【目的】 了解出生体重对婴儿早期体格及智能运动发育的影响,为巨大儿的早期健康促进提供理论依据。 【方法】 对在本院产科出生的巨大儿及足月适于胎龄儿进行定期跟踪检查,了解两组婴儿体格及运动发育特征,并于1岁时运用贝利婴儿发展量表对两组婴儿进行发育测评。 【结果】 巨大儿1岁以内的体重、身高、头围均高于同龄的足月适于胎龄儿(P＜0.05);两组之间1岁以内重要运动指标出现的例数比较差异无统计学意义(P＞0.05);1岁时巨大儿的运动发育指数均值较足月适于胎龄儿的高(P<0.05)。 【结论】 出生正常的巨大儿在1岁以内的体格发育显著超前于足月适于胎龄儿;较重的体重负荷对其1岁以内重要运动指标的出现以及1岁时的智能及运动发育未造成明显的不良影响。

【Objective】 To explore the influence of birth weight on infant's early physical, intellectual and motor development, and provide scientific evidences for early health education of macrosomia. 【Methods】 The physical and motor development characteristics of the two groups in different periods were selected by regular tracing the macrosomia and term infants appropriate for gestational age who were born in obstetric department of the maternal and child health hospital of Shenzhen. And intellectual and motors development of two infant groups were evaluated when they were one year old by using Bayley Scales of Infant Development. 【Results】 The weight, height and head circumference developmental status of Macrosomia were significantly better than those of term infants appropriate for gestational age (P＜0.05).There was no significant difference between the two groups of children within one year of age in developmental milestones (P＞0.05). The moter development index of macrosomia was significantly higher than that of term infants appropriate for gestational age (P＜0.05). 【Conclusions】 The physical developmental status of normal macrosomia are significantly better than those of term infants appropriate for gestational age. Heavier weight has no significant effects on developmental milestones and the intellectual and motor development of children.