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Updated: Jan 18, 2026

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在学校健康检查中确定异常生长曲线的新计划
Keisuke Wada1, Yuki Kawashima-Sonoyama1, Hiroto Abe2,3
1Department of Pediatrics, Shimane University Faculty of Medicine, Izumo, Shimane, Japan.
The Journal of school health
|September 11, 2025
概括
一个新的工具,学校成长评估计划 (GAPS),在学校健康检查中准确地检测儿童成长异常. 这个用户友好的程序改进了现有的方法来识别学生的生长障碍.
科学领域:
- 儿科健康 儿科健康
- 生物统计学 生物统计学
- 公共卫生监督 公共卫生监督
背景情况:
- 在日本,学校的健康检查通常使用生长曲线.
- 准确检测生长异常对于及时干预儿童和青少年至关重要.
研究的目的:
- 开发和验证一个定制的程序,以快速准确地检测生长异常.
- 为学校卫生人员创建一个易于使用的工具,以识别生长障碍.
主要方法:
- 在Microsoft Excel中使用Visual Basic for Applications (VBA) 开发用于学校的增长评估程序 (GAPS).
- 验证使用2021年学校健康检查数据,来自Izumo市12,573名学生 (年龄在6-15岁).
- 将GAPS准确度与V4计划和专家审查委员会进行比较.
主要成果:
- GAPS可以通过一键生成生长曲线,并自动识别异常模式.
- GAPS检测到341例 (2.9%) 的生长障碍,包括早期青春期,错过了V4计划.
- 与V4相比,GAPS显示出更好的灵敏度 (0.99) 和正预测值 (0.16),虚假阳性率更高 (0.24).
结论:
- GAPS是一种用户友好且高效的工具,用于在日本学校卫生环境中检测异常生长曲线.
- 该程序在速度,准确性和可用性方面比现有方法具有优势.
- GAPS有可能在人口特异性数据中得到更广泛的应用.
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