摘要
【目的】对早产低体重儿(PLBW)和足月小样儿(MLBW)生长速率比较及干预模式探讨。【方法】将12个月内定期随访5次的223例婴儿分为低出生体重组、足月小样儿组、正常出生体重儿组,分别比较12个月内体重、身高、头围和胸围的生长速率。【结果】生后9个月内,PLBW、MLBW一直在追赶生长,从4个月起,PLBW生长速度超过正常出生体重儿(NBW)和MLBW,前9个月长速PLBW>NBW和MLBW,差异具有非常显著性(P<0.01)。但周岁时,体重、身高、头围和胸围增长值,始终是NBW>PLBW>MLBW。出生时各项指标均高于PLBW的MLBW,周岁时无论是体重、身长、头围还是胸围均反较PLBW差,生长速度在正常低值范围内,差异具有非常显著性(P<0.01)。【结论】系统监测及干预是保证低出生体重儿身心健康,预防和减少营养性疾病,降低婴儿死亡率,尽早赶上生长的重要措施。
[Objective] To compare with the growth velocity and discuss intervention mode of PLBW and MLBW. [Methods] 223 babies,who were followed up 5 times in 12 months, were divided into premature low birth weight（LBW） infants group, mature-LBW infants group and normal birth weight infants group. Compare respectively the growth velocity and weight, height, head-circle and chest-circle. [Results] PLBW and MLBW had been catching up growth from 4th month. The speed of growth in PLBW group was higher than those of NBW and MLBW in the first 9 months（P〈0.01）. Increased value of weight, height, head-circle and chest-circle was always NBW〉 PLBW〉 MLBW. The various index of MLBW was higher than that of PLBW at birth, but it was worse than that of PLBW when being one full year of life（P〈0. 01）. [Conclusion] Systematic raonitoring and systematic intervention is the important measure to ensure that LBW is physically and mentally healthy, so as to reducing infant mortality rate, catch-up growth as early as possible.
出处
《中国儿童保健杂志》
CAS
2007年第6期616-617,625,共3页
Chinese Journal of Child Health Care
关键词
低出生体重
早产低体重
足月小样儿
正常体重儿
追赶生长
low birth weight
premature low birth weight, mature-LBW infants
normal birth weight infants
catchup growth
作者简介
陈劲（1958-），女，重庆人，副主任医师，学士学位，研究方向为儿童保健。
