Objective To analyze the related factors of extrauterine growth restriction (EUGR) in premature infants dis-charged from hospital, and provide clinical basis for preventing occurrence of EUGR. Methods The premature infants born from February 2012 to February 2013 in NICU were selected.Growth restriction was defined asmeasured growth values≤10th percentile of the values of growth expectation based on estimated postmenstrual age. Results The incidence of EUGR in weight less than equal to 1 500 g group was 66.2%, the incidence of EUGR in weight greater than 1 500 g group was 37.8%, the difference was significant (P<0.05).The incidence of EUGR in less than 34 weeks gestational age group was 71.3%, the incidence of EUGR in the greater than or equal to 34 weeks gestational age group was 44.8%, the difference was significant (P<0.01).It was showed that risk factor related to EUGR were intrauterine growth retardation ( IUGR )and infection, the lasting time of weight decrease after birth. Conclusions EUGR is closely related to gestational age and birth weight.The cause of EUGR are multi-facorial, so complications should be prevented and treated actively.Early attention to nutrition, shorten the lasting time of weight decrease after birth, is the key to avoiding EUGR.
Key words
extrauterine growth restriction /
relating factor /
premature infants
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References
[1] Clark RH, Thomas P, Peabody J.Extrauterine growth restriction re-mains a serious problem in prematurely born neonates[J].Pediatrics, 2003, 111(5 Pt1):986-990.
[2] Saigal S, Stoskopf BL, Streiner DL, et al.Physical growth and current health status of infantswhowere of extremely low birthweight and con-trols at adolescence[J].Pediatrics, 2001, 108(2):407-409.
[3] 金汉珍, 黄德珉, 官希吉.实用新生儿学[M].3版.北京:人民卫生出版社, 2003:1034-1035.
[4] 单红梅, 蔡威, 陶晔璇, 等.早产儿EUGR的评价[J].中国临床营养杂志, 2005, 13(3):150-153.
[5] 胡劲涛, 谢宗德, 陈平洋, 等.早产儿宫外发育迟缓状况调查研究[J].中国实用儿科杂志, 2009, 24(2):129-131.
[6] Radmacher PG, Looney SW, Rafail ST, et al.Prediction of extrauterine growth retardation (EUGR) in VVLBW infants[J].J Perinato, 2003, 23(5):392-394.
[7] 郭明明, 庄思齐, 李易娟, 等.早产儿宫外生长发育迟缓相关因素分析[J].中国妇幼保健, 2010, 12(25):1644-1647.
[8] 何中倩, 刘丽芳, 李晓东, 等.早产儿宫外发育迟缓的高危因素及预防对策[J].医学理论及实践, 2011, 24(1):13-16.
[9] Flidel-Rimon O, Branski D, Shinwel ES.The fearofnecrotizing en-terocolitis versus achieving optimal growth in preterm infants anopinion[J].Acta Paediatr, 2006, 95(11):1341-1344.
[10] Steward DK, Pridham KF.Growth patterns of extremely low-birth-weight hospitalized preterm infants[J].Journal of Obstetric Gyneco- logic and Neonatal Nursing, 2002, 31(1):57-65.