长江日报大武汉客户端2月4日讯 周末，一场关于长高的聚会在武商梦时代举行，300组家长孩童听专家讲座，分享个人心得，乘坐旋转飞车，为即将到来的“春天生长季”贮备能量。
一位来自钟祥的妈妈上台说，定期来武汉做长高检测和治疗，母子俩并不轻松。自己和丈夫身高均处于平均水平的低位，检测发现孩子可以用药物干预。可孩子的奶奶不太乐意，担心药物会有副作用。婆媳意见不一，让家里充斥着焦虑的氛围。这次，她邀请孩子的奶奶一起来听取专业意见。
有一位身高约有1.65米的妈妈上台分享。她称丈夫身高有1.8米，夫妻俩对孩子的身高期待很大。去年秋天，孩子读初一，身高达到1.74米，但这半年来，也许是学习压力太大，作息不协调，孩子的身高发育处于停滞状态，这让她感到十分焦虑。
据测算，我国矮小症患病率为3%左右，约有700万矮小症患者。其中，儿童生长激素缺乏症占10%—20%左右，其中只有极少数儿童接受了有效治疗。家长们对孩子生长发育的认知普遍存在误区，这些误区与焦虑裹挟在一起，将一个发育问题外延为心理问题。
协和医院儿科金润铭教授表示：“很多家长对孩子的身高很关注，为了帮助孩子长得更高，盲信偏方，或给孩子滥补所谓的营养品和增高药，导致营养过剩，引发肥胖、性早熟等问题，反而导致骨骺线提前闭合，孩子身高达不到期望值。”
“身材矮小不仅关乎孩子的形象气质，还易造成自卑的心理。家长要避免盲目等待，以免错过最佳干预期。”同济医院儿科林汉华教授说。
《“健康中国2030”规划纲要》重点强调，要把5岁以下儿童生长迟缓率从2013年的8.1%，降低到2030年的小于5%。为推动全社会对儿童生长发育问题的关注，人民日报社《健康时报》从2013年开始发起“中国儿童生长发育健康传播行动”，至今已走进600多家医院，邀请知名儿科专家普及儿童生长发育知识，开展义诊活动。本次在汉活动由北斗星儿童医院承办。
该院生长发育学科带头人王晓玲介绍，武汉北斗星儿童医院开展身高管理工作已有3年，是武汉市首家开展年度身高管理的医疗机构。3年来共有3000余名儿童参与骨龄检测，其中1000余名儿童参与年度身高管理。北斗星通过精准检测和评估，为孩子定制个性化的长高计划，提供饮食、营养、运动、睡眠、心理、内分泌等多科协作诊疗服务，目前已有众多儿童在这里通过身高管理和生长激素治疗达到理想身高。
活动现场，北斗星儿童医院还特别设置了义诊检测区，该院生长发育专科、运动康复科和眼科的医护人员为到场的孩子们免费进行身高体重测量、骨龄检测、足底扫描、体态评估和视力筛查，并提供专家咨询服务，帮助家长了解孩子当前生长发育水平和生长潜能，排查健康问题。
小贴士
家长怎么评判孩子身高发育是否合乎节律？
武汉北斗星儿童医院生长发育专科叶建红主任介绍：孩子的生长发育有规律可循，一般正常的足月新生儿身长50厘米左右，出生后第一年生长最快，身长可增加20—25厘米，1—3岁年身长增加8—10厘米。3岁以后至青春发育期前（即女孩10岁，男孩12岁前）每年身高增长5—7厘米。青春期再次进入快速增长期，在整个青春期男孩身高可增长20—30厘米，女孩可增长15—25厘米。家长应定期监测孩子身高，如果发现身高增长与上述规律不符，或偏离遗传靶身高生长曲线，就应引起注意，及时到医院就医寻找原因。
家长需要理性地看待孩子的身高问题，遗传和后天的生活环境都是重要的影响因素。
© Original 2024-02-04 21:49
On February 4th, Changjiang Daily Wuhan App reported that a meeting about how to grow taller was held in Wushang Dream Plaza over the weekend. 300 groups of parents and children listened to expert lectures, shared their personal experiences, and rode spinning bikes to store energy for the upcoming "spring growth season".
