摘要
目的分析低出生体重(lowbirthweight,LBW)的早产儿与足月儿生长状况。方法选取2018年1月—2020年12月出生于江都妇幼保健院辖区管理的158例新生儿为研究对象,LBW的早产儿52例为早产儿组,LBW的足月儿29例为足月儿组,其余77例为足月且具有正常出生体重新生儿作为对照组,所有新生儿均于1、3、6、8、12个月时实施系统体格检查,对比3组婴儿患病情况、出生后生长速率、出生时情况及1周岁时情况。结果出生后LBW早产儿、足月儿头围均出现追赶性增长,增值分别为(4.96±1.59)、(4.62±1.33)cm;与足月儿组比较,早产儿组月龄为0~1个月体质量增值更低,1~6个月体质量增值更高,差异有统计学意义(P<0.05);与足月儿组比较,早产儿组月龄为0~6个月头围增值更高,差异有统计学意义(P<0.05);与足月儿组比较,早产儿组月龄为1~3个月、6~9个月身高增值更高,差异有统计学意义(P<0.05);周岁时早产儿组头围为(46.27±1.05)cm,与对照组比较,差异无统计学意义(P>0.05),但身高、体质量均是对照组>早产儿组>足月儿组,差异有统计学意义(P<0.05)。结论相较于LBW的足月儿,LBW的早产儿的生长潜能更大,临床需加强孕期保健,以降低LBW发生率。
Objective To analyze the growth status of preterm and term infants with low birth weight(LBW).Methods A total of 158 neonates born in the Jiangdu Maternal and Child Health Hospital's jurisdiction from January 2018 to December 2020 were selected as the research objects.52 preterm infants with LBW were included in the preterm group,29 full-term infants with LBW were included in the term group,and the remaining 77 were term infants with normal birth weight as the control group.All infants underwent systematic physical examinations at 1 month,3 months,6 months,8 months and 12 months.The prevalence,postnatal growth rate,birth condition and 1 year old con⁃dition of the three groups were compared.Results After birth,the head circumferences of LBW preterm infants and term infants were the first to show catch-up growth,which were(4.96±1.59)cm and(4.62±1.33)cm,respectively.Compared with the full-term infant group,the preterm infant group had a lower weight gain at the age of 0-1 months,and a higher weight gain at 1-6 months,and the difference was statistically significant(P<0.05);compared with the full-term infant group,the preterm infant group had higher head circumference value at the age of 0-6 months,and the difference was statistically significant(P<0.05);compared with the full-term infants group,the preterm infants group had higher height increment in the months of 1-3 months and 6-9 months,and the difference was statistically significant(P<0.05).At the age of one year,the head circumference of the premature infant group was(46.27±1.05)cm,compared with the control group,the difference was not statistically significant(P>0.05).But the height and weight were in the control group>preterm infant group>term infant group,and the difference was statistically signifi⁃cant(P<0.05).Conclusion Compared with term infants with LBW,preterm infants with LBW have greater growth po⁃tential,and clinical care needs to be strengthened during pregnancy to reduce the incidence of LBW.
作者
王晓敏
孙琳
WANG Xiaomin;SUN Lin(Department of Child Health,Jiangdu Maternal and Child Health Hospital,Yangzhou,Jiangsu Province,225200 China)
出处
《系统医学》
2022年第15期143-146,共4页
Systems Medicine
关键词
低出生体重
早产儿
足月儿
生长状况
头围
身高
体质量
生长潜能
Low birth weight
Premature infants
Term infants
Growth status
Head circumference
Height
Weight
Growth potential
