矮小身材儿童预防性筛查和临床治疗路径管理方案的探索

发布时间：2018-10-30 11:05

【摘要】：目的结合预防保健和临床治疗相结合路径管理理念,探讨一种结合矮小身材儿童的人群常规筛查、儿科检查、确诊、病因分析、治疗程序和随访的管理路径的方案,为进一步提高矮小身材儿童治疗效率。方法本文回顾性分析大同市某幼儿园、小学儿童身高体检资料以及同煤总医院儿科的矮小身材儿童的身高检查、诊断和治疗的资料。结果参照2005年9省/市儿童体格发育调查数据研究制定的中国2~18岁儿童身高标准,本研究所选观察人群的矮小身材儿童的发病情况与国内其他地区相近;在临床就诊儿童中,确诊为矮小身材的占66%,而有27.2%的儿童生长缓慢,其余为未达到矮小身材的标准,归为身材偏小,有6.8%的为正常。继续随访观察,矮小身材和身材偏小的儿童中,分别只有29.3%和25%的家庭愿意接受治疗。结论结合已发表的研究结果,提出儿童的人群常规筛查、儿科临床检查、确诊、治疗和护理的一条龙路径的管理方案,以提高矮小症的诊治率。
[Abstract]:Objective to explore a method of routine screening, paediatric examination, diagnosis, etiology analysis, treatment procedure and follow-up management for children with short stature combined with the concept of path management in combination with preventive health care and clinical treatment. In order to further improve the treatment efficiency of children with short stature. Methods the data of height examination of children in a kindergarten and primary school in Datong city and the data of height examination, diagnosis and treatment of children with short stature in pediatrics of Tongmei General Hospital were analyzed retrospectively. Results according to the data of physical development survey of children in 9 provinces / cities in 2005, the height standard of Chinese children aged 21 to 18 years old was established. The incidence rate of children with short stature was similar to that of other regions in China. Among the clinical children, 66cases were diagnosed with short stature, while 27.2% of them grew slowly, the others did not reach the standard of short stature, and the others were classified as small and 6.8% as normal. Following up, only 29.3% and 25% of children with short stature and small stature were willing to receive treatment, respectively. Conclusion in order to improve the diagnosis and treatment rate of dwarfism, combined with the published results, the authors put forward the management scheme of routine screening, paediatric clinical examination, diagnosis, treatment and nursing of children.
【作者单位】：山西医科大学公共卫生学院儿童少年卫生学与妇幼保健学教研室;
【分类号】：R725.8

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