两种新生儿生长参照值的应用比较

doi:10.11852/zgetbjzz2014-22-08-05

中国儿童保健杂志 ›› 2014, Vol. 22 ›› Issue (8): 799-802.DOI: 10.11852/zgetbjzz2014-22-08-05

两种新生儿生长参照值的应用比较

张亚钦^1*, 高彩云^2*, 曾婷^3*, 闫爱霞², 李辉¹

1 首都儿科研究所生长发育研究室, 北京 100020;
2 秦皇岛妇幼保健院新生儿科, 河北秦皇岛 066000;
3 柳州市妇幼保健院儿童保健科, 广西柳州 545001

收稿日期:2014-01-28 发布日期:2014-08-10 出版日期:2014-08-10
通讯作者: 李辉, E-mail:huiligrowth@163.com
作者简介:张亚钦(1981-), 女, 河北人, 助理研究员, 硕士学位, 主要研究方向为儿童生长发育;高彩云(1971-), 女, 河北人, 主任医师, 硕士学位, 主要研究方向为新生儿急救和早产儿管理;曾婷(1976-), 女, 广西人, 副主任医师, 硕士学位, 主要研究方向为儿童保健。
基金资助:
卫生部妇幼保健与社区卫生司委托项目(2010)

Comparison of two neonatal growth reference.

ZHANG Ya-qin¹, GAO Cai-yun², ZENG Ting³, YAN Ai-xia³, LI Hui¹.

1 Department of Growth and Development, Capital Institute of Pediatrics, Beijing 100020, China;
2 Department of Neonatology, Maternal and Child Health Hospital of Qinhuangdao, Qinhuangdao, Hebei 066000, China;
3 Department of Child Health Care, Maternal and Child Health Hospital of Liuzhou, Liuzhou, Guangxi 545001, China

Received:2014-01-28 Online:2014-08-10 Published:2014-08-10
Contact: LI Hui, E-mail:huiligrowth@163.com

摘要/Abstract

摘要： 目的比较中国1988与Fenton 2003新生儿生长参照值在实际应用中的差别, 为合理选择新生儿生长评价标准提供参考依据。方法以2011年1月-2012年11月期间南、北方2所妇幼保健院出生的活产新生儿为研究对象, 分别用中国1988及Fenton 2003参照值评估不同胎龄新生儿的初生状态, 比较两种参照值的生长评价结果。结果 1)新生儿出生体重与中国1988参照值相比37周之前较低, 之后较高;与Fenton 2003相比32周之前差别不明显, 之后略低。出生体重的第10、50百分位(P₁₀, P₅₀)曲线形态与两种参照值曲线一致;而第90百分位(P₉₀)与中国1988参照值曲线存在较大差别, 但与Fenton 2003参照曲线基本一致。2)按中国1988、Fenton 2003参照值计算体重Z值分别为0.18(95%CI:0.17~0.20)、-0.16(95%CI:-0.18~-0.15)。3)37周之前采用中国1988参照值和Fenton 2003参照值的小于胎龄儿(small-for-gestational-age, SGA)检出率分别为16.7%、12.4%, 而37周后分别为5.9%、7.2%;37周之前两者的大于胎龄儿(large-for-gestational-age, LGA)检出率分别为3.8%、6.1%, 37周后分别为17.8%、4.4%。结论两种参照值的评价结果存在明显差别, 中国1988参照值会筛检出更多的早产SGA儿、足月LGA儿, 而Fenton 2003则筛检出更多的早产LGA儿和足月SGA儿。两种参照值的应用比较结果提示Fenton 2003更为适用。

