小于胎龄儿0~2岁的生长发育随访及干预疗效分析  

Analysis of growth and development follow-up and intervention efficacy in children younger than gestational age 0-2 years old

作　　者：刘敏仪 LIU Minyi(Department of General Pediatrics,the Sixth Affiliated Hospital of South China University of Technology,Nanhai District People's Hospital of Foshan,Foshan,Guangdong 528200,China)

机构地区：[1]华南理工大学附属第六医院佛山市南海区人民医院普儿科,广东佛山528200

出　　处：《医药前沿》2025年第4期137-139,143,共4页Journal of Frontiers of Medicine

基　　金：佛山市卫生健康局医学科研课题(20230012)。

摘　　要：目的分析针对性干预及身体功能改善项目对小于胎龄儿(SGA)0~2岁生长发育的影响。方法选取2022年1—5月在华南理工大学附属第六医院出生的SGA 100例为研究对象,采用随机数字表法分为观察组和对照组各50例,对照组采用常规干预,观察组在对照组的基础上实施针对性干预措施及身体功能改善项目,从出生开始随访及干预2年,比较两组神经心理发育状况、体格发育总体情况(头围、身长、体重)、营养性疾病发生率及家长满意度评分。结果观察组大运动、精细动作、认知、语言和社交行为评分高于对照组,头围、身长和体重优于对照组,营养性疾病总发生率低于对照组,差异有统计学意义(P<0.05);观察组家长对护理态度、生长发育和体格发育满意度评分高于对照组,差异有统计学意义(P<0.05)。结论对SGA 0~2岁采取针对性干预及身体功能改善项目,能提升其精细动作和语言能力等,改善其体格发育,并可以降低营养性疾病的发生率,家长对护理工作的满意度较高。Objective To analyze the effects of targeted interventions and physical function improvement programs on the growth and development of small for gestational age infant(SGA)infants aged 0-2 years.Methods A total of 100 SGA infants born in the Sixth Affiliated Hospital of South China University of Technology from January to May 2022 were selected as the research objects.They were randomly divided into an observation group and a control group,with 50 cases in each group.The control group used conventional intervention,and the observation group implemented targeted interventions and physical function improvement programs on the basis of the control group,and followed up and intervened for 2 years from birth,comparing the neuropsychological developmental status,overall physical development(head circumference,body length,and body weight),incidence of nutritional diseases,and parental satisfaction scores between the two groups.Results After the intervention,the scores of gross motor skills,fine motor skills,cognition,language,and social behavior of the observation group were higher than those of the control group,the head circumference,body length,and body weight in the observation group were better than those in the control group,and the total incidence of nutritional diseases was lower than that in the control group,the differences were statistically significant(P<0.05).The parents in the observation group satisfaction scored higher in terms of nursing attitude,growth and development,and physical development than those in the control group,and the differences were statistically significant(P<0.05).Conclusions Targeted interventions and physical function improvement programs for SGA infants aged 0-2 years can improve their fine motor skills and language ability,improve their physical development,reduce the incidence of nutritional diseases,and lead to higher satisfaction among parents with nursing work.

关 键 词：小于胎龄儿 生长发育 随访 干预 体格发育 家长满意度 

分 类 号：R339[医药卫生—人体生理学]