社区儿童保健联合健康生活方式干预对性早熟的影响

Study on the effect of community child health and healthy lifestyle intervention on sexual precocity

目的探讨社区医务人员主导儿童保健联合健康生活方式干预对性早熟的影响。方法采用整群随机抽样的方法,选取2013年1月~2016年12月在南充市市辖三区6个社区卫生服务中心进行儿童保健的0~8岁健康儿童6537例,随机分成实验组3270例和对照组3267例。对照组进行常规儿童保健知识指导,实验组进行常规儿童保健知识指导的同时给予性早熟的相关知识及健康生活方式指导,观察4年内两组儿童性早熟发生率,干预的效果等。结果两组儿童干预前后进行自身对照比较,实验组干预后健康生活方式得分和性早熟知识得分明显高于干预前(P<0.05),对照组未进行健康生活方式及性早熟相关知识指导,组内比较干预前后差异无统计学意义(P>0.05);干预后实验组健康生活方式和性早熟知识得分高于对照组(P<0.05);实验组健康生活方式的养成优于对照组(P<0.05);实验组儿童性早熟发病率低于对照组(P<0.05);女童发病率高于男童(P<0.05)。结论社区医生主导参与,把儿童保健与性早熟干预相结合,可以养成健康的生活方式,达到预防、干预、控制儿童性早熟,减少中枢性性早熟发病率,甚至防止儿童性早熟的发生。为性早熟的防控提供切实有效的途径。

Objective To study the influence of health lifestyle intervention of children led by community medical staff on sexual precocity. Methods 6537 healthy children aged 0-8 years given child health care in 6 community health service centers in the three districts of Nanchong City were selected by cluster random sampling. They were randomly divided into experimental group(3270 cases) and control group(3267 cases). The experimental group was given child health knowledge guidance while conducting sexual precocity related knowledge and healthy lifestyle guidance. The control group was given routine child health knowledge guidance. The incidence of sexual precocity and the effect of intervention were observed within 4 years. Results The scores of precocious puberty knowledge and healthy lifestyle in the experimental group were higher than those in the control group(P<0.01). The children in the two groups were compared before and after the intervention. The healthy lifestyle scores of the experimental group were significantly higher than those before the intervention(t=-6.986, P<0.01). The parental precocious knowledge scores were significantly higher than those before intervention(t=-5.864, P<0.01), and there were significant statistical differences(P<0.01). There was no knowledge of healthy lifestyle and sexual precocity in the sexual precocity group. There was no significant difference between the groups before and after intervention(P>0.05). The healthy lifestyle of the experimental group was better than that of the control group(P<0.01). The detection rate of precocious children in the experimental group was lower than that in the control group, which was statistically significant(P<0.01), and the incidence rate of girls was higher than that of boys. Conclusion Community doctors are leading the way, combining child care with sexual precocity intervention to prevent, intervene, control, develop a healthy lifestyle, reduce the incidence of central precocious puberty, and even prevent sexual precocity in children. Provide effective and effective ways to prevent and control sexual precocity.