关键词: 新生儿, 胎龄, 出生体重, 生长参照值

Abstract: Objective To compare the difference in practices between Chinese neonatal growth reference in 1988 (Abbreviation for "China 1988") and the Fenton neonatal growth reference in 2003(Abbreviation for "Fenton 2003"). Methods Subjects were live newborns in two Maternal and Child Health Hospitals in the northern and southern areas of China during 2011 to 2012.The birth weight of newborns was assessed by using the growth reference of China 1998 and Fenton 2003 and compared the difference of two assessment results. Results 1) The birth weight of newborns were lower before 36 weeks of gestational age and higher after 37 weeks of gestational age (100~157 g) when comparing with the China 1988.The differences of birth weight were not obvious before 32 weeks of gestational age and the birth weight was lower after 32 weeks when comparing with the Fenton 2003.The shapes of P₁₀ and P₅₀ percentile curves in this paper were similar with the two reference charts, while the shapes of P₉₀ percentile curve was different with the China 1988 but similar with the Fenton 2003;2) The BWZ of the China 1988 and Fenton 2003 were respectively 0.18(95%CI:0.17~0.20) and -0.16(95%CI:-0.18~-0.15);3)The relevance ratio of small-for-gestational-age (SGA) using the China 1988 and Fenton 2003 were respectively 16.7% and 12.4% for newborns younger than 37 weeks, 5.9% and 7.2% for newborns older than 37 weeks.The relevance ratio of large-for-gestational-age (LGA) using the China 1988 and Fenton 2003 were respectively 3.8% and 6.1% for newborns younger than 37 weeks, 17.8% and 4.4% for newborns older than 37 weeks. Conclusion The assessment results of the two growth reference were different.The relevance ratio of SGA newborns aged younger than 37 weeks and LGA newborns aged older than 37 weeks were higher when using the China 1988, while the relevance ratio of LGA for newborns younger than 37 weeks and SGA for newborns older than 37 weeks were higher when using the Fenton 2003.It had illustrated that the Fenton 2003 would suitable for the contemporary newborns by comparing the newborns' birth weight.

Key words: newborns, gestational age, birth weight, growth reference

中图分类号:

R723

张亚钦, 高彩云, 曾婷, 闫爱霞, 李辉. 两种新生儿生长参照值的应用比较[J]. 中国儿童保健杂志, 2014, 22(8): 799-802.

ZHANG Ya-qin, GAO Cai-yun, ZENG Ting, YAN Ai-xia, LI Hui.. Comparison of two neonatal growth reference.[J]. journal1, 2014, 22(8): 799-802.

参考文献

[1] Hok-Wikstrand M, Hard AL, Niklasson A, et al.Early postnatal growth variables are related to morphologic and functional ophthalmologic outcome in children born preterm[J].Acta Paediatr, 2010, 99(5):658-664.
[2] Embleton ND.Early nutrition and later outcomes in preterm infants[J].World Rev Nutr Diet, 2013, 106:26-32.
[3] Anda EE, Nieboer E, Wilsgaard T, et al.Perinatal mortality in relation to birthweight and gestational age:a registry-based comparison of Northern Norway and Murmansk County, Russia[J].Paediatr Perinat Epidemiol, 2011, 25(3):218-227.
[4] 张宝林, 刘瑞霞.我国不同胎龄新生儿体格发育的现状[J].临床儿科杂志, 1991, 9(2):72-77.
[5] 张宝林, 冯泽康, 张丽辉.中国 15 城市不同胎龄新生儿体格发育调查研究[J].中华儿科杂志, 1988, 26(4):206-208.
[6] Fenton TR.A new growth chart for preterm babies:Babson and Benda's chart updated with recent data and a new format[J].BMC Pediatr, 2003, 3:13-15.
[7] 李辉, 宗心南.中国0~13周婴儿体重身长和头围的生长参照值[J].中国新生儿科杂志, 2010, 25(1):11-15.
[8] 中华医学会儿科学分会新生儿学组.中国城市早产儿流行病学初步调查报告[J].中国当代儿科杂志, 2005, 7(1):25-28.
[9] Niklasson A, Albertsson-Wikland K.Continuous growth reference from 24th week of gestation to 24 months by gender[J].BMC Pediatr, 2008, 8:8-20.
[10] Skjaerven R, Gjessing HK, Bakketeig LS.Birthweight by gestational age in Norway[J].Acta Obstet Gynecol Scand, 2000, 79(6):440-449.
[11] Oken E, Kleinman KP, Rich-Edwards J, et al.A nearly continuous measure of birth weight for gestational age using a United States national reference[J].BMC Pediatr, 2003, 3:6-11.
[12] Visser GH, Eilers PH, Elferink-Stinkens PM, et al.New Dutch reference curves for birthweight by gestational age[J].Early Hum Dev, 2009, 85(12):737-744.
[13] Ulrich M, Host A, Kamper J, et al.Weight, length and head circumference standards based on a population of Danish newborn boys and girls in gestational weeks 25 to 43[J].Dan Med Bull, 1997, 44(4):436-439.
[14] Dobbins TA, Sullivan EA, Roberts CL, et al.Australian national birthweight percentiles by sex and gestational age, 1998-2007[J].Med J Aust, 2012, 197(5):291-294.
[15] Hong JS, Yi SW, Han YJ, et al.Fetal growth and neonatal mortality in Korea[J].Paediatr Perinat Epidemiol, 2007, 21(5):397-410.
[16] Voigt M, Rochow N, Guthmann F, et al.Birth weight percentile values for girls and boys under consideration of maternal height[J].Z Geburtshilfe Neonatol, 2012, 216(5):212-219.
[17] Chen TJ, Ji CY.Secular change in stature of urban Chinese children and adolescents, 1985-2010[J].Biomed Environ Sci, 2013, 26(1):13-22.
[18] Kuczmarski RJ, Ogden CL, Guo SS, et al.2000 CDC Growth Charts for the United States:methods and development[J].Vital Health Stat, 2002, 11(246):1-190.
[19] Wikland KA, Luo ZC, Niklasson A, et al.Swedish population-based longitudinal reference values from birth to 18 years of age for height, weight and head circumference[J].Acta Paediatr, 2002, 91(7):739-754.

