小于胎龄儿婴幼儿期的体格生长  

SYSTEMATIC CHILD HEALTH CARE PROMOTE THE EARLY CATCH-UP GROWTH OF SGA BABY.

作　　者：杨速飞[1] 杨慧明[1] 吴康敏[1] 钱幼琼[1] 姬巧云[1] 杨凡[1] 王琳[1] 

机构地区：[1]四川大学华西第二医院,成都610041

出　　处：《现代预防医学》2005年第6期600-603,共4页Modern Preventive Medicine

摘　　要：目的:促进小于胎龄儿(SGA)早期的追赶生长。方法:来院就诊的SGA男婴37名和女婴5 5名,以性别、出生日期、出生体重、前半岁喂养方法、家庭经济收入、父母文化水平为条件按1∶1随机配对。在生长的15个时间点进行系统化的儿童保健。结果:采用混合线性模型协方差分析发现,与婴幼儿生长密切相关的主要因素为月龄、是否SGA、性别和出生体重;SGA儿的身长和体重分别在15个月和18个月时达到WHO生长参考值;在0、6、12、18个月4个时间点,SGA只在6个月时男女童各有1例达到轻度肥胖水平。结论:系统性的儿童保健促进了SGA早期的追赶生长,同时肥胖儿童的比例也很低。应针对SGA进行系统化儿童保健有利于生长发育。Objective:To promoe the early catch-up growth of small for gestational age infancy.Methods:Thirth-seven male and fifty-five female SGA infants were recruited.Control cases were matched randomly according to gender,birthday,birth weight,feeding mode before six months old,family income and parents's education.Systematic child health care was carried out at different time.Results:Mixed linear models statistical method revealed that the main factors of child growth were age,SGA or not,gender and birth weight.The difference of height and weight,between SGA and the WHO growth reference,disappeared at the time 13/12 years and 16/12 years respectively.Only one light obesity male and one female were found at 6 months.Conclusions:Systematic child health care promote the early catch-up growth of SGA baby,at the same time,obesity incidence are limited.Child health care system aimed at the SGA is helpful for their health grow up.

关 键 词：小于胎龄儿 儿童保健 追赶生长 

分 类 号：R179[医药卫生—妇幼卫生保健]