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部分環(huán)境因素對兒童性早熟的影響

發(fā)布時間:2018-10-20 14:17
【摘要】:目的:通過本次的問卷調(diào)查,研究影響兒童性早熟的環(huán)境因素,為今后預防兒童性早熟的發(fā)生提供科學理論依據(jù)。方法:本次研究通過收集皖南醫(yī)學院第一附屬弋磯山醫(yī)院兒科門診確診為性早熟的患兒,依據(jù)中華人民共和國衛(wèi)生部性早熟診療指南制定的診斷標準,將符合標準的100例兒童作為病例組,按其年齡、性別配比選擇100例健康兒童作為對照組,研究采用自行設(shè)計的統(tǒng)一問卷,由患兒或患兒的監(jiān)護人如實填寫,問卷內(nèi)容根據(jù)文獻報道的相關(guān)因素從飲食、光照、運動、娛樂習慣等方面進行設(shè)計調(diào)查,共調(diào)查7個問題,包括是否喜愛肉制品、高熱量油炸食品、反季節(jié)蔬菜及水果、是否經(jīng)常運動、睡覺時是否開燈、是否經(jīng)常用或接觸成人化妝品、是否喜歡言情片。結(jié)果:根據(jù)兩組的數(shù)據(jù)χ2檢驗統(tǒng)計分析結(jié)果表明:經(jīng)常食用肉制品、高熱量油炸食品、反季節(jié)蔬菜及水果,不經(jīng)常運動,睡覺時開燈,經(jīng)常用或接觸成人化妝品,喜歡言情片7項因素在兩組中具有統(tǒng)計學差異(P0.05);根據(jù)Logistic回歸數(shù)據(jù)分析結(jié)果表明:經(jīng)常食用肉制品(OR=3.625)、高熱量油炸食品(OR=6.662)、反季節(jié)蔬菜、水果(OR=2.158),經(jīng)常睡覺時開燈(OR=5.327),經(jīng)常用或接觸成人化妝品(OR=2.601),經(jīng)?囱郧槠(OR=2.396)為兒童性早熟發(fā)生的主要危險因素,其中經(jīng)常食用肉制品、高熱量油炸食品,經(jīng)常睡覺時開燈是兒童性早熟發(fā)生的高度危險因素(OR3.0);經(jīng)常運動(OR=0.608)和兒童性早熟的發(fā)生呈負相關(guān),為兒童性早熟發(fā)生的保護性因素。結(jié)論:1.通過本次的問卷調(diào)查,經(jīng)常食用肉制品、高熱量油炸食品、反季節(jié)蔬菜及水果,經(jīng)常睡覺時開燈,經(jīng)常用或接觸成人化妝品,經(jīng)常看言情片和兒童性早熟的發(fā)生有關(guān),其中經(jīng)常運動是兒童性早熟發(fā)生的保護因素。2.在日常生活中盡量減少誘發(fā)性早熟發(fā)生的因素,多去參加體育鍛煉,重視性早熟發(fā)生的誘因,降低兒童性早熟的發(fā)病率及其帶來的危害。
[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.
【學位授予單位】:皖南醫(yī)學院
【學位級別】:碩士
【學位授予年份】:2017
【分類號】:R725.8

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