中国冶金工业医学杂志

早产儿宫外生长迟缓的相关因素及预防对策

作者：刘莹1 孙建梅2

单位：1大连市妇幼保健院新生儿科辽宁大连 116033 2上海市奉贤区中心医院儿科

分类号：中图分类号：R 722文献标志码：A文章编号：1005-5495(

出版年,卷(期):页码：2013,30(4):388-389

摘要：

摘要：目的研究早产儿宫外生长迟缓的相关因素。方法选择我院2009年1月至2010年1月间存活出院的早产儿(出生体重儿＜1500 g)，定期随访至12个月,给予生长发育监测,并对宫外生长迟缓相关因素进行分析。结果123例早产儿以体重计生长迟缓(低于生长曲线第10百分位)的发生率:出生时为58.5%,出院时为80.5%,校正胎龄足月(37~42周)时为561%, 3个月时39.2%, 6~12个月时22.0%, 宫外生长迟缓的危险因素包括出生低胎龄、宫内生长迟缓、生后反复感染、母亲合并妊娠高血压综合征、出院后营养强化。结论预防产前、生后危险因素，建立早期积极规范的营养支持,以促进早产儿生长发育。

Abstract:ObjectiveTo study the risk factors of premature neonates associated with extrauterine growth retardation(EUGR)MethodsForty-one very or extremely low birth weight infants from January,2009 to January,2010 were followed up till 12 months of adjusted ageIntrauterine and postnatal growth retardation was defined asmeasured growth parameters＜10th percentile on the growth curvesThe incidence of growth retardation at each time point of follow-up was calculatedThe risk factors for growth retardation by 12 months of adjusted age were estimatedResultsBy weight the incidence of intrauterine growth retardation was 585% on admission(small for gestational age),then the incidence of postnatal growth retardationwas 80.5% at discharge,56.1% at 37~42 gestational weeks,39.2% till 3 months of adjusted ageThe incidence remained 22.0% by 6 months, 12 months of adjusted ageThe risk factors for such growth retardation by12 months were low gestationalage, intrauterine growth retardation, recurrent infections，maternal complication of pregnancy induced hypertension and strengthen nutritionConclusion Prevention of prenatal and postnata risk factors postitively regulate the establishment of early standard nutrition support,In order to promote the growth and development of premature infants

基金项目：

作者简介：

参考文献：

[1] 胡劲涛，谢宗德，陈平洋早产儿宫外生长发育迟缓状况调查研究［J］中国实用儿科杂志, 2009，24（2）：129

[2]柳洁，肖绪武，刁敬军，等早产儿宫外生长迟缓发生情况及相关危险因素分析［J］中国新生儿科杂志, 2011,26(5):308

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[5]单红梅,蔡威早产儿宫外生长发育迟缓及相关因素分析［J］中华儿科杂志, 2007, 45：183

[6]庄思齐，郭明明早产儿宫外生长迟缓[J]中国新生儿科杂志，2009，24（3）：136-139

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