湘西地区营养高危早产儿早期追赶生长分析

doi:10.13438/j.cnki.jdzk.2024.02.011

吉首大学学报（自然科学版） ›› 2024, Vol. 45 ›› Issue (2): 74-78.DOI: 10.13438/j.cnki.jdzk.2024.02.011

湘西地区营养高危早产儿早期追赶生长分析

黄君，石磊，刘林涛，吴鸿燕，田艳，田红燕

（湘西土家族苗族自治州人民医院儿童保健康复科，湖南吉首 416000）

出版日期:2024-03-25 发布日期:2024-04-16
通讯作者: 田红燕（1971—），女，湖南吉首人，湘西土家族苗族自治州人民医院主任医师，主要从事儿童生长发育、儿童康复治疗相关研究.E-mail:1622959611@qq.com.
作者简介:黄君（1995—），女，湖南永顺人，湘西土家族苗族自治州人民医院住院医师，硕士，主要从事儿童生长发育、儿童康复治疗相关研究

Early Catch-up Growth of Preterm Infants with High Nutritional Risk in Xiangxi

HUANG Jun,SHI Lei,LIU Lintao,WU Hongyan,TIAN Yan,TIAN Hongyan

（Department of Child Health and Rehabilitation，Xiangxi Autonmous Prefecture People's Hospital,Jishou 416000,Hunan China）

Online:2024-03-25 Published:2024-04-16

摘要/Abstract

摘要：为了探究湘西地区营养高危早产儿的早期追赶生长情况，选取2021年6月至2022年4月出生且在湘西自治州人民医院儿童保健康复科就诊的23例营养高危早产儿作为研究对象，对早产儿进行个体化科学营养指导，采用Z值评分法对早产儿不同时期的体重、身长、头围等体格发育指标进行评估.结果表明，23例高危早产儿出生时年龄别体重Z值（WAZ）、年龄别身长Z值（HAZ）、年龄别头围Z值（HCZ）均小于-2，分别为-4.34±0.99，-5.12±1.61，-4.60±1.62；3月龄、6月龄体重、身长、头围、WAZ、HAZ、HCZ等数值均明显高于出生时（P<0.001）；6月龄WAZ，HAZ，HCZ大于等于-2的比例分别为78.26%，52.17%，73.91%.提示经过早期科学营养指导，营养高危早产儿在出生后6个月内会有一个体格快速增长期，大多数早产儿首先在体重、头围上实现追赶，然后是身长.

关键词： 早产儿, 高危, 营养, 追赶生长, Z值评分

Abstract: To investigate the early catch-up growth of preterm infants with high nutritional risk in Xiangxi.A total of 23 preterm infants with high nutritional risk born from June 2021 to April 2022 in the Children's Health and Rehabilitation Department of Xiangxi Autonomous Prefecture People's Hospital were recruited,and all of them accepted individualized nutrition guidance program.The Z-score method was used to evaluate weight,height and head circumference.The results show that the Z-scores of weight-for-age (WAZ),height-for-age (HAZ) and head circumference-for-age (HCZ) at birth of the 23 preterm infants were significantly less than -2,which were -4.34±0.99,-5.12±1.61 and -4.60±1.62 respectively.The weight,height and head circumference,WAZ,HAZ and HCZ at 3 months and 6 months were significantly higher than those at birth (P<0.001).At 6 months of age,the proportions of WAZ,HAZ and HCZ greater than or equal to -2 were 78.26%,52.17% and 73.91% respectively.This suggests that through the early scientific nutrition guidance,the preterm infants with high nutritional risk will have a rapid physical growth within 6 months after birth.Most preterm infants catch up in weight,head circumference firstly,and then height.

Key words: preterm infants, high risk, nutrition, catch-up growth, Z score

黄君, 石磊, 刘林涛, 吴鸿燕, 田艳, 田红燕. 湘西地区营养高危早产儿早期追赶生长分析[J]. 吉首大学学报（自然科学版）, 2024, 45(2): 74-78.

HUANG Jun, SHI Lei, LIU Lintao, WU Hongyan, TIAN Yan, TIAN Hongyan. Early Catch-up Growth of Preterm Infants with High Nutritional Risk in Xiangxi[J]. Journal of Jishou University(Natural Sciences Edition), 2024, 45(2): 74-78.

