ISSN 1674-3865  CN 21-1569/R
主管：国家卫生健康委员会
主办：中国医师协会
　　　辽宁省基础医学研究所
　　　辽宁中医药大学附属医院
中国中西医结合儿科学

中国中西医结合儿科学 ›› 2016, Vol. 8 ›› Issue (2): 225-227.doi: 10.3969/j.issn.1674-3865.2016.02.034

• 调查研究 • 上一篇    下一篇

南阳地区155例矮身材患儿病因分析

牛文忠，丁显春   

  1. 473000 河南 南阳，南阳市中心医院儿科
  • 出版日期:2016-04-25 发布日期:2018-11-19
  • 通讯作者: 丁显春，E-mail：erkedxc@126.com
  • 作者简介:牛文忠(1978-)，男，医学硕士，主治医师。研究方向：小儿内分泌与遗传代谢疾病的诊治

Clinical analysis of short stature in 155 children in Nanyang

NIU Wenzhong，DING Xianchun   

  1. Department of Pediatrics，Nanyang Central Hospital,Nanyang 473000，China.
  • Online:2016-04-25 Published:2018-11-19

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摘要： 目的：分析南阳地区矮身材患儿的病因。
方法：2009年10月至2015年2月南阳市中心医院儿科收治矮小症患儿155例，详细记录患儿一般资料及病史，了解患儿父母及其他家族成员身高和生长发育情况，进行体格检查和辅助检查。
结果：155例矮身材患儿中生长激素缺乏症72例(4645%)，特发性矮身材50例(3226%)，体质性青春发育期延迟10例(645%)，小于胎龄儿5例(323%)，甲状腺功能减低症6例(387%)，性早熟4例(258%)，Turner综合征3例(194%)，软骨发育不全3例(194%)，黏多糖病2例(129%)。
结论：南阳地区矮身材患儿病因多为生长激素缺乏症和特发性矮身材。

关键词: 矮身材, 临床分析, 儿童

Abstract:
Objective:To analyze the etiology of short stature in children in Nanyang.
Methods:Totally 155 children with short stature were selected from October 2009 to February 2015 in Pediatric Department of Nanyang Central Hospital.Detailed records of general information and history were collected;the height and the growth and development situation of their parents and other members of the family were investigated;physical check-up and auxiliary examination were performed.
Results:Among 155 cases of short stature，72 cases were diagnosed with growth hormone deficiency(4645%)，50 cases with idiopathic short stature(3226%)，10 cases with constitutional delay of growth and puberty(645%)，5 cases with small for gestational age(323%)，6 cases with hypothyroidism(387%)，4 cases with idiopathic central precocious puberty(258%)，3 cases with Turner's syndrome(194%)，3 cases with achondroplasia(194%)，and 2 cases with mucopolysaccharidosis(129%).
Conclusion:Growth hormone deficiency and idiopathic short stature are common etiological factors of short stature in Nanyang.

Key words: Short stature, Clinical analysis, Children