运动干预联合常规治疗对中枢性性早熟女童不良体态及心理行为的影响研究

The effects of exercise intervention combined with conventional treatment on adverse physical and psychological behavior in girls with central precocious puberty

目的探究运动干预联合常规治疗对中枢性性早熟(central precocious puberty,CPP)女童不良体态和心理行为的缓解和改善效果。方法将2023年8月25日—11月30日在中日友好医院就诊的24名CPP女童分成研究组和对照组,每组12名。在研究期间对照组保证常规治疗的前提下不进行任何其他项目的运动干预,研究组保证常规治疗的前提下进行1周3次,每次1 h,共计13周的运动干预,评价指标包括圆肩、头前引以及儿童行为量表中的指标。通过独立样本t检验对干预前后的数据进行统计分析。结果运动干预后,研究组12名受试者圆肩(35.04±1.64)、头前引(34.66±0.81)、心理行为(31.83±2.94)各项指标均有明显改善,干预前后的指标差异有统计学意义(t=9.183、5.496、22.190,P<0.05),而12名对照组受试者圆肩(37.09±1.50)、头前引(36.58±1.96)各项指标研究前后差异无统计学意义(P>0.05)。经过13周的运动干预,研究组和对照组的受试者圆肩和头前引(t=-3.189、-3.125,P=0.004、0.005)和心理行为(t=-2.140、-6.276、-2.267、-3.442、-2.104、-2.569、-3.638、-2.395、-3.411、-7.860,P<0.05)各项指标差异有统计学意义。结论13周的运动干预可以改善CPP女童圆肩、头前引,可防止圆肩、头前引不良身体姿态后续严重化,改善社交退缩、分裂强迫、违纪和残忍等因子,提高生活质量。

Objective Exploring the alleviating and improving effects of exercise intervention on adverse physical and psychological behavior in girls with central precocious puberty(CPP)under conventional treatment.Methods 24 CPP girls who visited the China-Japan Friendship Hospital from August 25 to November 30,2023,were divided into an study group and a control group.The evaluation indicators included round shoulders,forward head posture,and factors in the Child Behavior Checklist.The control group received conventional treatment only,while the study group received three sessions of 1 h exercise intervention per week for 13 weeks,with 50 min of aerobic fitness training each session,in addition to conventional treatment.Independent sample t-tests were used to analyze the data before and after the intervention.Results After the exercise intervention,the study group(n=12)showed significant improvements in round shoulders(35.04±1.64),forward head posture(34.66±0.81),and psychological behavior(31.83±2.94)(t=9.183,5.496,22.190,P<0.05),while the control group(n=12)showed no statistically significant differences in round shoulders(37.09±1.50)and forward head posture(36.58±1.96)before and after thestudy(P>0.05).After 13 weeks of exercise intervention,there were statistically significant differences(t=9.183,5.496,22.190,P<0.01)in various indicators of adverse physical(t=-3.189,-3.125,P=0.004,0.005)and psychological behavior(t=-2.140,-6.276,-2.267,-3.442,-2.104,-2.569,-3.638,-2.395,-3.411,-7.860,P<0.05)between the study group and the control group,with the study group having lower indicators than the control group.Conclusions The research results indicate that a 13-week exercise intervention can improve the rounded shoulder,head forward posture,and psychological factors such as social withdrawal,schizoid-obsessive,delinquent,and cruel in girls with CPP,thereby improving their quality of life.