齐齐哈尔铁路地区矮身材儿童致矮因素分析

Analysis of the Factors Leading to Short Stature in Children

我们于1989年5～6月,对齐齐哈尔铁路地区8所小学1～6年级8783名在校学生进行体检,根据1985年全国学生身高均值和标准差表,共检出身高发育落后(≥2个标准差)的学生128名(1.46%)。1990年5～6月,再次复检,利用调查表与临床、实验室检查相结合的方法试作致矮因素分析。

One hundred ahd twenty eight children who were short of stature were fornd out among 8783 children of 8 primary schools in railway region of Qiqihar. After one year, their heights were measured and X-rays of their left hands were taken to rate bone age. Based on bone age, height gain ,and information on questionare and laboratory examination, the factors leading to short stature were analysed. Among 126 children whose heights were still below (?)-2SD, 14 (11.1%) had pathologic auxologic features: height gain was less than 4cm/y, bone age/chronological age ratio was less than 0.8, and 12 belonged to pathologic short stature. Innonpathologic short children, 51.3% suffered from diseases and malnutrition before. The results suggest that improvement of nutritional status and prevention and treatment of diseases during infancy are important in prevention of short stature of children.