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目的通过比较低出生体质量儿与正常出生体质量儿0~3岁内的体格生长速率,了解低出生体质量儿的体格生长情况。方法采用回顾性病例对照研究的方法,收集上海市黄浦区2009-2010年出生并在黄浦区妇幼保健所儿童保健门诊完成3岁内定期体检的低出生体质量儿(97例)与正常出生体质量儿(99例)体格检查资料并进行统计分析。结果大部分情况下,早产低体质量女童9月龄内体质量、身长以及头围的增长大于正常足月儿,男童头围的生长趋势与之接近;足月小样儿未表现出上述趋势,其生长速率与正常足月儿相较基本无差异。与WHO标准比较,早产低体质量儿、足月小样儿以及正常足月儿6月龄之前的体质量生长速率较高;而3组儿童的身长及头围的生长速率除个别月龄外基本高于或接近WHO标准。结论早产低体质量儿在一定时间内生长速率高于正常足月儿,对于这一趋势,需要给予科学合理的引导,以避免过度生长带来的成年期伤害。
Objective To compare the physical growth rate of children aged 0-3 years with low birth weight and normal birth weight to understand the growth of children with low birth weight. Methods A retrospective case-control study was conducted to collect the low birth weight children (97 cases) born in 2009-2010 in Huangpu District of Shanghai Municipality and who completed the regular physical examinations of 3 years old in the Children’s Health Clinic of Huangpu District MCH with normal birth weight Pediatric (99 cases) physical examination data and statistical analysis. Results In most cases, the body mass, length and head circumference of girls with preterm low birth weight increased more than that of normal term children at 9 months of age, and the growth trend of boys’ heads circumference was similar with that of full-moon children. , Its growth rate and normal full-term children basically no difference. Compared with the WHO standard, body weight growth rate of preterm low birth weight children, full-term small children and normal full-fledged children before 6 months old was higher; while the growth rate of body length and head circumference of 3 groups of children was basically Above or close to the WHO standard. Conclusions The growth rate of preterm low birth weight children is higher than that of normal term children in a certain period of time. For this trend, we need to give a scientific and reasonable guidance to avoid the adult injury caused by overgrowth.