A mother from Zhong Xiang came on stage and said that regularly coming to Wuhan for height testing and treatment is not easy for the mother and son. Both she and her husband are at a low average height, and testing showed that the child can be intervened with medication. But the child's grandmother is not very happy and worried that the medication may have side effects. The disagreement between mother-in-law and daughter-in-law has filled the home with an atmosphere of anxiety. This time, she invited her child's grandmother to listen to professional opinions together.
A mother who is about 1.65 meters tall came on stage to share. She claimed that her husband is 1.8 meters tall, and the couple has high expectations for their child's height. Last autumn, her child was in the first year of junior high school and reached a height of 1.74 meters. However, in the past six months, perhaps due to excessive academic pressure and lack of coordination in daily life, his height development has been in a stagnant state, which has made her feel very anxious.
According to the estimates, the prevalence of dwarfism in China is around 3%, with approximately 7 million dwarfism patients. Among them, growth hormone deficiency in children accounts for about 10-20%, with only a very small number of children receiving effective treatment. Parents generally have misconceptions about their children's growth and development, which are intertwined with anxiety, extending a developmental problem to a psychological one.
Professor Jin Runming from the Department of Pediatrics at Union Medical Hospital said, "Many parents are very concerned about their children's height. In order to help their children grow taller, they blindly believe in folk remedies or give their children excessive supplements of so-called nutrients and height enhancing drugs, which leads to malnutrition, obesity, precocious puberty, and other problems. Instead, it leads to premature closure of the epiphyseal line, and the child's height does not meet expectations."
"Being short is not only affects a child's outlook and temperament, but also easily leads to feelings of inferiority. Parents should avoid blindly waiting to avoid missing the best intervention expectations," said Professor Lin Hanhua from the Pediatrics Department of Tongji Hospital.
The <<"Healthy China 2030" Plan >>emphasizes the need to reduce the growth retardation rate of children under 5 years old from 8.1% in 2013 to less than 5% by 2030. In order to promote the attention of the whole society to the issue of children's growth and development, the People's Daily <<Health Times>>have launched the "China Children's Growth and Development Health Communication Action" since 2013. So far, they have visited more than 600 hospitals, invited well-known pediatric experts to popularize knowledge about children's growth and development, and carried out free clinics. This event in Han is organized by Pleiades Children's Hospital.
Wang Xiaoling, the leader of the growth and development discipline at the hospital, introduced that Wuhan Pleiades Children's Hospital has been carrying out height management work for three years and is the first medical institution in Wuhan to carry out annual height management. Over the past three years, more than 3000 children have participated in bone age testing, with over 1000 children participating in annual height management. Pleiades customizes personalized growth plans for children through precise detection and evaluation, providing multi-disciplinary collaborative diagnosis and treatment services such as diet, nutrition, exercise, sleep, psychology, and endocrine. Currently, many children have achieved their ideal height through height management and growth hormone treatment here.
At the event site, Pleiades Children's Hospital has also set up a free consultation and testing area. The medical staff of the growth and development specialty, sports rehabilitation department, and ophthalmology department of the hospital provide free height and weight measurement, bone age testing, foot scanning, posture evaluation, and vision screening for the children present, and provide expert consultation services to help parents understand their children's current growth and development level and potential, and identify health problems.
Tips
How do parents judge whether a child's height development is in line with rhythm?
Director Ye Jianhong from the Growth and Development Department of Wuhan Pleiades Children's Hospital introduced that the growth and development of children follow a regular pattern. Generally, a normal full-term newborn has a body length of about 50 centimeters, and the fastest growth occurs in the first year after birth, with a body length increase of 20-25 centimeters. The annual body length increases by 8-10 centimeters at the age of 1-3. From the age of 3 to before the puberty period (i.e. girls 10 years old and boys 12 years old), the height increases by 5-7 centimeters per year. Adolescence once again enters a period of rapid growth, during which boys can grow by 20-30 centimeters in height and girls can grow by 15-25 centimeters. Parents should regularly monitor their children's height. If they find that their height growth does not match the above pattern or deviates from the genetic target height growth curve, they should pay attention and seek medical attention in a timely manner to find the cause.
Parents need to approach their children's height issues rationally, as genetics and the environment they live in are important influencing factors.
(Intern Dong Xin, Reporter Xie Dongxing, Correspondent Li Xiaomeng)
[Editor: Yu Lina]