先天性心脏病儿童生长发育状况  

Growth and development of children with congenital heart disease

作　　者：王玉茹[1] 梁俊永 张剑峰[1] 孙爱军[1] 刘立新[1] 张庆祥 WANG Yu-ru, LIANG Jun-yong, ZHANG Jian-feng, SUN Ai-jun, LIU Li-xin, ZHANG Qing-xiang(Department of Pediatric Cardiac Surgery, Tangshan Maternity and Child Health Hospital, Tangshan, Hebei 063000, Chin)

机构地区：[1]唐山市妇幼保健院小儿心胸外科,河北唐山063000

出　　处：《中国临床研究》2018年第5期673-675,共3页Chinese Journal of Clinical Research

摘　　要：目的分析先天性心脏病(先心病)幼儿的生长发育状况。方法选取2016年1月至8月唐山市妇幼保健院收治的先心病幼儿为研究对象,记录身高、体重等基本生长发育指标,分别与同期收治的普通幼儿患者、中国儿童生长发育标准及WHO儿童生长发育标准做比较分析。结果先心病组男童及女童身高、体重均低于普通患儿组(P<0.05,P<0.01),体质指数和月龄两组间无统计学差异(P均>0.05)。先心病组男童中国标准及WHO标准年龄别身高(身长)Z评分(HAZ)、年龄别体重Z评分(WAZ)评分均显著低于普通患儿组(P均<0.05),身高(身长)别体重Z评分(WHZ)评分两组间无统计学差异(P均>0.05)。先心病组女童中国标准及WHO标准WAZ评分显著低于普通患儿组(P均<0.05),HAZ、WHZ评分两组间无统计学差异(P均>0.05)。结论先心病儿童的年龄别基本生长发育状况弱于非先心病儿童,对这类患者进行呼吸机参数设置需具体分析。Objective To analyze the growth and development status of children with congenital heart disease（ CHD） in Tangshan city. Methods A total of 97 CHD young children were selected from January to August in 2016. The basic growth and development indicators such as height and weight were recorded and were respectively compared with those of common young patients at the same period,the growth and development standards of Chinese children and world health organization（ WHO）. Results The height and weight of CHD young children were significantly lower than those in common children（ P〈0. 05,P〈0. 01）,but there were no significant differences in body mass index（ BMI） and months of age between two groups（ all P〉0. 05）. In CHD boys,the height-for-age-Z（ HAZ）,weight-for-age-Z（ WAZ） scores of Chinese and WHO standard were significantly lower than those in common young children（ all P〈0. 05）,however,there was no significant difference in weight for height-Z（ WHZ） score between two groups（ all P〈0. 05）. In CHD girls,WAZ scores of Chinese and WHO standard were significantly lower than those in common young children（ all P〈0. 05）,however there were no significant differences in HAZ and WHZ scores between two groups（ all P〉0. 05）. Conclusion In Tangshan city,the basic growth and development in CHD children is weaker than those in non-CHD young children,and the parameter setting of ventilator for these patients need to be specifically analyzed.

关 键 词：先天性心脏病 生长发育 体质指数 年龄别身高(身长)Z评分 年龄别体重Z评分 身高(身长)别体重Z评分 

分 类 号：R725.4[医药卫生—儿科]