临床儿科杂志 ›› 2015, Vol. 33 ›› Issue (12): 1016-.doi: 10.3969 j.issn.1000-3606.2015.12.005

• 综合报道 • 上一篇    下一篇

早产儿宫外发育迟缓及相关危险因素分析

詹兴星,包蕾   

  1. 重庆医科大学附属儿童医院儿科研究所 儿童发育疾病研究教育部重点实验室(重庆 400014)
  • 收稿日期:2015-12-15 出版日期:2015-12-15 发布日期:2015-12-15
  • 通讯作者: 包蕾 E-mail:cqbl0046@163.com

Preterm extrauterine growth retardation and risk factors

 ZHAN Xingxing, BAO Lei   

  1. Department of Neonatology, Children's Hospital of Chongqing Medical University, Chongqing 400014, China
  • Received:2015-12-15 Online:2015-12-15 Published:2015-12-15

摘要:  目的 探讨早产儿宫外发育迟缓(EUGR)的发生率及其相关危险因素。方法 回顾性分析2014 年8–12月住院治疗的184 例早产儿的临床资料,以2003 Fenton 早产儿宫内生长曲线为标准评价宫内发育迟缓(IUGR)、EUGR。结果 IUGR 较非IUGR 更易发生EUGR ;出生体质量、住院时间、肠外营养时间、恢复自身宫内生长水平时胎龄、性别、母亲妊高症在纠正胎龄40 周及44 周时的EUGR 组与非EUGR 组间的差异具有统计学意义(P<0.05);logistic多因素回归分析发现, 恢复自身宫内生长水平时的胎龄是早产儿在不同时期EUGR 发生率的独立危险因素;在纠正胎龄40 周时,出生体质量、IUGR 分别是EUGR 发生的保护因素及独立危险因素。结论 早产儿在新生儿期发生EUGR 是多因素共同参与的结果,新生儿后期EUGR 发生主要与围产期因素、出生体质量、住院期间营养相关。

Abstract: Objective To analyze the prevalence and risk factors of extrauterine growth retardation (EUGR) in preterm infants. Methods The clinical data from 184 preterm infants admitted from August 2014 to December 2014 were retrospectively analyzed. The intrauterine growth retardation (IUGR) and EUGR were evaluated by Fenton premature infants’ growth curve. Results IUGR was more likely to be developed to EUGR than non-IUGR. At corrected gestational age of 40 weeks and 44 weeks, there were significant differences between EUGR and non-EUGR groups in birth weight, duration of hospitalization, duration of parenteral feeding, the gestational age at which the level of intrauterine growth was restored, the incidence of pregnancy hypertension syndrome of mother, and infant gender (P<0.05). Logistic regression analysis found that the gestational age at which the level of intrauterine growth was restored was the independent risk factor of EUGR in different stages of preterm infants. At corrected gestational age of 40 weeks, birth weight was the independent protective factor of EUGR and IUGR was the risk factor of EUGR. Conclusions Multiple factors are involved in the development of EUGR in preterm infants. The EUGR in post neonatal are mainly related with perinatal factors, birth weight, and the nutrition during hospitalization.