早产低出生体重儿健康相关生活质量的临床研究  

Research on the health-related quality of life in prematures with low birth weight

作　　者：叶秀霞[1] 孙建华[1] 黄萍[1] 步军[1] 贝斐[1] 胡雯[2] 叶晓来[1] 黄红[3] 

机构地区：[1]上海交通大学医学院附属上海儿童医学中心,上海市环境与儿童健康重点实验室,上海200127 [2]上海市浦东新区妇幼保健院,上海201206 [3]上海交通大学医学院附属新华医院,上海市儿科医学研究所,上海市环境与儿童健康重点实验室,上海200092

出　　处：《中国儿童保健杂志》2012年第12期1070-1073,共4页Chinese Journal of Child Health Care

基　　金：上海市卫生局青年科研项目(2009Y026)

摘　　要：【目的】了解早产低出生体重儿健康相关生活质量现况,为该群体小儿的健康干预提供理论依据。【方法】横断面研究,由符合入组标准的1～4岁早产低出生体重儿包括早产中度低出生体重组(1 500g≤BW<2 000g)、早产轻度低出生体重组(2 000g≤BW<2 500g)和足月正常出生体重组(BW≥2 500g)的主要带养人完成TAPQOL问卷。【结果】三组在胃部问题、皮肤问题、睡眠问题、胃纳和运动功能方面,以及问题行为和认知功能方面差异均有统计学意义(P<0.05或<0.01)。【结论】早产低出生体重儿健康相关生活质量总体得分并不低,中度低出生体重儿表现出更多的身体机能和认知行为问题。应加强对这部分人群的重视和关怀,并建立基于家庭基础上的健康干预措施。To evaluate health-related quality of life （HR-QOL） in prematures with low birth weight. [Methods] A cross-sectional study was conducted in Shanghai. A self-administrated questionnaire （TAPQOL） was com- pleted by the primary caregivers of the prematures with mild to moderate birth weight and normal controls at the age of 1 5. [Results] Among the three groups, significant differences were found at the level of stomach, skin, sleep,appetite,mo- tion function,problem behavior and cognitive function （P〈. 05 or 〈0. 01 ）. [Conclusions] Children born with low birth weight do not experience an overall lower HR-QOL at preschool age. Children with moderate low birth weight perform more poor in physical function,cognitive function and behaviors. More attention and family-based health intervention are needed.

关 键 词：早产 低出生体重 健康相关生活质量 

分 类 号：R722[医药卫生—儿科]