舒兰教授治疗女童性早熟临床经验

Clinical Experience of Professor Shu Lan in the Treatment of Precocious Puberty in Girls

性早熟是现代儿科的常见病,以女性患儿为主,其发病率较过去相比有明显上升,成因与遗传、饮食、环境刺激等诸多因素有所关联,基于发病机制和临床表现分为中枢性和外周性性早熟。西医治疗本病的手段较为单一、风险较大、经济负担重,家庭接受度较差。舒兰教授认为此病与家长喂养方式不当、儿童情志不遂等家庭环境问题关系密切,治疗上从肾、肝、脾三脏入手,根据特征性临床表现分为阴虚火旺、肝经湿热、痰湿壅滞等3个证型,对应予滋阴降火、疏肝解郁、燥湿化痰等治法,同时强调喂养指导和心理疏导等健康宣教的重要性,减轻家长焦虑心理,培养患儿清淡饮食、规律作息、适当锻炼的生活习惯,在临床上疗效确切、安全性高、经济负担轻。后附验案2则加以举证。

Precocious puberty is more and more common in pediatrics,especially in girls.The causes are complex,which can cause adverse effects on children's physical and mental health.Western medicine treatment is relatively simple,there is risk of adverse reactions,and there is a certain economic burden.Professor Shu Lan has been engaged in the clinical diagnosis and treatment of Pediatrics for more than 30 years.He thinks that precocious puberty is closely related to improper family feeding and children’s emotional failure.In the treatment,we should pay attention to the whole,flexibly add and subtract on the basis of syndrome differentiation and treatment,supplemented by health education,with definite curative effect and high safety.