低出生体重儿保健管理的效果

Evaluate the Effects of Health Care and Intervention on Low Birth Weight.

【目的】 探讨低出生体重儿体重、身高增长的速度及差异，了解干预效果。【方法】 对１０１ 例低出生体重儿从出生随访至３６ 个月，采用ＮＣＨＳ 标准（ Ｗ ＨＯ） ，用Ｚ 评分方法进行评价和综合干预，与１９ 例未经干预的低出生体重儿进行比较。【结果】 １０１ 例低出生体重儿出生体重ＳＤＳ 值＜ － ２ ｓ 的比例随着年龄的增长逐渐降低，到３６ 个月９８ ％ 达正常范围且ＳＤＳ 值明显优于对照组。早产适于胎龄儿和小于胎龄儿追赶性生长的速度和持续时间明显不同。早产适于胎龄儿追赶生长在生后１２ 个月内，高峰时间是生后８ 个月，出生５ 月后ＳＤＳ 值接近中位数。小于胎龄儿追赶生长在３ 个月内，ＳＤＳ 值低于中位数。【结论】 良好的保健干预措施，能挖掘低出生体重儿的生长潜力，使其大多数体重增长恢复至正常范围。

Objective To study the growth velocity and its difference of the weight and height on the low birth weight infant and to evaluate the intervention effects. Methods 101 low birth weight infants that were followed up from birth to 36 months were intervened by general methods and evaluated according to the Z score of NCHS/WHO,as compared with 19 cases without health care intervention. Results Weight Z score(SDS)< 2 s cases of 101 low birth weight infants were decreased gradually with age.Weight SDS of 98%cases reached normal range and surpassed control group by 36 month.Velocity and needed time of catch up growth of appropriate for gestational age infant in premature (AGA) with SDS below median were obvious difference from small for gestational age infant (SGA).The catch up growth velocity of AGA was within 12 months.The peak was in 8 month.SDS was approaching median after 5 month old.The catch up growth of SGA was within 3 months.SDS was below median. Conclusion Potential of low birth weight infant in growth and development can be exploited by means of proper health care and nutrition.As a result the majority recovered normal range.