标题：系统保健对32周以下早产儿及VLBWI体格发育的影响

      作者：李慧丽，王 强，任路忠，王为实，邓顺莲，宁玉峰，钱 刚
    （深圳市龙岗区妇幼保健院，广东 深圳 518172）

      卷次： 2015年26卷1期

      【摘要】 目的 探讨系统保健对胎龄小于32周早产儿及极低出生体重儿(VLBWI)校正胎龄12个月时体格
发育的影响。方法 将 2011-2012年度在深圳市龙岗区妇幼保健院出生的胎龄<32周早产儿和VLBWI共 60
例，分为接受系统保健（A组）和未接受系统保健（B组）各30例，并随机选择在该院同期出生的足月儿30例为对
照组(C组)。A组婴儿在新生儿科出院后至纠正胎龄6个月每月体检1次，纠正胎龄7个月至12个月每2个月体
检1次；B组婴儿未接受系统保健；C组婴儿出生后每3个月保健1次；在纠正胎龄12个月时对三组婴儿做体格发
育检查，比较其体格发育指标及营养不良的发生率。结果 校正胎龄12个月时：A组与C组婴儿体重、身长及头
围均高于B组婴儿(P<0.05)，A组婴儿消瘦的发生率低于B组婴儿(P<0.05)；A组婴儿体重、身长及头围与C组婴
儿比较差异均无统计学意义(P>0.05)。结论 1岁以内对胎龄32周以下早产儿及VLBWI实施系统保健可促进
其1岁时体格发育，降低营养不良的发生率。

      【关键词】 早产儿；极低出生体重儿；体格发育；营养不良

      【中图分类号】 R722 【文献标识码】 A 【文章编号】 1003—6350（2015）01—0046—03


Effect of systematic health care on physical development of preterm infants under 32 weeks' gestational age
and very low birth weight infants.
LI Hui-li, WANG Qiang, REN Lu-zhong, WANG Wei-shi, DENG Shun-lian, NING
Yu-feng, QIAN Gang. Shengzhen Longgang Maternal and Child Health Care Hospital, Shenzhen 518172, Guangdong,
CHINA

【Abstract】 Objective To discuss the effect of systematic health care on physical development of pre-
term infants under 32 weeks' gestational age and very low birth weight infants (VLBWI) at the age of 12 months.
Methods Sixty preterm infants under 32 weeks' gestational age and VLBWI who were born in Shenzhen Long-
gang Maternal and Child Health Care Hospital between 2011 and 2012 were divided into systematic health care
group (n=30, group A) and non systematic health care group (n=30, group B). At the same time, 30 normal term in-
fants who were born in the same hospital between 2011 and 2012 were randomly selected as control group (group C).
Infants of group A accepted a general examination once a month before 6 months corrected gestational age, once two
months after 6 months corrected gestational age. Infants of group B did not accept the general examination. Infants of
group C accepted a general examination once three months. Examined their physical development at the age of 12
months, compared the index of physical development and incidence of malnutrition. Results At the age of 12
months the weight, height and head circumference of infants in group A and group C were higher than those
of group B, the differences were statistically significant (P<0.05).The rate of malnutrition in group A was low-
er than that in group B (P<0.05). There was no statistically significant difference of weight、height and head
circumference between group A and C (P>0.05). Conclusion Systematic health care can improve physical
development and reduce malnutrition rate for preterm infants at the age of 12 months.

      【Key words】 Preterm infant; Very low birth weight infant; Physical development; Malnutrition
基金项目：深圳市龙岗区科技局（编号：201406063001041）