摘要
目的了解早产和足月两种不同类型低出生体质量儿在0~24月龄间体格发育状况和营养状况,探讨不同类型新生儿低出生体质量对婴幼儿生长发育的影响。方法采用出生队列方法,以上海市嘉定区2016年1月至12月建立的出生队列中126名低出生体质量儿(出生体质量≤2500 g)作为研究对象,选择同年龄、同社区,出生体质量在2500~3999 g儿童作为对照组。测量身高、体质量等指标评价其0~24月龄生长发育状况。结果2组不同类型低出生体质量儿在生后24月龄内出现体质量、身高、头围和胸围的追赶性生长,但直至24月龄2组低出生体质量儿体质量、身长、头围和胸围仍落后于同龄对照组儿童,但早产原因导致的低出生体质量儿体质量、身长、头围和胸围的增长要大于足月低出生体质量儿。结论早产适于胎龄儿与足月小于胎龄儿两种不同类型的低出生体质量儿可能具有不同的生长潜能,开展针对低出生体质量儿生命早期指导和干预,需要结合其不同发生原因,制定各自适宜的标准及干预方案。
Objective To This study aimed to investigate the developmental and nutritional status of preterm infants and full-term infants between 0 to 24 months of age,and to explore the effect of low birth weight on infant growth and development.Methods In this cohort study,a total of 126 resident low birth weight infants(birth weight less than 2500 g)who were born in Jiading District from January 2016 to December 2016 were selected as observation groups.Infants from the cohort of the same age and community with a birth weight of 2500-3999 g were selected as control group.Demographics and family environment information were collected using a self-report questionnaire and the height and weight were measured to evaluate the growth and development status of 0-24 months old infants.Results Two groups of low birth weight infants developed a catch-up growth in body weight,height,head circumference,and chest circumference within 24 months of life.However,until the age of 24 months,the weight,height,head circumference and chest circumference of the low birth weight infants in the preterm and full-term group still lagged compared with those of the same age group.The growth of body weight,height,head circumference and chest circumference of low birth weight infants caused by premature birth was greater than that of full-term low birth weight infants.And there were differences in the growth peaks of the four physical indicators between the two groups of low birth weight infants during the age of 0-24 months.Conclusion Preterm appropriate for gestational age infants and full-term small for gestational age infants may have different growth potentials.To develop early life guidance and intervention for low birth weight infants,we need to combine with their different causes to develop appropriate criteria and interventions strategy.
作者
龙翔
浦争
沈春兰
周洁
彭咏梅
Long Xiang;Pu Zheng;Shen Chunlan;Zhou Jie;Peng Yongmei(Department of Child Healthcare,Jiading District Maternal and Child Health Hospital,Shanghai 201821,China;不详)
出处
《山西医药杂志》
CAS
2021年第1期7-10,共4页
Shanxi Medical Journal
基金
上海市公共卫生体系建设三年行动计划项目(GWIV14.1)
上海市嘉定区科委系统科研项目(2015003)。
关键词
婴儿
出生时低体重
婴儿
早产
胎儿发育
生长发育
Infant,low birth weight
Infant,premature
Fetal development
Growth and development
