脏系统影像学的研究已经是硕果累累。且大多是从流行病学、病理学等方面加以研究。在运动人体科学方面，此方向的研究还少之又少。所以本文的确立，对于肥胖儿童早期预防性干预某些疾病的发生发展，实现健康快乐成长是一项非常有意义、有前瞻性的工作。
[Abstract]:Since the reform and opening up, people's material living standards have generally improved. Along with China's successful one-child policy, the material standard of living of teenagers has been greatly improved. [1] as Chen Zhili notes, due to inappropriate nutrition and diet, and the emphasis placed by schools on intellectual education and less physical education, The physique of young students has been declining in the past twenty years. Children and adolescents are the future of the nation, the motherland blooming flowers. But it is well known that obese children's physical health concerns the country, society, parents and teachers. A series of problems caused by obesity, again and again torture our doctors and sports workers, children these problems, what should we do? In recent years, the detection rate of fatty liver in obese children is increasing gradually. As a result of the habits that have been formed and their own lack of physical exercise, the chronic diseases are pushing their claws towards them step by step. The fat degree of children is proportional to the occurrence of fatty liver. It should be warned that fat deposition in the liver of obese children does not have too much body feeling. This is different from fatty liver in obese adults. The main purpose of this study is to compare the liver imaging findings of obese children with those of normal children, obese adults and their own kidneys using Doppler ultrasound. Some hidden changes in the liver were detected early. 10 obese children, 10 normal children and 10 obese adults were randomly selected. Height, weight, body mass index and body composition analyzer were measured. Comparative analysis of experimental data and ultrasound images showed that fat deposits were found in the liver of some obese children. Ultrasound screening of liver fat has its unique advantages, sensitive, non-invasive, simple, quick and so on. In sports activities, obese children should be separated from the basic groups and suitable physical education activities should be designed for them. In order to achieve better fitness and weight loss, parents should raise vigilance to cultivate children's correct healthy eating habits, which is an important prerequisite for prevention and control of obesity. From the clinical medical point of view, fatty liver in obese children, the study of liver system imaging in obese children has been fruitful. And mostly from the epidemiology, pathology and other aspects of the study. In sports human science, this direction of research is rare. So the establishment of this paper is a very meaningful and prospective work for obesity children to prevent the occurrence and development of some diseases and to realize healthy and happy growth.
【学位授予单位】：东北师范大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R723.14;R445.1

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