早产儿宫外生长研究进展.pdfVIP

·综述· 早产儿宫外生长研究进展 肖旭文(综述)宋燕燕(审校) 【摘要】 近年来，随着新生儿重症监护病房的建立和营养支持的发展，极低出生体重儿的生存率明显 上升。随着越来越多的早产儿和低体重儿被抢救存活，围产医学的关注焦点逐渐由新生儿护理技术方面 扩大至早产儿出生后的生长发育随访情况以及相关影响因素的研究。记录并研究早产儿出生后包括身 高、体重、头围、体重指数的生长发育情况，可以更清楚地评价早产儿在出生后通过有效的营养支持和医疗 决策对其健康发育和生活质量是否产生影响。该文就目前国内外对早产儿和低出生体重儿的各个成长阶 段的生长发育的随访情况、追赶性生长以及远期发育的影响作一综述。 【关键词】早产儿；低体重儿；宫外发育迟缓；追赶性生长；随访 ofextrauterinein childrenXiao and Women PH曙Hsses growthpremature Xuwen，SongYanyan．Guangzhou Children’JMedicalCenter tO Medical AffiliatedGuangzhouCollege，Guangzhou510623，China In of recent theestabfishmentneonatalintensivecareunitandthe of 【Abstract】 years，with development nutritional birth infantshasincreased survivalrateof low moreand support．the very weight significantly．As more infantsandlowbirth infantshavebeenrescued attentionhasbeen tothe premature weight alive。more paid follow—up of childrenaswellastherelated factorsin medicine．mmosteffec- growthpreterm impact prenatal five tOevaluatethe thenutritionalandmedicaldecisionhasmadeonthe in- way effectsof support premature fants，the of infantsafter circumfer- postnatalPhysicaldevelopmentpreterm birth，includingheight，weight，head enceand be studied．ⅢSarticlereviewsthecurrentstudiesof of IBM。shouldrecordedand follow—up preterm infantsatvarious wellasthe and growths stages，as catch-upgrowthlong-termdevelopment． birth uterine 【Keywords】Prematurechildren；Lowweightchildre