参考文献

[1] LAWNJOY E,BLENCOWE HANNAH,OZA SHEFALI,et al.Every Newborn:Progress,Priorities,and Potential Beyond Survival[J].Lancet,2014,384(9938):189-205.
[2]《中华儿科杂志》编辑委员会,中华医学会儿科学分会儿童保健学组,中华医学会儿科学分会新生儿学组.早产、低出生体重儿出院后喂养建议[J].中华儿科杂志,2016,54(1):6-12.
[3] CAO Guiying,LIU Jue,LIU Min.Global,Regional,and National Incidence and Mortality of Neonatal Preterm Birth,1990-2019[J].JAMA Pediatrics,2022,176(8):787-796.
[4] JAPAKASETR SUCHADA,SIRIKULCHAYANONTA CHUTIMA,SUTHUTVORAVUT UMAPORN,et al.Implementation of a Nutrition Program Reduced Post-Discharge Growth Restriction in Thai Very Low Birth Weight Preterm Infants[J].Nutrients,2016,8(12):820.DOI:10.3390/nu8120820.
[5] ROGGERO PAOLA,LIOTTO NADIA,MENIS CAMILLA,et al.New Insights in Preterm Nutrition[J].Nutrients,2020,12(6):1857.DOI:10.3390/nu12061857.
[6] 武宜亮,殷其改,霍汝亚寒,等.宫外生长迟缓早产儿出院后不同营养策略对体格发育的近期影响[J].安徽医药,2021,25(8):1544-1548.
[7] 高洁,韦秋宏,张站站,等.不同出生体重晚期早产儿婴儿期体格生长的纵向研究[J].中国妇幼健康研究,2021,32(7):931-936.
[8] TOFTLUND LINE HEDEGAARD,HALKEN SUSANNE,AGERTOFT LONE,et al.Catch-Up Growth,Rapid Weight Growth,and Continuous Growth from Birth to 6 Years of Age in Very-Preterm-Born Children[J].Neonatology,2018,114(4):285-293.
[9] 熊菲,毛萌.早产儿生后体格生长评价[J].中华儿科杂志,2019,57(4):318-321.
[10] 罗红梅,杨秉权.早产儿与足月儿出生半年内体格发育和精细运动发育的差异[J].中国妇幼保健,2022,37(24):4611-4614.
[11] 宋绮莹,赵晓丽,郭玉琴,等.早产儿校正24月龄内生长轨迹研究[J].中国当代儿科杂志,2021,23(12):1200-1207.
[12] PARK JOON-SIK,HAN JUNGHO,SHIN JEONG EUN,et al.Postdischarge Growth Assessment in Very Low Birth Weight Infants[J].Korean Journal of Pediatrics,2017,60(3):64-69.
[13] MICHAELIS ISABEL ALEXANDRA,KRGELOH-MANN INGEBORG,MAZINU MIKATEKO,et al.Growth of a Cohort of Very Low Birth Weight and Preterm Infants Born at a Single Tertiary Health Care Center in South Africa[J].Frontiers in Pediatrics,2023,10:1075645.DOI:10.3389/fped.2022.1075645.
[14] ABDALLAH YASER,NAMIIRO FLAVIA,NANKUNDA JOLLY,et al.Growth of Preterm Very Low Birth Weight Infants Discharged with Weight of Less than 1500 grams[J].BMC Pediatrics,2021,21(1):145.DOI:10.1186/s12887-021-02612-4.
[15] BANDO NICOLE,FENTON TANIS R,YANG Junmin,et al.Association of Postnatal Growth Changes and Neurodevelopmental Outcomes in Preterm Neonates of <29 Weeks' Gestation[J].The Journal of Pediatrics,2022:1-7.DOI:10.1016/j.jpeds.2022.11.039.
[16] RAAIJMAKERS ANKE,ALLEGAERT KAREL.Catch-Up Growth in Former Preterm Neonates:No Time to Waste[J].Nutrients,2016,8(12):817.DOI:10.3390/nu8120817.
[17] 周旭,方俊群,罗家有,等.湖南省贫困农村地区6~23月龄婴幼儿营养不良相关因素分析[J].中华预防医学杂志,2017,51(8):751-755.
[18] 聂婷婷,楚婷,林重华,等.湘西农村地区苗族留守儿童获取基本医疗服务能力及影响因素分析[J].重庆医学,2016,45(10):1369-1372.

湘西地区营养高危早产儿早期追赶生长分析

Early Catch-up Growth of Preterm Infants with High Nutritional Risk in Xiangxi

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