晚期早产儿与足月儿早期生长发育比较

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Abstract Objective: To evaluate physical, neurological development and prognosis through one year follow-up of late preterm infants. Methods: Choose our hospital obstetrics between April 2013 and March 2013 in our hospital was born and in the late outpatient follow-up premature as observation object (n=50), randomly selected the born healthy full term for the same period as the control group (n=60). Late preterm infants at 0 month (40 weeks calibration), 6 and 12 months to mass, length, head circumference measurement, compared with the same age full term. Between 0 and 1 months late preterm neonatal neurobehavioral determination (NBNA) scores, and the determination results compared with the full term of on the same day age. Two groups at follow-up to correction in 6 and 12 months of age: Gesell examination, early intelligence development level. Results: Late preterm group’s body length and head circumference were less than the full term on the 0 and 1 month, the difference was statistically significant (P<0.05). Late preterm group at 0 and 1 months, NBNA scores were lower than the full term on the same age group, differences were statistically significant (P<0.05). Six months late preterm big movement lagged behind the full term, 12 months when the big movement, fine motor, language behind the full term differences were statistically significant (P<0.05). Conlusion: Compared with the full term infants, born in late preterm birth after early physical and neurological development lags behind that of the full term, to strengthen monitoring and targeted intervention.

Key words： premature infant, advanced stage prognosis physique neural development

Received: 25 April 2016

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	WANG Qingqing
	SU Weidong
	HUANG Yudan
	ZHANG Weiwei.

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https://xb.wmu.edu.cn/EN/ OR https://xb.wmu.edu.cn/EN/Y2017/V47/I2/132

[1] LOFTIN R W, HABLI M, SNYDER C C, et al. Late preterm birth[J]. Rev Obstet Gynecol, 2010, 3(1): 10-19.
[2] 张彬彬, 朱敏蓉, 邵志英, 等. 晚期早产儿与足月小于胎龄儿生长发育状况比较[J]. 临床儿科杂志, 2012, 30(5): 450-452.
[3] 林一锱, 高源统, 严志汉, 等. 磁敏感加权成像在早产儿颅内出血诊断中的应用价值[J]. 温州医科大学学报, 2015,45(8): 611-614.
[4] LEONE A, ERSFELD P, ADAMS M, et al. Neonatal morbidity in singleton late preterm infants compared with fullterm infants[J]. Acta Paediatr, 2012, 101(1): e6-e10.
[5] ROMEO D M, RICCI D, BROGNA C, et al. Neurological examination of late-preterm infants at term age[J]. Eur J Paediatr Neurol, 2011, 15(4): 353-360.
[6] 鲍秀兰, 虞人杰, 李着算, 等. 150例正常新生儿神经行为测定和评价[J]. 实用儿科杂志, 1988, 3(2): 83-84.
[7] 王红宇, 候莹, 刁敬军, 等. 晚期早产儿中小于胎龄儿的临床回顾分析[J]. 中国儿童保健杂志, 2014, 22(1): 86-88.
[8] 张雪梅, 张丽娟. 晚期早产儿和足月儿早期运动发育对照研究[J]. 中国儿童保健杂志, 2015, 23(8): 865-866.
[9] 陈飒英, 孙京惠, 王云峰, 等. 不同胎龄早产儿1岁时体格和神经发育差异分析[J]. 中国新生儿科杂志, 2011, 26(3): 177-180.
[10] 曹云. 营养与早产儿神经发育结局[J]. 临床儿科杂志,2012, 30(3): 208-211.
[11] ARES S, QUERO J, DIEZ J, et al. Neurodevelopment of preterm infants born at 28 to 36 weeks of gestational age: the role of hypothyroxinemia and long-term outcome at 4 years [J]. J Pediatr Endocrinol Metab, 2011, 24(11-12): 897-902.
[12] SAMRA H A, MCGRATH J M, WEHBE M. An integrated review of developmental outcomes and late-preterm birth[J]. J Obstet Gynecol Neonatal Nurs, 2011, 40(4): 399-411.
[13] 殷张华, 钱继红, 王蓓, 等. 晚期早产儿近期并发症及智能发育前瞻性研究[J]. 中国新生儿科杂志, 2015, 30(2): 112-116.
[14] PETRINI J R, DIAS T, MCCORMICK M C, et al. Increased risk of adverse neurological development for late preterm infants[J]. J Pediatr, 2009, 154(2): 169-176.
[15] 张金, 候新琳. 晚期早产儿——近足月但仍处于发育的关键时期[J]. 中国新生儿科杂志, 2014, 29(5): 359-360.
[16] 樊珏, 顾琴. 晚期早产儿病因及并发症的相关研究进展[J]. 医学综述, 2015, 21(21): 3930-3932.
[17] 王清清, 苏卫东, 黄育丹, 等. 晚期早产儿早期智能发育及其影响因素研究[J]. 中国新生儿科杂志, 2016, 31(1): 9-13.
[18] 孙菀绮. 影响婴儿大运动发育主要因素的研究进展[J]. 中国儿童保健杂志, 2012, 20(1): 616-617.
[19] 秦伟, 冉霓, 衣明纪, 等. 早产低出生体重婴幼儿智力和运动发育纵向随访研究[J]. 中国儿童保健杂志, 2012, 20(1): 23-25.