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目的探讨对肥胖症患儿进行门诊早期干预的方法及疗效。方法对2011年1月至2013年1月儿童肥胖门诊病例134例,进行个体化干预治疗,包括饮食指导、有氧运动、行为校正及心理健康教育等,测量和计算其干预前后体质指数(BMI)、血压、腰围、臀围,检测空腹血糖、血脂,并进行Piers-Harris儿童自我意识量表测试。结果肥胖儿童门诊干预后BMI、SBP、DBP、腰围、臀围、甘油三酯(TG)、总胆固醇(TC)、低密度脂蛋白胆固醇(LDL-C)等均较干预前下降(P均<0.01),高密度脂蛋白胆固醇(HDL-C)较干预前升高(P<0.01);门诊干预后肥胖儿童自我意识评分较干预前也明显升高(P<0.05,P<0.01)。结论早期门诊干预对儿童肥胖症临床疗效显著,能提高肥胖儿童自我意识等,从而提高儿童生活质量。
Objective To explore the method and efficacy of early intervention in obese children. Methods A total of 134 outpatients with obesity in our hospital from January 2011 to January 2013 were enrolled in this study. Individualized interventions included dietary guidance, aerobic exercise, behavior modification and mental health education. The body mass index (BMI) before and after intervention were measured and calculated. ), Blood pressure, waist circumference, hip circumference, fasting blood glucose, blood lipids, and Piers-Harris children’s self-awareness scale test. Results The obese children had significantly lower BMI, SBP, DBP, waist circumference, hip circumference, triglyceride (TG), total cholesterol (TC) and low density lipoprotein cholesterol (LDL-C) 0.01), and HDL-C increased significantly (P <0.01). The score of self-awareness of obese children was significantly higher than that before intervention (P <0.05, P <0.01). Conclusion Early outpatient intervention has significant clinical effect on childhood obesity, which can improve the self-awareness of obese children and improve the quality of life of children.