海口市6~8岁儿童第二性征早发育调查

发布时间：2018-07-30 07:02

【摘要】：目的调查海口市6~8岁儿童第二性征发育情况,了解海口市儿童青春发育的现况。方法采用分层整群随机抽样方法,对海口市4个区16所小学共2 223名6~8岁儿童进行体格检查,采用现况法(乳房触诊、阴毛视诊、睾丸测量)获取第二性征发育数据,按Tanner分期标准进行评价;发放调查表,由家长协助填写问卷调查表。结果 2 223名儿童中正常发育2 029例,第二性征发育194例,两者年龄、身高、体重及性别因素比较差异有统计学意义(P0.05);而相关暴露因素,如饮食、睡眠、运动、电视等差异均无统计学意义(P0.05)。性别、年龄及身高、体重4个因素为第二性征早发育的影响因素。结论性早熟存在明显性别差异,女性发病率高于男性,营养状况是影响性发育的重要因素。性的早发育直接影响到儿童的正常生长发育和社会心理健康,需要家庭、学校和社会更多的关注及干预。
[Abstract]:Objective to investigate the secondary sexual development of children aged 6 to 8 in Haikou, and to understand the present situation of adolescent development in Haikou. Methods A total of 2 223 children aged 6 to 8 years old in 16 primary schools in 4 districts of Haikou City were examined by stratified cluster random sampling. The data of secondary sexual development were obtained by the method of current status (breast palpation, pubic examination, testicular measurement). Evaluate according to Tanner staging criteria; issue questionnaires and fill out questionnaires with the assistance of parents. Results there were 2 029 cases of normal development and 194 cases of secondary sexual development in 2 223 children. There were significant differences in age, height, weight and sex between the two groups (P0.05), and the related exposure factors, such as diet, sleep, exercise, etc. TV and other differences were not statistically significant (P0.05). Sex, age, height and weight were four factors influencing the early development of secondary sexual symptoms. Conclusion sexual precocious puberty is significantly different in sex and the incidence of female is higher than that of male. Nutritional status is an important factor affecting sexual development. The early development of sex directly affects the normal growth and social mental health of children, and needs more attention and intervention from family, school and society.
【作者单位】：海南省海口市妇幼保健院儿科;
【分类号】：R179

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