181例巨大儿体格发育3年随访  

A 3-year Follow-up Study Among 181 Macrosomia Physical Growth

作　　者：顾春丽[1] 严双琴[1] 刘国栋[1] 李晴[1] 杜宇青 

机构地区：[1]马鞍山市妇幼保健院保健部,安徽马鞍山243011

出　　处：《中国初级卫生保健》2011年第1期46-47,共2页Chinese Primary Health Care

摘　　要：目的探讨出生巨大儿的生长发育规律,为今后做好巨大儿的保健工作提供科学依据。方法对在我院监测的181例巨大儿和对照儿童定期随访至3岁,测量体格发育值,并计算生长速率、BMI值,以个体身长别体重超过标准体重的方法筛选超重儿和肥胖儿。结果出生巨大儿1岁内体重、身长增长速率明显低于足月正常儿,1～2岁体重增长速率高于足月正常儿,大于2岁身长增长速率高于足月正常儿(P<0.05);巨大儿42天、1岁、2岁和3岁的BMI值明显高于足月正常儿;1岁、2岁和3岁的超重检出率高于足月正常儿。结论巨大儿1岁以内生长发育趋向中线回归,1岁以后生长发育保持较高速率;巨大儿3岁内体脂含量均超过足月正常儿。OBJECTIVE To identify principle of macrosomia physical growth and to provide evidence for macrosomia health care.METHODS They were measured physical growth,growth rate,and BMI for 3 years follow-up research among 181 macrosomias and control childrens from Maanshan Maternity and Child Health Care Hospital.They were screened overweight and obesity according to weight for height more than standard weight.RESULTS Weight and height growth rate in macrosomias aged 0～1 year were lower than that in full-term infants,height growth of macrosomias aged 2～3 years was higher than that in full-term infants（P0.05）,BMI among macrosomias aged 42 days and 1～3 years were higher than that in full-term infants.The prevalence of overweight among macrosomias aged 1～3 years was higher than that in full-term infants.CONCLUSION Trend of growth among macrosomia under 1 years old is center line returning,but after the 1-year-old to maintain a high growth rate.Body fat content of macrosomias under 3 years is higher than that in full-term infants.

关 键 词：生长 肥胖 婴儿 巨大儿 

分 类 号：R714.431[医药卫生—妇产科学]