在妊娠年龄婴儿的非常早产和小婴儿中,有不同的追赶成长模式
Yang Li1, Jialin Wen1, Qianqian Jiang1
1Beijing Friendship Hospital, Capital Medical University, Beijing, China.
Clinical pediatrics
|October 18, 2024
概括
过早出生的婴儿表现出追赶的增长,影响发育的因素因年龄而异. 虽然大多数早产婴儿在经过24个月的调整后的年龄达到正常生长,但对于妊娠年龄来说小的婴儿面临着挑战.
科学领域:
- 儿科 儿科 儿科
- 新生儿科学 新生儿科学
- 增长和发展 增长和发展
背景情况:
- 与满期婴儿相比,早产婴儿通常会经历改变的生长轨迹.
- 了解追赶增长模式对于优化这一群体的长期健康结果至关重要.
研究的目的:
- 描述早产婴儿到24个月的成长模式,经过年龄的纠正.
- 确定影响早产婴儿追赶成长的因素.
- 为了比较不同妊娠年龄组的不同早产,性别和大小的生长参数.
主要方法:
- 对288名早产婴儿进行了长度研究.
- 评估头周长,长度,体重与长度的比例,以及0-24个月的年龄修正后的体重.
- 后勤回归分析以确定追赶增长的风险因素.
主要成果:
- 在24个月的校正年龄,z-score低于-2的流行率低于所有增长参数的预期.
- 对于妊娠年龄小的婴儿 (SGA) 与非SGA婴儿相比,头周长,长度,体重长度和体重的z-score较低.
- 晚期早产婴儿的体重对长度z-score高于非常早产婴儿;男性的体重z-score低于女性.
结论:
- 早产婴儿的追赶成长受到各种因素的影响,这些因素随着年龄的调整而改变.
- 早期住院因素对生长的影响随着时间的推移而减少.
- 虽然整体追赶是常见的,但特定的子组,如SGA婴儿需要持续监测.
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