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242例早产儿0~24月龄体格生长趋势分析

Analysis of physical growth trend of 242 premature infants of 0-24 months

  • 摘要: 目的 了解早产儿体格生长趋势和特点, 为制定本地区儿童保健工作干预措施提供参考依据。方法 选择早产儿242例作为研究对象, 分别计算其实际月龄及校正月龄的出生、3、6、8、12、18、24月龄时的年龄别体重(weight-for-age, W/A)、年龄别身长(length-for-age, L/A)、体质指数(body mass index, BMI)等体格生长指标的Z评分, 选取同期出生的211例足月儿作为对照组, 分析评估早产儿体格生长趋势和特点。结果 早产儿生后12月龄(校正8月龄)内年龄别体重(W/A)、年龄别身长(L/A)的Z评分总体上升, 存在先快后慢的现象, 6月龄内上升最快, 而12~24月龄(校正8~24月龄)上升不明显或呈现波动。结论 大部分早产儿可在生后12月龄(校正8月龄)内出现体重、身长的追赶生长, 生后前6个月是实现追赶生长的关键期, 体重追赶生长速度快于身长追赶生长速度。

     

    Abstract: Objective To explore physical development and characteristics of premature infants, so as to provide evidence for developing intervention measures for child health care in Quanzhou.Methods Totally, 242 cases of premature infants were recruited as study subjects.Z-score of physical growth indicators including weight-for-age (W/A), length-for-age (L/A), body mass index(BMI) were calculated based on their birth at actual and corrected month age, or corrected 40 weeks, 3 months, 6 months, 8 months, 12 months, 18 months and 24 months age. 211 full-term newborns were selected as the control group at the same period to analyze and evaluate the trends and characteristics of the physical development of premature infants.Results Within 12 months (corrected 8 months age) after birth, Z-score of W/A and L/A of premature infants showed an overall upward trend, starting fast then slowingdown.It increased fastest within 6 months of age and presented an insignificant rise or a fluctuating trend from 12 months(corrected 8 months age) to 24 months(corrected 24 months age).Conclusion Growth of weight and height occurs to most of the premature infants within12 months after birth(corrected 8 months age). The first 6 months after birth is critical for growth. Growth of body weight is faster than that of body height.

     

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