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儿童单纯性肥胖症防治措施的研究

Research on Methods in Prevention of Children’s Simple Obesity.

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【作者】 张柏青刘永鹏王芳明宋晓枚

【Author】 ZHANG Bai qing,LIU Yong peng,WANG Fang ming,et al.(Liaoning Women and Children’s Health Care Institute,Shenyang,Liaoning 110005,China)

【机构】 辽宁省妇幼保健院辽宁省妇幼保健院 辽宁沈阳110005辽宁沈阳110005辽宁沈阳110005

【摘要】 【目的】 为了更好的探讨儿童单纯性肥胖症防治措施 ,降低儿童单纯性肥胖症的发病率 ,提供肥胖儿童可行治疗方法和科学依据。 【方法】 选择沈阳市、营口市 4个区 15所幼儿园及散居 1~ 6岁 2 83例单纯性肥胖儿童 ,16 0例为实验组与 10 6例为对照组。以幼儿园集体为主体 ,家庭个体为基础治疗方式。采用自制心理量表和教具 ,对肥胖儿及其家长心理治疗 ,膳食、运动量化微机管理的综合疗法 ,疗程为 3个月 ,血生化同时监测分析 ,所有计算用统计软件完成。 【结果】 实验组 16 0例肥胖儿童治疗总有效率为 93.75 % ,治愈率为 5 0 .6 3%。实验组与对照组体重、皮褶厚度差异有显著性 (P <0 .0 1) ,身高、脉搏、血压、血生化指标差异无显著性 (P >0 .0 5 ) ,实验前后肥胖儿童与肥胖儿童家长心理治疗差异有着显著意义 (P <0 .0 1) ,幼儿组疗效好于学龄前儿童组 ,治疗敏感指标为皮褶厚度 ,其次为体重。 【结论】 肥胖儿童早期防治对策重点为幼儿期、肥胖儿童综合治疗中 ,肥胖儿童家长心理矫治尤为重要。

【Abstract】 This study was aimed at discussing furtherthe methods in prevention of simple obesity in childhood to lower the incidencerate and to provide practical treatment and scientific evidences. One hundred and sixty of the total of 283 cases with simple obesity were involved in this study ,coming from 15 kindergarden in 4 districts in the two cities of Shenyang and Yingkou.The cases of controlgroup were 106.Using psychology-testing tables and teaching tool,children with obesity and their parents were given the treatment in psychology,diet and quaified exercises managed with computer for the duration of 3 months.Meanwhole,blood biochemistry analysis was perfomed.Statisitc software was used to calculate the data. The total resposive rate was 93.75% in 160cases of children with obesity with the cure rate of 50.63%.There was significant difference in body weight, skin thickness ( P <0.01).There was no significant difference in height,pulse,blood pressure and blood biochemistry( P >0.05).There was significant difference in psychological treatment before and after experiment in children’s with obesity and their parents( P <0.01).The responeof children aged 1 to 2 years old were better than children aged 3~7 years old.The sensitive values of treatment were the skin thickness and body weight. [Conclusions] Early prevention and treatment of obesity in childhood should focus on the general treatment of infant with obesity,especially the psychological adjustment of parents of children with obesity.

【关键词】 肥胖症儿童防治措施
【Key words】 Simple obesityChildrenMethods in prevention
【基金】 辽宁省科委基金资助项目 (982 2 50 0 1 )
  • 【文献出处】 中国儿童保健杂志 ,Chinese Journal of Child Health Care , 编辑部邮箱 ,2001年06期
  • 【分类号】R179
  • 【被引频次】29
  • 【下载频次】258
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