本文選題：胎兒生長受限 + 體格發(fā)育　； 參考：《中國實用婦科與產科雜志》2017年06期

【摘要】：目的評估晚發(fā)型胎兒生長受限(FGR)嬰幼兒的生長發(fā)育及智力發(fā)育狀況。方法收集2011-2013年南京醫(yī)科大學附屬南京婦幼保健院100例晚發(fā)型FGR嬰幼兒作為研究對象,同期隨機抽取100例正常分娩體重嬰幼兒納入對照組。根據FGR胎兒出生體重分為兩組,A組(35例)為出生體重低于同孕齡的第5百分位數(包括第5百分位數);B組(65例)為出生體重在同孕齡的第5~10百分位數之間。對嬰幼兒出生時及生后3、6、9、12、18個月的體重、身長、頭圍等數據進行回顧性分析,并通過Gesell發(fā)育診斷法進行智力狀況評估。結果 100例FGR嬰幼兒生長發(fā)育有追趕生長現象,其體格發(fā)育及智力評估發(fā)育商數(DQ)均明顯落后于對照組,差異有統(tǒng)計學意義(P0.05)。A組和B組FGR嬰幼兒生長發(fā)育指標出生時有明顯差異(P0.05),隨著月齡增長,差異逐漸無統(tǒng)計學意義(P0.05)。結論 FGR兒和正常出生體重兒之間體格發(fā)育和智力發(fā)育均有差異,FGR兒生長發(fā)育有追趕生長現象,應加強對FGR嬰幼兒的早期干預及健康監(jiān)護。
[Abstract]:Objective to evaluate the development and intelligence of late-onset FGRs. Methods 100 late-onset FGR infants from Nanjing Maternal and Child Health Hospital affiliated to Nanjing Medical University from 2011 to 2013 were collected as the study objects and 100 infants with normal birth weight were randomly selected as the control group. According to FGR fetal birth weight, 35 cases were divided into two groups: the 5th percentile of birth weight was lower than that of the same gestational age (including 65 cases of the 5th percentile group), and the birth weight was between the 5th and 10th percentile of the same gestational age. The data of body weight, body length and head circumference of infants at birth and after birth were analyzed retrospectively, and the intelligence status was evaluated by Gesell developmental diagnosis. Results 100 cases of FGR infants had catch-up growth phenomenon, their physical development and intelligence evaluation development quotient (DQ) were significantly lower than those in the control group. There was a significant difference in the growth and development of FGR between group A and group B at birth. With the increase of age, the difference was not statistically significant (P 0.05). Conclusion there are differences in physical and intellectual development between FGR infants and normal birth weight infants. The early intervention and health monitoring of FGR infants should be strengthened.
【作者單位】： 南京醫(yī)科大學附屬南京婦幼保健院;
【分類號】：R714.5

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