本文選題：晚期早產(chǎn)兒　切入點(diǎn)：體格生長(zhǎng)　出處：《重慶醫(yī)科大學(xué)》2012年碩士論文　論文類型：學(xué)位論文

【摘要】：目的了解1歲內(nèi)晚期早產(chǎn)兒（Late preterm infants, LPI）體格生長(zhǎng)狀況，為正確評(píng)價(jià)LPI體格生長(zhǎng)提供參考依據(jù)。方法2010年5月至2011年11月，在重慶醫(yī)科大學(xué)附屬兒童醫(yī)院兒�？剖占瘚雰后w格生長(zhǎng)資料。以同期足月兒（Full term infants, FTI）作為對(duì)照組，比較LPI和FTI年齡的體重Z值（Weight-for-age Z-score, WAZ）、年齡的身長(zhǎng)Z值(Length-for-age Z-score, LAZ)、年齡的頭圍Z值（Headcircumference-for-age Z-score, HCZ）、身長(zhǎng)的體重Z值（Weight-for-length Z-score, WLZ）及生長(zhǎng)速度（ΔWAZ、ΔLAZ、ΔHCZ）。以出生體重（Birth weight, BW）為觀察指標(biāo),比較LPI的BW與1986年中國(guó)15城市不同胎齡新生兒BW的差異。結(jié)果（1）共收集LPI309人，F(xiàn)TI418人。LPI的BW均值（2518.05±463.80）g明顯小于FTI（3225.91±404.91）g（p0.01）。34-35周LPI的BW均值低于1986年中國(guó)15城市不同胎齡新生兒BW值，36周LPI的BW均值高于參考值；（2）與FTI比較，WAZ和HCZ的生長(zhǎng)水平在6～月齡前LPI的水平較低，8～月齡時(shí)達(dá)到FTI水平，而LAZ在1歲內(nèi)仍未達(dá)到FTI水平（p0.0001）；WLZ水平與FTI相同；（3）矯正月齡1月齡時(shí)，，LPI的各項(xiàng)體格指標(biāo)已超過(guò)FTI水平，有統(tǒng)計(jì)學(xué)差異;（4）1歲內(nèi)LPI組體格生長(zhǎng)速度均值明顯大于FTI(p0.0001)，ΔWAZ_(1-4)、ΔLAZ_(1-4)、ΔLAZ_(4-8)和ΔHCZ_(1-4)分別為1.74±0.89、1.24±0.79、0.79±0.71和0.98±0.83;（5）矯正月齡后，4～、5～、6～月齡LPI低體重的發(fā)生率仍明顯高于FTI；5～和6～月齡消瘦的發(fā)生率較FTI高，有統(tǒng)計(jì)學(xué)差異；在8～月齡段LPI超重發(fā)生率高于FTI（p=0.0475）；矮小的發(fā)生率與FTI無(wú)明顯差異。結(jié)論（1）與1986年中國(guó)15城市不同胎齡新生兒BW值比較，LPI的BW有明顯變化，提示我國(guó)不同胎齡BW標(biāo)準(zhǔn)也應(yīng)像兒童體格生長(zhǎng)標(biāo)準(zhǔn)一樣，間隔一定時(shí)間后重新調(diào)查制定；（2）評(píng)價(jià)LPI體格生長(zhǎng)指標(biāo)時(shí)，矯正其胎齡的時(shí)間值得進(jìn)一步研究；（3）LPI體格生長(zhǎng)速度較FTI快，且有追趕性生長(zhǎng);（4）LPI出現(xiàn)體格偏離的可能比FTI大。
[Abstract]:Objective to investigate the physical growth status of late preterm infants (LPI) in late preterm infants within one year old and to provide a reference for the correct evaluation of LPI growth. Methods from May 2010 to November 2011, The data of physical growth of infants were collected from the Department of Infant Care, affiliated Children's Hospital of Chongqing Medical University. Full term infants (FTI) were used as control group. The body weight Z value of LPI and FTI was compared with that of Weight-for-age Z-score, WAZZ, length Z of age, Z value of Length-for-age Z-scoreer, Z value of head circumference of age and head circumference Z-scoreage, LPI, weight Z value of body length Weight-for-length Z-score, WLZ) and growth rate (螖 WAZ, 螖 laz, 螖 HCZ). The birth weight weight (BW) was used as the index of observation. The difference between BW of LPI and 15 cities in China in 1986 was compared. Results 1) the BW mean value of LPI309 was 2518.05 鹵463.80 g lower than that of FTI(3225.91 鹵404.91 g 路34-35 weeks LPI was lower than that of 15 cities with different gestational age in 1986. The BW value of different gestational age neonates in 15 cities in China was lower than that of LPI in 15 cities in China in 1986.The mean BW value of LPI was significantly lower than that of FTI(3225.91 鹵404.91g. 34-35 weeks. The mean BW of LPI at 36 weeks was higher than that of reference. Compared with FTI, the growth level of LPI and HCZ reached FTI level at the age of 8 months. However, LAZ did not reach the level of FTI within 1 year old and the same level as FTI (P 0.0001). The physical indexes of LAZ were higher than that of FTI at the age of 1 month. The average physical growth rate of LPI group within 1 year old was significantly higher than that of FTIIp 0.0001, 螖 WAZS 1-4, 螖 LAZS 1-4, 螖 LAZAZHAN 4-8) and 螖 HCZS 1-4) were 1.74 鹵0.891.24 鹵0.790.79 鹵0.71 and 0.98 鹵0.83f5) respectively. The incidence of low body weight in LPI was still significantly higher than that in FTI5- and 6- month old compared with FTI (P < 0.05). The incidence of overweight of LPI was higher than that of FTI at the age of 8 months. There was no significant difference between the incidence of dwarf and that of FTI. Conclusion the BW of newborn infants of different gestational ages in 15 cities in China was significantly different from that in 15 cities of China in 1986. It is suggested that different gestational age BW standards in China should be similar to those of children's physical growth standard, and should be re-investigated and established after a certain interval.) when evaluating the LPI physical growth index, the time of correcting the gestational age is worth further studying. The physical growth rate of LPI is faster than that of FTI. The physical deviation of LPI with catch-up growth was more likely than that of FTI.
【學(xué)位授予單位】：重慶醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2012
【分類號(hào)】：R174.2

【參考文獻(xiàn)】

相關(guān)期刊論文 前6條

1 張曉蕊;曾超美;劉捷;;287例晚期早產(chǎn)兒早產(chǎn)危險(xiǎn)因素及并發(fā)癥研究[J];中國(guó)當(dāng)代兒科雜志;2011年03期

2 袁月;龐汝彥;潘迎;武明輝;王軍華;何亞萍;王燕;;胎齡別新生兒出生體重分析[J];中國(guó)兒童保健雜志;2011年06期

3 徐秀,郭志平,王衛(wèi)平;不同出生體重兒0～6歲體格生長(zhǎng)水平特點(diǎn)[J];臨床兒科雜志;2003年11期

4 孫秀靜;王丹華;宮麗敏;王穎;米延;陳超;季釵;余加林;張巍;夏世文;楊杰;楊式薇;;238例極低出生體重早產(chǎn)兒的生長(zhǎng)速率和影響因素[J];臨床兒科雜志;2009年03期

5 黎海芪;;兒童體格發(fā)育評(píng)價(jià)及其應(yīng)用[J];實(shí)用兒科臨床雜志;2006年23期

6 劉宇;黎海芪;;嬰幼兒出生至2歲身長(zhǎng)和體重生長(zhǎng)軌道變化的隨訪研究[J];中國(guó)循證兒科雜志;2010年05期

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