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【目的】探讨特发性真性性早熟(idiopathic central precocious puberty,ICPP)女孩的心理行为特点与中医证型的关系。【方法】对139例ICPP患儿进行中医辨证,分为肝肾阴虚、肝气郁结、痰火郁结3个证型,采用阿成贝切儿童行为量表(Achenbach’s child behavior checklist,CBCL)对患儿进行心理行为评估,观察不同中医证型的ICPP女孩心理行为的表现。【结果】CBCL量表中的抑郁、多动、违纪、社交退缩、攻击分值存在差异,3组比较差异有统计学意义(P<0.01)。在两两比较中,痰火郁结型ICPP女孩表现为多动、违纪的外向性行为问题,与其他2组比较差异有统计学意义(P<0.01),肝气郁结型ICPP儿童表现为社交退缩的内向性行为问题,与其他2组比较差异有统计学意义(P<0.01)。【结论】不同中医证型的ICPP患儿存在心理行为问题的差异,可能是ICPP患儿中医证型的行为学基础之一。
【Objective】 To investigate the relationship between the psychological behavior of idiopathic central precocious puberty (ICPP) girls and TCM syndromes. 【Methods】 139 cases of ICPP children were diagnosed with TCM syndromes and divided into three syndromes: liver and kidney yin deficiency, liver qi stagnation, phlegm and fire stagnation. The Achenbach’s child behavior checklist (CBCL) Children psychological behavior assessment, observation of different TCM syndrome ICPP girls psychological behavior. 【Results】 There was significant difference in scores of depression, hyperactivity, discipline, social withdrawal and attack in CBCL scale between the three groups (P <0.01). Compared with other 2 groups, ICPP girls with phlegm-heat stagnation ICPP presented as hyperactivity and discipline-oriented extroversion behavior in any pairwise comparisons (P <0.01). ICPP children with liver-qi stagnation showed social withdrawal Introverted behavior problems, compared with the other two groups, the difference was statistically significant (P <0.01). 【Conclusion】 There are differences in psychological behavioral problems among ICPP children with different TCM syndromes, which may be one of the behavioral bases of TCM syndromes in children with ICPP.