预测因素的追赶增长期,小的妊娠年龄的婴儿:在阿尔及利亚进行为期两年的前性观察研究
Fadila Bouferoua1, Mohamed El Mokhtar Khiari1, Nafissa Benhalla1
1Pediatric Department "A", Beni Messous Hospital, Algiers, Algeria.
Journal of pediatric endocrinology & metabolism : JPEM
|July 27, 2023
概括
对于妊娠年龄 (SGA) 最小的婴儿实现了追赶增长. 然而,阿尔及利亚12.1%的SGA婴儿在2岁时没有达到追赶增长,这表明需要持续监测和潜在的增长促进治疗.
科学领域:
- 儿科 儿科 儿科
- 新生儿科学 新生儿科学
- 内分泌学 在内分泌学.
背景情况:
- 大多数为妊娠年龄 (SGA) 生小的婴儿经历追赶增长.
- 少数SGA婴儿未能达到足够的成长,可能受益于干预措施.
- 识别未能追赶增长的风险因素对于有针对性的管理至关重要.
研究的目的:
- 为了确定未能在SGA婴儿中实现追赶增长的患病率.
- 确定与该人口缺乏追赶增长相关的风险因素.
- 为潜在的促进生长的治疗策略和国家后续计划提供信息.
主要方法:
- 对出生时体重低于第10个百分点的预期期婴儿 (37-42周妊娠期) 的观察性研究.
- 从出生到2岁,测量长度,体重和头周长.
- 多变量分析以确定未能显示追赶增长的独立预测因素.
主要成果:
- 在457名满期SGA婴儿中,12.1%的婴儿在24个月时表现出持续的矮身.
- 追赶成长失败的独立预测因素包括母亲身高<150厘米,父母中等身高和出生长度之间的显著差异,以及SGA史.
- 其他确定的因素是体重指数较低和母乳养时间较短.
结论:
- 这项研究提供了阿尔及利亚SGA的流行病学数据,以及影响产后生长的因素.
- 在2岁时识别持续矮身的儿童,允许有针对性的随访和考虑生长激素治疗.
- 结果支持建立国家SGA婴儿注册和2岁后再评估计划.
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