足月新生儿营养状况与胎儿生长关系的探讨

Investigation on the relationship between fetal growth and neonatal nutritional status.

目的 评价足月新生儿营养状况及探讨出生体重与营养不良的关系。方法 连续测量了 2 0 0例正常孕妇的足月单胎新生儿的营养指标。结果 以“三褶”及“二围”均≤第 10百分位数为新生儿营养不良 ,在 165例适龄儿中有 14例( 8.5 % )为营养不良儿 ,15例小于胎龄儿中 8例 ( 5 3 .3 % )为营养不良儿。结论 “三褶”及“二围”是评价新生儿营养状况的简便、实用且准确的指标。由于小于胎龄儿与营养不良儿的出生结局及预后并不完全一致 ,故准确评估新生儿营养状况以判断胎儿生长及结局非常重要。

Objective To evaluate the nutritional status of term infants and the relationship between fetal birth weight and malnutrition.Methods Neonatal anthropometry, including skinfold thickness at subscapular, flank and quadriceps and circumferences at mid-arm and mid-thigh on one side, was sequentially performed on 200 term singletons (37 to 41 weeks) of uncomplicated pregnancies.Results Of the 165 AGA babies, 14 (14/165, 8.5%) had both SUMTS and SUMTC≤10 th percentile for age, but 8 ( 53.3%) of 15 SGA babies.Conclusion Skinfold thickness at subscapular, flank and quadriceps and circumferences at mid-arm and mid-thigh on one side were the simple, practical and accurate indicators for assessment of neonatal nutritional status.Clinical accurate assessment is very important for evaluating fetal growth and outcome, besides birth weigt.