合肥市城区低出生体重儿婴儿期体格发育生长速率的纵向研究
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合肥市卫计委应用医学研究重点项目(hwk2016zd016)


Longitudinal study on growth rate of physical development of low birth weight infants in Hefei
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    目的 纵向随访合肥市城区低出生体重儿(LBWI)0~12月体格发育情况,科学评价LBWI婴儿期生长速率,明确LBWI出生后的生长追赶状况,为生长发育监测及科学喂养提供依据。方法 建立LBWI出生队列,共228名LBWI进入随访队列,在儿保系统中选择同期的161名正常出生体重儿(NBWI)作为对照组,监测婴儿0~12月龄体格发育结果。结果 LBWI男女婴体重、身长、头围各指标在婴儿期均明显低于 NBWI组同性别婴儿,LBWI和NBWI婴儿期最大生长速率在生后前3个月内,LBWI组男女婴在1~3月期间体格发育指标增长速度大于NBWI组,3月龄之后各体格指标增长速率逐渐下降,其中体重和头围顺位为1月龄>2月龄>3月龄,身长顺位为3月龄>1月龄>2月龄,LBWI在1岁内体重、身长和头围呈追赶生长,且6个月内追赶较快,尤以4月内明显。早产低出生体重儿(PLBWI)和足月低出生体重儿(MLBWI)体格发育增长速度存在差异,PLBWI出生后6月内增长速度基本大于MLBWI,但两组男女婴最大生长速率均出现在生后前3个月内。结论 低出生体重对婴儿的体格发育存在影响,LBWI男女婴婴儿期最大生长速率均出现在生后前3个月内,各体格发育指标增长速度大于NBWI,且各体格发育指标呈现追赶性生长,在4月龄内尤为明显,早产低出生体重儿出生后6月内体重、身长增长速度基本大于足月低出生体重儿。

    Abstract:

    Objective Longitudinal follow-up of the physical development of low birth weight infants (LBWI) in Hefei city from 0 to 12 months, scientific evaluation of LBWI growth rate in infancy, clarification of the growth catch-up status after LBWI birth, and provide basis for growth and development monitoring and scientific feeding.Methods We established an LBWI birth cohort. A total of 228 LBWIs entered the follow-up cohort. 161 normal birth weight infants (NBWI) during the same period were selected as the control group in the child care system to monitor the physical development results of infants from 0 to 12 months.Results The weight, length, and head circumference of male and female infants in LBWI were significantly lower than those of the same-sex infants in the NBWI group during infancy. The maximum growth rate of LBWI and NBWI during infancy was within the first 3 months after birth, and male and female infants in the LBWI group were between 1 and 3 months. During the period, the growth rate of physical development indexes was greater than that of the NBWI group. After 3 months of age, the growth rate of each physical index gradually decreased. Among them, the order of weight and head circumference was 1 month old>2 months old>3 months old, and the order of body length was 3 months old> 1 month old> 2 months, LBWI showed catch-up growth in body weight, length and head circumference within 1 year of age, and catching up quickly within 6 months, especially in 4 months. The growth rate of physical development between PLBWI and MLBWI was different. The growth rate of PLBWI was higher than that of MLBWI in 6 months after birth, but the maximum growth rate of male and female infants in both groups appeared in the first three months after birth.Conclusion Low birth weight of infant physical development exists, LBWI male baby infant maximum growth rate have appeared in the first three months after birth, the growth rate is greater than the NBWI physique growth index, and the index of physical development presents the catch-up growth, particularly within 4 months, 6 months after born preterm low birth weight growth rate of body weight, body length is greater than the basic term low birth weight.

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  • 在线发布日期: 2021-11-24
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