早产儿宫外生长发育迟缓的研究进展  

Progress on extrauterine growth restriction in preterm infants

作　　者：蓝思源(综述) 洪莉(审校)[1] Lan Siyuan;Hong Li(Department of Clinical Nutrition,Shanghai Children′s Medical Center,School of Medicine,Shanghai Jiaotong University,Shanghai 200127,China)

机构地区：[1]上海交通大学医学院附属上海儿童医学中心临床营养科,200127

出　　处：《国际儿科学杂志》2022年第3期149-153,共5页International Journal of Pediatrics

基　　金：上海卫健委临床营养重要薄弱学科项目(2019ZB0103)。

摘　　要：早产儿宫外生长发育迟缓(extrauterine growth restriction,EUGR)是由围生期疾病及新生儿期各种并发症、生后营养不足等因素所造成的早产儿生后某个时期体重、身长或头围低于相应生长曲线参考值的一种生长落后状态。EUGR的发生在小胎龄、低体重早产儿中十分普遍,对早产儿的体格发育、神经认知功能、心血管及内分泌代谢系统等多方面的预后均可产生不良影响。目前,关于EUGR的定义、早产儿的理想生长模式、生长评估方式以及合理营养措施存在许多争议,该文就近年来EUGR相关的研究进展进行综述。Extrauterine growth restriction(EUGR),caused by perinatal diseases,neonatal morbidities and inadequate nutrition,refers to preterm growth failure in which an anthropometric measure is below the target according to growth charts at a certain point of time after birth.EUGR is prevalent among very preterm and very low birth weight infants,potentially causing the impairment on physical growth,neurodevelopment and cardiometabolic system.Nowadays,many researchers challenge the definition of EUGR and raise arguments about the optimal growth pattern,the growth assessment tools and nutrition strategies of preterm newborns.This article reviews the research progress on extrauterine growth restriction in preterm infants.

关 键 词：宫外生长发育迟缓 早产儿 生长曲线 营养措施 

分 类 号：R72[医药卫生—儿科]