湖北省城市早产和足月婴儿体格发育的影响因素  

Influencing factors of physical development of preterm and full-term infants in the urban areas of Hubei Province,China

作　　者：金岩[1] 张萍 黄娟[2] 李燕[3] 熊忠贵[1] JIN Yan;ZHANG Ping;HUANG Juan;LI Yan;XIONG Zhonggui(Dept.of Child Healthcare,Maternal and Child Health Hospital of Hubei Province,Wuhan 430070,Hubei,China;Dept.of Pediatric Hematology,Maternal and Child Health Hospital of Hubei Province,Wuhan 430070,Hubei,China;School of Medicine,Wuhan University of Science and Technology,Wuhan 430065,Hubei,China)

机构地区：[1]湖北省妇幼保健院儿童保健科,湖北武汉430070 [2]湖北省妇幼保健院小儿血液科,湖北武汉430070 [3]武汉科技大学医学部医学院,湖北武汉430065

出　　处：《武汉大学学报（医学版）》2024年第10期1228-1232,共5页Medical Journal of Wuhan University

基　　金：2017—2018年湖北省卫生与计划生育委员会面上项目(编号:WJ2017M129)。

摘　　要：目的:研究湖北省城市早产和足月婴儿体格发育的影响因素,为儿童保健及相关领域的临床工作提供参考依据。方法:采取出生队列研究设计,选取2019年1月至2020年6月期间在湖北省妇幼保健院、荆州市妇幼保健院和十堰市妇幼保健院出生的新生儿,共计198对,分析我省城市早产和足月婴儿体格发育的影响因素。结果:早产婴儿出生~12个月各年龄组体格发育均明显低于足月婴儿(P<0.01)。经多元回归分析,共有孕周和出生身长2个有利变量、性别和分娩次数2个不利变量与早产婴儿身长存在关联,同时共有孕周和出生体质量2个有利变量、分娩次数和妊娠高血压综合征2个不利变量与早产婴儿体质量存在关联(均P<0.05)。结论:孕周、妊娠胎次及妊娠期高血压是影响早产儿体格发育的重要影响因素,采取有效干预措施,降低早产儿出生率及预防妊娠期高血压,可以降低婴儿体格发育迟缓的发生率。Objective:To investigate the factors influencing the physical development of preterm and full-term infants in urban areas of Hubei Province,China,and to provide a reference for child health and related clinical practices.Methods:A total of 198 paired newborns were recruited from the Maternal and Child Health Hospital of Hubei Province,Jingzhou Maternal and Child Health Hospital,and Shiyan Maternal and Child Health Hospital from January 2019 to June 2020.A birth cohort study was adopted to clarify the risk factors of the physical development of preterm and full-term infants.Results:The physical development of premature infants was significantly lower than that of full-term infants in all age groups from birth to 12 months old(P<0.01).By using a multiple regression analysis,we found two positive variables(gestational week and birth length)and two negative variables(sex and delivery times),which were associated with the length of preterm infants(P<0.05),meanwhile,there were two positive variables(gestational week and birth weight),and two negative variables(delivery times and pregnancy-induced hypertension syndrome),which were associated with the weight of preterm infants(all P<0.05).Conclusion:The study explored the influencing factors of the physical development of preterm infants in the urban area of Huben Province and the association of gestation weeks with delivery frequency and gestational hypertension,and effective interventions can be adopted according to the influencing factors to promote the growth and development of infants.

关 键 词：婴儿 身长 体质量 体格发育 影响因素 

分 类 号：R179[医药卫生—妇幼卫生保健]