初产及经产儿宫内生长评价报告及其体重、身长、顶臀长、头围、胸围曲线研制  

A report of intrauterine growth evaluation,and the curves of weight,length,crown-rump length,head circumference,and chest circumference of neonates among primiparity and multiparity

作　　者：黄小云[1] 朱元方 刘惠龙 符免艾 刘传永 曾定元 贺骏[5] 施庆喜[6] 陈长水 朱斌 王高雄 石浩 卢浩华 HUANG Xiaoyun;ZHU Yuanfang;LIU Huilong;FU Mian′ai;LIU Chuanyong;ZENG Dingyuan;HE Jun;SHI Qingxi;CHEN Changsui;ZHU Bin;WANG Gaoxiong;SHI Hao;LU Haohua(Shenzhen Bao′an Maternal and Child Health Care Hospital,Jinan University,Shenzhen 518102,China)

机构地区：[1]暨南大学附属深圳市宝安区妇幼保健院,深圳518102 [2]海口市妇幼保健院 [3]重庆市万州区妇幼保健院 [4]柳州市妇幼保健院 [5]长沙市妇幼保健院 [6]连云港市妇幼保健院 [7]宁波市妇幼保健院 [8]广州市番禺区妇幼保健院 [9]泉州市妇幼保健院 [10]成都市金牛区妇幼保健院 [11]桂林市妇幼保健院

出　　处：《中国生育健康杂志》2024年第2期152-161,共10页Chinese Journal of Reproductive Health

基　　金：深圳市宝安区科技创新局科技项目(2014073);合作单位协议项目(XMXY2020)。

摘　　要：目的开展初产、经产儿宫内生长评价,研究初产、经产的宫内生长差异特征。制定不同胎龄初产、经产儿宫内生长曲线。方法选择深圳、重庆、海口、广州、长沙、成都、泉州、柳州、桂林9个城市2017年—2020年324521例胎龄27~42周活产单胎儿,按经产、初产、产次混合(即初产和经产混合)三类单胎儿分组,进行胎儿宫内生长等级分类评价,揭示经产儿宫内生长水平高于初产儿的差异特征。此外,采用横断面时间段整群取样现况调查方法,2013年4月至2015年9月在深圳市完成了16852例胎龄28~42周活产初产、经产单胎儿体格生长现场测量,制定初产、经产单胎儿宫内生长曲线。结果中国9个城市的妇幼保健院经产、初产、产次混合三类单胎儿宫内生长等级分类评价结果呈现经产儿高于产次混合、初产儿低于产次混合的特征。制定了深圳16852例胎龄28~42周初产、经产单胎儿(男、女及性别混合)体重、身长、顶臀长、头围、胸围3rd~97th百分位曲线,发现经产单胎儿上述5项指标水平高于初产单胎儿,经产单胎儿体重10th、50th、90th曲线高于2015年深圳单胎儿,而初产单胎儿体重10th、50th、90th曲线低于2015年深圳单胎儿。结论中国9个城市新生儿宫内生长评价为经产儿宫内生长水平高于初产儿。制定了深圳胎龄28~42周初产单胎儿、经产单胎儿体重、身长、顶臀长、头围、胸围3rd~97th百分位曲线,为初产儿和经产儿提供了上述5项指标的宫内生长评价标准,该曲线发现经产单胎儿上述5项指标曲线水平高于初产单胎儿。Objective To carry out the intrauterine growth evaluation of neonates,and establish intrauterine growth curves of singleton neonates in different gestational age(GA)among primiparity and multiparity.Methods We evaluated and classified the intrauterine growth of 324521 multiparous,primiparous,and mixed neonates from Shenzhen,Chongqing,Haikou,Guangzhou,Changsha,Chengdu,Quanzhou,Liuzhou,and Guilin cities in China from 2017 to 2020.We also revealed the characteristics of intrauterine growth higher level in multiparity than that that in primiparity.A total of 16852 live singleton neonates in 28~42 weeks of GA among primiparity and multiparity from Shenzhen City were measured at birth by cluster sampling from April 2013 to September 2015 in this cross sectional study.We established intrauterine growth curves of singleton neonates among primiparity and multiparity.Results The classification and evaluation results of intrauterine growth grade for 324521 neonates in 9 maternal and child health care hospitals of China showed the orders in the characteristics were multiparous neonates,mixed neonates,and primiparous neonates.We created the intrauterine growth 3rd~97th percentile curves of body weight,body length,crown-rump length,head circumference,and chest circumference of 16852 singleton neonates in 28~42 weeks of GA among primiparity and multiparity in Shenzhen,China.The level of above 5 indexes of multiparous neonates was higher than that of primiparous neonates.The 10th,50th and 90th curves of body weight for multiparous singleton neonates were higher than those of Shenzhen singleton neonates in 2015,while the 10th,50th and 90th curves of body weight for primiparous singleton neonates were lower than those of Shenzhen singleton neonates in 2015.Conclusion The level of intrauterine growth evaluation of neonates in multiparity was higher than that in primiparity in Chinese nine cities.We created the intrauterine growth 3rd~97th percentile curves of body weight,body length,crown-rump length,head circumference,and chest ci

关 键 词：不同胎龄 初产新生儿 经产新生儿 宫内生长曲线 产次 

分 类 号：R17[医药卫生—妇幼卫生保健]