200例0～2岁宫内发育迟缓儿的生长方式分析  

Analysis of growth patterns of 200 infants (aged 0 to 2 years) with intrauterine growth retardation

作　　者：陈兆文[1] 李伟华[1] 周海燕[1] 濮泽琼[1] 林亚芬[1] 陈碧琴[1] 孙雪霞[1] 汤红萍[1] 虞乐萍[2] 张旭霞[2] 钱蓓倩[2] 

机构地区：[1]复旦大学附属金山医院儿科,上海200540 [2]复旦大学附属妇产科医院

出　　处：《上海医学》2005年第2期122-125,F003,共5页Shanghai Medical Journal

基　　金：上海市科委科研资助项目(034119812)

摘　　要：　目的　通过分析200例宫内发育迟缓(IUGR)儿童的生长方式,研究对 IUGF儿童的提前干预。方法　分析200例IUGF儿童的资料,在出生后0、6、12、18和24个月随访测量其身高发育指标。结果　剔除出生时有室息史、严重先天性疾病,遗传性疾病和失访者共 10 例。男 88 例,女 102 例,平均出生体重为(2270±390) g,其中103例(54.2%)出生体重≤2500 g。早产儿 46 例(24.2%)。本组 163 例(85.8%)IUGR儿童在 2岁前有生长追赶现象,女童生长追赶早于男童。结论　IUGR儿童有明显生长追赶现象。若在 2 岁前不能制订个体化的营养处方及时纠正营养偏离,部分 IUGR儿童最终的生长将落后于正常儿童。Objective To provide the basis for application of interventional measures by studying the growth patterns of intrauterine growth retardation (IUGR) infants.Methods A total of 200 intrauterine growth retardation infants were enrolled. The weights and heights were measured at birth and at 0, 6, 12, 18, 24 months postterm. Results After withdrawal of 10 infants, among the 190 residual infants (88 male and 102 female), the mean birth weight was (2270±390) g, with 103 premature infants (54.2%) having weight ≤2500 g 24.2%. On the growth curve, IUGR infants experienced catch-up growth within the first 2 years of age and girl infants had catch-up earlier than boy infants. The number of infants who had catch up during the first 2 years of age was 163(85.4%), and absence of catch-up in 27(14.6%).Conclusion IUGR infants during the first 2 years old have apparent catch-up growth patterns with great plasticity. The implementation of nuttritional increment for intrauterine growth retardation infants includes breast-feeding and individual nutritional prescription which are the key points for them catch up to the growth level of normal infants.

关 键 词：IUGR 儿童 宫内发育迟缓 出生体重 生长方式 男童 出生后 身高 

分 类 号：R179[医药卫生—妇幼卫生保健]