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 ›› 2023, Vol. 15 ›› Issue (4): 319-323.doi: 10.3969/j.issn.1674-3865.2023.04.009

• 学术探讨 • 上一篇    下一篇

基于中西医结合理论的矮身材诊疗策略探讨

余风, 徐辉甫, 陈志鑫   

  1. 430061 武汉,湖北中医药大学第一临床学院2021级中西医结合专业研究生(余风);湖北中医药大学第一临床学院儿科学教研室(徐辉甫);430022 武汉,武汉市中西医结合医院儿科(陈志鑫)
  • 收稿日期:2023-05-24 出版日期:2023-08-25 上线日期:2023-08-25
  • 通讯作者: 余风,E-mail:2952131596@qq.com

Diagnosis and treatment strategies of short stature based on the theory of integrated traditional Chinese and western medicine

YU Feng, XU Huifu, CHEN Zhixin   

  1. Hubei University of Chinese Medicine, Wuhan 430061,China

  • Received:2023-05-24 Published:2023-08-25 Online:2023-08-25
  • Contact: YU Feng,E-mail:2952131596@qq.com

摘要: 随着我国社会经济和文化的发展进步,越来越多的家长关注儿童矮身材。尤其是现在各行各业及择偶对外形都的需求提高,使得儿童生长发育问题成为后疫情时代儿童疾病的新关注点。尽管西医的治疗方法起效快、疗效明显,但起源不久,远期风险未知;且临床儿童体质千变万化,无法全部“嵌合”进适应证中。中医作为我国传统文化的重要组成部分,能够调理儿童体质,促进生长发育,将中医辨证论治和西医的辨病论治相结合,有助于提高矮身材的诊疗效率和质量,中西医结合是中国特色社会主义道路发展的必然选择。本文从中西医各自的诊疗特征入手,分析了现有的诊疗手段优势和不足,并梳理总结了5种临床常见矮身材类型,包括:生长激素缺乏症、中枢性性早熟、体质性青春期延迟、小于胎龄儿、特发性矮身材,基于中西医结合角度,简略探讨了对应策略。

关键词: 矮身材, 中医, 西医, 中西医结合, 策略, 儿童

Abstract: With the development and progress of social economy and culture, more and more parents are paying attention to children's short stature. Especially, with the increasing demand for external factors in various industries and mate selection, the issue of children's growth and development has become a new focus of children's diseases in the post-pandemic era. Although the treatment methods with western medicine have rapid and significant effect, the origins are not long enough and the long-term risks are unknown; moreover, the clinical physique of children is constantly changing, making it impossible to fully suit indications. Traditional Chinese medicine, as an important component of China's traditional culture, can regulate children's physical fitness and promote growth and development, so the combination of traditional Chinese medicine with western medicine helps to improve the efficiency and quality of diagnosis and treatment for short stature. The integration of traditional Chinese and western medicine is an inevitable choice for the development of socialism with Chinese characteristics. This article starts with the diagnosis and treatment characteristics of traditional Chinese and western medicine, analyzes the advantages and disadvantages of existing diagnosis and treatment methods, andsummarizes five common clinical types of short stature, including: growth hormone deficiency, central precocious puberty, constitutional delayed puberty, small for gestational age, and idiopathic short stature. Based on the integration of traditional Chinese with western medicine, corresponding strategies are briefly discussed.

Key words:

Short stature, Chinese medicine, Western medicine, Integrated traditional Chinese and western medicine, Strategy, Children