两种新生儿生长参照值的应用比较

Comparison of two neonatal growth reference.

PDF

可视化

被引次数

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 15

编辑推荐

Metrics

[1]	李茗竹, 王静, 谢多双. 小于胎龄儿过快追赶生长与儿童期肥胖关系的研究[J]. 中国儿童保健杂志, 2023, 31(7): 751-755.
[2]	潘婷, 张萱. 双胎小于胎龄儿生长发育及影响因素的研究进展[J]. 中国儿童保健杂志, 2023, 31(7): 760-765.
[3]	韦菊芳, 陈吉健. 2015—2021年南宁市西乡塘区新生儿低出生体重变化趋势及影响因素分析[J]. 中国儿童保健杂志, 2023, 31(7): 785-789.
[4]	王晓庆, 刘九月, 姚光. 小于胎龄儿早期脑发育及18~24月龄时神经发育状况的前瞻性队列研究[J]. 中国儿童保健杂志, 2023, 31(4): 353-358.
[5]	张雪怡, 张亚昱, 李佳. 微塑料对新生儿健康影响的研究[J]. 中国儿童保健杂志, 2023, 31(4): 399-403.
[6]	张娟娟, 马金旗, 曾军安, 何阿玲. 新生儿遗传性出血性毛细血管扩张症1例并文献回顾[J]. 中国儿童保健杂志, 2023, 31(2): 225-228.
[7]	张笃飞, 张湘云. 海南省2020年新生儿先天性心脏病的流行病学调查[J]. 中国儿童保健杂志, 2023, 31(1): 91-95.
[8]	王惠萍, 王莉, 高琼, 白铂亮, 马颖君. 极低出生体重坏死性小肠结肠炎患儿体格及神经发育的研究[J]. 中国儿童保健杂志, 2023, 31(1): 96-100.
[9]	袁源, 陈密. 脐带血miR-431表达水平与新生儿先天性听力障碍关系的研究[J]. 中国儿童保健杂志, 2023, 31(1): 101-104.
[10]	刘俐, 魏思萌, 姜忒. 新生儿营养与儿童早期发展[J]. 中国儿童保健杂志, 2022, 30(8): 879-883.
[11]	杨茹莱. 原发性免疫缺陷病和脊髓性肌萎缩症临床特点及新生儿早期联合筛查实践[J]. 中国儿童保健杂志, 2022, 30(7): 697-701.
[12]	刘宇, 杨新军. 异常出生体重与儿童青少年神经行为发育的研究进展[J]. 中国儿童保健杂志, 2022, 30(7): 759-763.
[13]	刘建宏, 黄方. 血清NFP、Nrf2水平与新生儿窒息早期脑损伤的关系[J]. 中国儿童保健杂志, 2022, 30(7): 787-791.
[14]	董丽萍, 张振, 崔艳国, 李庆波. 淄博市甲基丙二酸血症筛查指标应用分析[J]. 中国儿童保健杂志, 2022, 30(7): 792-795.
[15]	刘晔, 步军, 王亮君. 新生儿C型尼曼匹克病2例报告[J]. 中国儿童保健杂志, 2022, 30(6): 694-696.