[营养不足和适当的追赶增长在极早产婴儿在24个月的校正年龄:一个回顾性队列研究]
1Department of Child Psychology and Rehabilitation, Shenzhen Maternity and Child Healthcare Hospital, Women and Children's Medical Center, Southern Medical University, Shenzhen 518017, China.
Zhonghua er ke za zhi = Chinese journal of pediatrics
|December 16, 2025
概括
出生体重和妊娠年龄较低的极度早产婴儿面临更高的营养不良率和更低的追赶增长. 修正年龄 (CA) 的前六个月对他们的成长和发展至关重要.
科学领域:
- 新生儿科学 新生儿科学
- 儿童营养学 儿童营养学
- 增长监测 增长监测 增长监测
背景情况:
- 极度早产的婴儿面临着营养不良和生长挑战的重大风险.
- 评估追赶增长对于这种脆弱人群的长期健康结果至关重要.
研究的目的:
- 评估24个月前极早产婴儿的营养不良和追赶成长情况,经过年龄校正 (CA).
- 确定影响这一群体营养状况和生长轨迹的因素.
主要方法:
- 对422名极度早产婴儿进行了回顾性队列研究,对其进行了24个月的CA.跟踪.
- 使用Fenton 2013和WHO增长标准的Z-score方法进行分析.
- 在不同的妊娠年龄和出生体重组中比较营养状况和生长率.
主要成果:
- 21.1%的婴儿经历了中度到严重的营养不良,出生体重较低和妊娠年龄组的发病率更高.
- 增长迟缓影响了5.2%的婴儿,在子组之间存在显著差异.
- 到24个月CA时,80.8%的婴儿实现了适当的追赶增长,根据初始增长参数而有所不同.
结论:
- 较低的出生体重和妊娠年龄与营养不良的增加和追赶增长的减少相关.
- 在极度早产的婴儿中,追赶增长的关键窗口是在修正年龄的第一个0-6个月内.
- 早期的营养支持和生长监测对于极度早产婴儿至关重要.
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