湘西地区营养高危早产儿早期追赶生长分析  

Early Catch-up Growth of Preterm Infants with High Nutritional Risk in Xiangxi

作　　者：黄君 石磊 刘林涛 吴鸿燕 田艳 田红燕 HUANG Jun;SHI Lei;LIU Lintao;WU Hongyan;TIAN Yan;TIAN Hongyan(Department of Child Health and Rehabilitation,Xiangxi Autonmous Prefecture People's Hospital,Jishou 416000,Hunan China)

机构地区：[1]湘西土家族苗族自治州人民医院儿童保健康复科,湖南吉首416000

出　　处：《吉首大学学报（自然科学版）》2024年第2期74-78,共5页Journal of Jishou University(Natural Sciences Edition)

摘　　要：为了探究湘西地区营养高危早产儿的早期追赶生长情况,选取2021年6月至2022年4月出生且在湘西自治州人民医院儿童保健康复科就诊的23例营养高危早产儿作为研究对象,对早产儿进行个体化科学营养指导,采用Z值评分法对早产儿不同时期的体重、身长、头围等体格发育指标进行评估.结果表明,23例高危早产儿出生时年龄别体重Z值(WAZ)、年龄别身长Z值(HAZ)、年龄别头围Z值(HCZ)均小于-2,分别为-4.34±0.99,-5.12±1.61,-4.60±1.62;3月龄、6月龄体重、身长、头围、WAZ、HAZ、HCZ等数值均明显高于出生时(P<0.001);6月龄WAZ,HAZ,HCZ大于等于-2的比例分别为78.26%,52.17%,73.91%.提示经过早期科学营养指导,营养高危早产儿在出生后6个月内会有一个体格快速增长期,大多数早产儿首先在体重、头围上实现追赶,然后是身长.To investigate the early catch-up growth of preterm infants with high nutritional risk in Xiangxi.A total of 23 preterm infants with high nutritional risk born from June 2021 to April 2022 in the Children's Health and Rehabilitation Department of Xiangxi Autonomous Prefecture People's Hospital were recruited,and all of them accepted individualized nutrition guidance program.The Z-score method was used to evaluate weight,height and head circumference.The results show that the Z-scores of weight-for-age(WAZ),height-for-age(HAZ)and head circumference-for-age(HCZ)at birth of the 23 preterm infants were significantly less than -2,which were -4.34±0.99,-5.12±1.61 and -4.60±1.62 respectively.The weight,height and head circumference,WAZ,HAZ and HCZ at 3 months and 6 months were significantly higher than those at birth(P<0.001).At 6 months of age,the proportions of WAZ,HAZ and HCZ greater than or equal to -2 were 78.26%,52.17% and 73.91% respectively.This suggests that through the early scientific nutrition guidance,the preterm infants with high nutritional risk will have a rapid physical growth within 6 months after birth.Most preterm infants catch up in weight,head circumference firstly,and then height.

关 键 词：早产儿 高危 营养 追赶生长 Z值评分 

分 类 号：R722.6[医药卫生—儿科]