湖北省城市早产儿与足月儿体格生长状况的比较研究

Comparative study on the growth of preterm and full-term infants in urban areas of Hubei Province

目的对比分析湖北省城市早产儿与足月儿身长、体重的生长状况及变化,为儿童保健及相关领域的临床工作提供参考依据。方法采用1∶1配对病例对照研究策略,选取2019年1月—2020年6月在湖北省妇幼保健院、荆州市妇幼保健院和十堰市妇幼保健院出生的早产儿和足月儿共计154对,其中男婴80对,女婴74对。随访婴儿身长、体重的生长状况,随访期间共计监测6次,比较早产儿和足月儿生长速率及变化的差异。结果湖北省城市早产儿出生~1个月、1~3个月身长和体重的生长速率均低于足月儿,差异有统计学意义(P<0.05)。3个月后早产儿和足月儿身长和体重的增长速率比较,差异无统计学意义(P>0.05)。结论应建立地区内早产儿和足月儿身长和体重的生长模式,抓住婴儿生命早期的重要阶段,采取有效干预措施,促进早产儿生长发育。

Objective To analyze and compare the growth and change in terms of body length and weight between preterm and full-term infants in urban areas of Hubei Province,so as to provide evidence for child health care and clinical work.Methods The 1∶1 matched case-control study strategy was used to recruit 154 paired preterm and full-term infants(male 80 and female 74)who were born in Maternal and Child Health Hospitals of Hubei Province,Jingzhou and Shiyan Cities from January 2019 to June 2020.The body length and weight were measured 6 times during follow-up period.The growth and change rate was compared between preterm and full-term infants.Results The growth rates of length and weight of preterm infants were significantly lower than those of full-term infants from birth to 1 month,and 1~3 months(P<0.05),while the differences were not statistically significant after 3 months of birth(P>0.05).Conclusion Length and weight growth model of preterm and full-term infants at local area should be established,and effective intervention measures should be taken at important early life stages to promote the growth and development of preterm infants.