部分环境因素对儿童性早熟的影响

发布时间：2018-10-20 14:17

【摘要】：目的:通过本次的问卷调查,研究影响儿童性早熟的环境因素,为今后预防儿童性早熟的发生提供科学理论依据。方法:本次研究通过收集皖南医学院第一附属弋矶山医院儿科门诊确诊为性早熟的患儿,依据中华人民共和国卫生部性早熟诊疗指南制定的诊断标准,将符合标准的100例儿童作为病例组,按其年龄、性别配比选择100例健康儿童作为对照组,研究采用自行设计的统一问卷,由患儿或患儿的监护人如实填写,问卷内容根据文献报道的相关因素从饮食、光照、运动、娱乐习惯等方面进行设计调查,共调查7个问题,包括是否喜爱肉制品、高热量油炸食品、反季节蔬菜及水果、是否经常运动、睡觉时是否开灯、是否经常用或接触成人化妆品、是否喜欢言情片。结果:根据两组的数据χ2检验统计分析结果表明:经常食用肉制品、高热量油炸食品、反季节蔬菜及水果,不经常运动,睡觉时开灯,经常用或接触成人化妆品,喜欢言情片7项因素在两组中具有统计学差异(P0.05);根据Logistic回归数据分析结果表明:经常食用肉制品(OR=3.625)、高热量油炸食品(OR=6.662)、反季节蔬菜、水果(OR=2.158),经常睡觉时开灯(OR=5.327),经常用或接触成人化妆品(OR=2.601),经常看言情片(OR=2.396)为儿童性早熟发生的主要危险因素,其中经常食用肉制品、高热量油炸食品,经常睡觉时开灯是儿童性早熟发生的高度危险因素(OR3.0);经常运动(OR=0.608)和儿童性早熟的发生呈负相关,为儿童性早熟发生的保护性因素。结论:1.通过本次的问卷调查,经常食用肉制品、高热量油炸食品、反季节蔬菜及水果,经常睡觉时开灯,经常用或接触成人化妆品,经常看言情片和儿童性早熟的发生有关,其中经常运动是儿童性早熟发生的保护因素。2.在日常生活中尽量减少诱发性早熟发生的因素,多去参加体育锻炼,重视性早熟发生的诱因,降低儿童性早熟的发病率及其带来的危害。
[Abstract]:Objective: to study the environmental factors affecting precocious puberty in order to provide a scientific basis for the prevention of precocious puberty in children. Methods: the study collected children diagnosed as precocious puberty in the pediatrics outpatient department of the first affiliated Yojishan Hospital of Southern Anhui Medical College, and according to the diagnostic criteria formulated by the guidelines for diagnosis and treatment of precocious puberty in the Ministry of Health of the people's Republic of China. 100 children who met the criteria were selected as the case group and 100 healthy children were selected as the control group according to their age and sex. The self-designed unified questionnaire was used to fill out the case by the children or their guardians. According to the related factors reported in the literature, the questionnaire was designed and investigated from the aspects of diet, light, sports, recreation habits and so on. Seven questions were investigated, including whether you like meat products, high calorie fried foods, off-season vegetables and fruits, etc. Whether to exercise regularly, whether to turn on the lights while sleeping, whether to use or contact with adult cosmetics, whether to like romantic films. Results: according to the data of the two groups, the statistical analysis showed that meat products, fried foods with high calorie, off-season vegetables and fruits were consumed frequently, not often exercised, lights were turned on while sleeping, and cosmetics were often used or exposed to adults. According to Logistic regression data analysis, the results showed that: eat meat products (OR=3.625), high-calorie fried food (OR=6.662), off-season vegetables, Fruit (OR=2.158), frequent OR=5.327 during sleep, regular use or exposure to adult cosmetics (OR=2.601), and regular watching of romance films (OR=2.396) are the main risk factors for precocious puberty in children, including frequent consumption of meat products and high-calorie fried foods. The high risk factor of child precocious puberty (OR3.0) is to turn on the light when sleeping frequently, and the frequent exercise (OR=0.608) is negatively related to the occurrence of child precocious puberty, which is the protective factor of child precocious puberty. Conclusion: 1. Through this questionnaire survey, we often eat meat products, high-calorie fried foods, off-season vegetables and fruits, often turn on lights when we sleep, often use or contact with adult cosmetics, often watch romance films and the occurrence of precocious puberty in children. Among them, regular exercise is the protective factor of precocious puberty in children. 2. In daily life, we should reduce the factors of precocious puberty, take part in physical exercise, attach importance to the inducement of precocious puberty, and reduce the incidence of precocious puberty in children and its harm.
【学位授予单位】：皖南医学院
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R725.8

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