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宁静, 刘翠, 刘瑛, 郭勇, 吴婕翎. COVID-19疫情期间生长激素缺乏症患者管理策略[J]. 中国妇幼卫生杂志, 2021, 12(1): 40-43,57. DOI: 10.19757/j.cnki.issn1674-7763.2021.01.010
引用本文: 宁静, 刘翠, 刘瑛, 郭勇, 吴婕翎. COVID-19疫情期间生长激素缺乏症患者管理策略[J]. 中国妇幼卫生杂志, 2021, 12(1): 40-43,57. DOI: 10.19757/j.cnki.issn1674-7763.2021.01.010
NING Jing, LIU Cui, LIU Ying, GUO Yong, WU Jie Ling. Management of children with growth hormone deficiency during COVID-19 outbreak[J]. CHINESE JOURNAL OF WOMEN AND CHILDREN HEALTH, 2021, 12(1): 40-43,57. DOI: 10.19757/j.cnki.issn1674-7763.2021.01.010
Citation: NING Jing, LIU Cui, LIU Ying, GUO Yong, WU Jie Ling. Management of children with growth hormone deficiency during COVID-19 outbreak[J]. CHINESE JOURNAL OF WOMEN AND CHILDREN HEALTH, 2021, 12(1): 40-43,57. DOI: 10.19757/j.cnki.issn1674-7763.2021.01.010

COVID-19疫情期间生长激素缺乏症患者管理策略

Management of children with growth hormone deficiency during COVID-19 outbreak

  • 摘要: 目的 评估新型冠状病毒肺炎(COVID-19)流行居家限制期间重组人生长激素(rhGH)治疗生长激素缺乏症(GHD)患者生活方式及生长速度,为特殊时期患者的治疗及时进行药物调整提供依据。方法 2020年3月9-12日,采用问卷星调查对137名广东省妇幼保健院生长激素缺乏症患者在疫情期间进行生活行为评估,所有研究对象填写自编调查问卷,包括一般情况、睡眠情况、运动情况、静坐及视屏时间及饮食情况等。结果 在疫情发生期间,研究对象年身高生长速度较疫情前减少了1. 21cm/年(P<0. 05),而BMI较疫情前增长0. 26。全天睡眠为10. 59小时,较平日多0. 7小时,其中早上起床时间较平日晚起1. 29个小时(P<0. 05),而在夜间入睡时间较平日晚0. 33小时(P<0. 05),白天睡眠时间缩短了近0. 26小时(P<0. 05)。每日运动时间较平日减少了0. 15小时(P<0. 05),每周运动天数同平时没有明显变化;静坐时间较平时增加了0. 39小时(P<0. 05),而视屏时间较平时增加了1. 44小时(P<0. 05)。进食高热量高糖分的零食的频率较平时减少(P<0. 05),以上差异具有统计学意义,用药依从性与平时无区别。结论 建议在后续及时对所有患者进行全面评估,通过多种宣教手段促进儿童的健康生活方式,以减少短期生长速度降低的影响。

     

    Abstract: Objective To evaluate the lifestyles and growth rate of children with growth hormone deficiency(GHD) treated with recombinant human growth hormone(rhGH) during the period of home isolation during the pandemic of COVID-19. Method From March 9 to 12, 2020, a questionnaire survey was used to evaluate the lifestyles of 137 patients with growth hormone deficiency in our hospital during the epidemic. All the participants filled in the self-designed questionnaire, including general situation, sleep, physical activity, sedentary, screen time, and diet. Result During the pandemic period, the children's annual height growth rate decreased by1.21 cm per year, while BMI increased by 0.26 compared with that before the pandemic(P< 0. 05). The average sleep duration was10.59 hours per day during home isolation, and it was 0.7 hours longer than usual. The time to get up in the morning was 1.29 hours later than usual(P< 0. 05), and the time to fall asleep at night was 0. 33 hours later than usual(P< 0. 05). The daytime sleep duration had been shortened by nearly 0.26 hours(P< 0. 05). The daily exercise time was 0. 15 hours less than usual(P< 0. 05).There was no significant change in the number of exercise days per week as usual. The sedentary time increased by 0.39 hours(P<0.05), while the screen time increased by 1.44 hours(P< 0. 05). The frequency of eating high-calorie and high-sugar snacks was less than usual(P< 0. 05). There was no significant difference in medication compliance. Conclusion It is suggested that all patients should be followed up and evaluated. A variety of education should be adopted to promote children's healthy lifestyles to reduce the short-term growth rate reduction.

     

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