中国儿童保健杂志 ›› 2019, Vol. 27 ›› Issue (6): 588-591.DOI: 10.11852/zgetbjzz2019-0021

• 科研论著 • 上一篇    下一篇

178例超早产儿1岁以内体格追赶的纵向研究

屈小莉, 陈杰荣, 刘世新, 孙宾宾, 钟霞, 江雯, 万国斌   

  1. 南方医科大学附属深圳市妇幼保健院儿童心理与康复科,广东 深圳 518017
  • 收稿日期:2019-01-02 发布日期:2019-06-10 出版日期:2019-06-10
  • 通讯作者: 江雯,E-mail:337150045@qq.com;万国斌,E-mail:gbw1978@aliyun.com
  • 作者简介:屈小莉(1982-),女,河南人,主治医师,学士学位,研究方向为新生儿和儿童保健。
  • 基金资助:
    深圳市医疗卫生三名工程项目(SZSM201512009);深圳市卫生计生系统科研项目(SZFZ20180490)

Longitudinal study on physical catch-up in 178 extremely premature infants within one year old

QU Xiao-li, CHEN Jie-rong, LIU Shi-xin, SUN Bin-bin , ZHONG Xia, JIANG Wen, WAN Guo-bin   

  1. Shenzhen Maternal & Child Health Hospital Affiliated to Southern Medical University,Shenzhen,Guangdong 518017,China
  • Received:2019-01-02 Online:2019-06-10 Published:2019-06-10
  • Contact: JIANG Wen,E-mail: 337150045@qq.com;WAN Guo-bin,E-mail: gbw1978@aliyun.com

摘要: 目的 分析超早产儿出院至生后1岁体格追赶生长的特点,探讨其追赶生长规律,以指导临床干预工作。方法 选择从2013年8月-2018年4月南方医科大学附属深圳市妇幼保健院成功救治并随访的超早产儿178例(男103例,女75例)进行临床研究。对其出院后至生后 1岁内的体重、身长及头围分别按实际月龄及纠正月龄参照足月儿生长标准进行Z评分评估并分析。结果 超早产儿出院至生后1岁体重、身长和头围均出现追赶性生长,出院至纠正3月龄身长生长速度最慢,纠正4~9月龄头围生长速度最慢。出院后最快的增长阶段在实际月龄4~6月。结论 出院后至生后6月龄内是超早期早产的快速生长期;体重与身长、头围的变化存在不均衡性。

关键词: 超早产儿, 追赶生长, Z评分

Abstract: Objectives To observe the catch-up growth characteristics of the extremely premature infants from discharge to the age of 1 year after birth,and to explore the growth rhythm of catching up,so as to provide reference for clinical intervention. Methods A total of 178 extremely premature infants (103 males and 75 females) in Shenzhen Maternal and Child Health Hospital were enrolled in this study and were followed up from August,2013 to April,2018. The weight,length and head circumference were evaluated by Z score according to the criterions of actual age and corrected age. Results The extremely premature infants showed catch-up growth in weight,length and head circumference in the first year of life. The growth velocity in length was the lowest within 3 months of correlated age. There was the poorest head circumference growth from 4 to 9 months of correlated age. The best catch-up growth velocity was in the time from 4 to 6 months after birth. Conclusions The fastest catch-up growth period of extremely premature infants is in the time from discharge to 6 months after birth.And there is an imbalance among the growth velocity of weight,tenget and head circumference.

Key words: extremely preterm infants, catch-up growth, Z scores

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