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目的:探索心理咨询结合生长激素(GH)治疗矮身材青少年焦虑情绪的方法。方法:用体格检查表、《焦虑自评量表》(SAS)从1 000名中学生中筛查出有焦虑性情绪的16名矮身材、35名偏矮身材青少年,分为心理治疗组、GH结合心理治疗组,未治疗的对照组。心理咨询治疗每周做1次,分泌型重组人GH按照剂量0.15～0.20 IU.kg-1.d-1,每天1次,于晚上睡觉前30min皮下注射。治疗前后进行SAS评定。结果:GH结合心理治疗组、心理治疗组的SAS标准分平均值低于治疗前。GH结合心理治疗组青少年的SAS标准分平均值低于心理治疗组,而对照组青少年的SAS标准分平均值高于2个治疗组,差异均有统计学意义。结论:身材矮小容易导致焦虑情绪,GH结合心理治疗对矮身材青少年焦虑情绪的效果优于单纯心理治疗。
Objective: To explore the psychological counseling combined with growth hormone (GH) treatment of short stature teenager anxiety. Methods: A total of 16 short stature with anxiety and 35 short stature teenagers were screened from 1 000 middle school students by the physical examination table and SAS (Self-rating Anxiety Scale), and divided into psychotherapy group, GH Combination of psychological treatment group, untreated control group. Psychological counseling treatment once a week, secretory recombinant human GH dose 0.15 ~ 0.20 IU.kg-1.d-1, 1 day, 30min before going to bed at night subcutaneous injection. SAS assessment before and after treatment. Results: The average SAS standard score of GH combined with psychotherapy group and psychotherapy group was lower than before treatment. The mean SAS scores of adolescents in GH combined with psychotherapy group were lower than those of psychotherapy group, while the SAS scores of adolescent in control group were higher than those of two treatment groups, the differences were statistically significant. Conclusion: Short stature easily lead to anxiety, GH combined with psychological treatment of short stature teen anxiety better than pure psychological treatment.