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目的探讨整合性团体干预模式对小于胎龄儿(SGA)体格发育及骨密度的影响,为提高SGA早期干预效果提供理论依据。方法选择高危儿门诊SGA患儿67例,根据家长意愿分为干预组和非干预组,干预组33例给予整合性团体干预,非干预组34例只进行常规高危儿管理,随机选择同期体检的早产适于胎龄儿20例做对照,于纠正12月SGA干预组和非干预组、早产适于胎龄儿组进行体重、身长、头围及骨密度检测。结果纠正12月SGA干预组、非干预组、早产适于胎龄儿组体质量、身长、头围及骨密度差异有统计学意义(P<0.05)。早产适于胎龄儿组体重、身长、头围>SGA干预组>SGA非干预组,SGA非干预组骨密度>早产适于胎龄儿组>SGA干预组。结论整合性团体干预模式能促进SGA体格发育,尤其是体重追赶较快,在追赶过程中,SGA骨密度不足的问题需引起重视,定量超声骨密度检查值得推荐。
Objective To investigate the effect of integrated group intervention on the physical development and bone mineral density of small gestational age (SGA) children and to provide a theoretical basis for improving the effect of SGA on early intervention. Methods Sixty-seven children with high-risk pediatric SGA were divided into intervention group and non-intervention group according to the parents’ wishes. The intervention group was given integrated group intervention and the non-intervention group, 34 cases were only managed with conventional high-risk child. 20 cases of gestational age premature children as a control, to correct December SGA intervention group and non-intervention group, premature children for gestational age group weight, length, head circumference and bone mineral density test. Results Correction of body weight, body length, head circumference and bone mineral density in December SGA intervention group, non-intervention group and premature labor group were statistically significant (P <0.05). Preterm birth is suitable for gestational age group weight, length, head circumference> SGA intervention group> SGA non-intervention group, SGA non-intervention group BMD> preterm birth suitable for gestational age group> SGA intervention group. Conclusion Integrated group intervention can promote physical development of SGA, especially weight catch-up. In the process of catching up, the problem of insufficient bone density of SGA should be paid attention to. Quantitative ultrasonic bone density examination is recommended.