早产儿体格和运动发育的队列研究

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目的探索早产儿的体格发育与运动发育情况,为提高早产儿生命质量提供理论依据。方法选取2012-2014年于该院高危儿随访中心随访的174例早产儿为观察组,同期,按矫正年龄随机抽取我院儿童保健科常规体检的同龄足月儿185例作为对照组。在早产儿矫正年龄6个月时,分别测量两组的体格发育指标和运动发育指标,并进行分析评估。结果早产儿体重、身长和头围三方面体格发育指标均落后于足月儿,差异有统计学意义(P<0.01);女婴、早期早产、小于胎龄儿均分别较男婴、轻型早产以及非小于胎龄儿体格发育落后(P<0.05)。此外,在矫正年龄6个月时早产儿大运动发育已追赶上同龄足月儿(P>0.05),而精细动作尚存在差距(P<0.05)。结论早产儿在矫正年龄6个月时仍存在不同程度的体格和神经运动系统发育落后,而早期早产和出生时小于胎龄儿尤其明显,早期充分的营养供给和智能训练对于提高早产儿的生命质量具有潜在的临床价值。 Objective To explore the physical development and exercise development of premature infants and to provide a theoretical basis for improving the quality of life of premature infants. Methods A total of 174 preterm infants who underwent follow-up from 2012 to 2014 were selected as the observation group. One hundred and eighty-five full-term infants of routine health check-ups in our hospital were randomly selected as the control group. When the correctional age of preterm infants was 6 months, the physical development indexes and motor development indexes of the two groups were respectively measured and analyzed. Results The body weight, body length and head circumference of preterm infants lagged behind that of full-term infants in three aspects (P <0.01). The infant infants, premature infants and infants less than gestational age were respectively As well as the physical development of non-small gestational age children (P <0.05). In addition, at the age of 6 months corrected, the development of large-scale exercise in premature children has caught up with the full-term full-term children (P> 0.05). However, there is still a gap between the fine motor activities (P <0.05). Conclusions Premature children still have varying degrees of physical and neuro-motor system development and development at 6 months of correction, especially in early preterm birth and birth less than gestational age. Adequate early nutrition supply and intelligent training can improve the life of premature children Quality has potential clinical value.
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