早产儿体重追赶生长对不安运动的影响

Effect of catch-up growth on fidgety movements of premature infants

目的探讨早产儿追赶生长的出现与全身运动质量（GMs）评估结果是否存在关联性。方法在儿童保健门诊进行随访的单纯适于胎龄的早产儿（胎龄28～32周）中,在纠正胎龄49～55周,根据早产儿体重增长追赶生长情况,随机选取未出现追赶生长96例作为观察组,将同期随访的出现追赶生长的早产儿104例作为对照组,分别进行GMs评估,比较两组不安运动异常的发生率,并分析早产儿追赶生长与不安运动异常的关系。结果观察组早产儿的异常不安运动发生率明显高于对照组（P〈0.05）。结论早产儿出生后营养状况不良,无追赶生长出现是不安运动阶段GMs异常的高危因素。早产儿早期给予营养支持,防止宫外发育迟缓,促进追赶生长的出现,可以降低异常不安运动的发生率,进一步降低脑性瘫痪的发生率。

Objective To explore the correlation between catch-up growth and evaluation result of general movements（GM） of premature infants. Methods Ninety- six preterm infants（gestational age： 28- 32 weeks,corrected gestational age：49- 55 weeks） without catch-up growth were randomly selected as observation group,104 preterm infants with catch-up growth during the same period were selected as control group,GMs assessment was conducted to compare the incidence rates of abnormal fidgety movements in the two groups,the relationship between catch-up growth of premature infants and abnormal fidgety movements was analyzed. Results The incidence rate of abnormal fidgety movements in observation group was statistically signicantly higher than that in control group（ P〈0. 05）. Conclusion Malnutrition and non-catch-up growth are high risk factors of abnormal GMs. Early nutritional support,prevention of extrauterine developmental delay,and promotion of catch-up growth can reduce the incidence rate of abnormal fidgety movements and further decrease the incidence rate of cerebral palsy.