生长发育评价是儿童保健与儿科临床的实践基础。通过生长评价了解儿童生长、营养及健康状况,早期发现异常、协助疾病诊断和评估干预治疗效果。准确的生长评价取决于精确的测量数据、适宜的评价标准、正确的评价方法及合理的结果分析。采用生长曲线图将多项指标有机结合进行动态监测与评估是最有效的临床适宜技术。
Abstract
Growth and development evaluation is the basis of practice for child health care and pediatric clinic. By gaining access to the growth, nutrition and health information, growth assessment can help facilitate the early detection of abnormalities, assist in the disease diagnosis, and evaluate the efficacy of treatment. Accurate assessment requires suitable evaluation method, properly defined criteria, precise measurement, as well as rigorous data analysis. With multiple growth indicators integrated together, the growth chart has proved itself to be the most effective clinical technique to conduct children growth assessment and tracking.
关键词
生长评估 /
评价指标 /
评价方法 /
生长曲线图
Key words
growth assessment /
evaluation indicator /
evaluation methods /
growth chart
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参考文献
[1] 首都儿科研究所,九市儿童体格发育调查协作组. 中国七岁以下儿童体重、身长/身高和头围的生长标准值及标准化生长曲线[J]. 中华儿科杂志,2009,47(3):173-178.
[2] 首都儿科研究所,九市儿童体格发育调查协作组.中国七岁以下儿童身长/身高的体重和体质指数的生长标准值及标准化生长曲线[J]. 中华儿科杂志,2009,47(4):281-285.
[3] 李辉,季成叶,宗心南,等. 中国0~18岁儿童青少年身高、体重的标准化生长曲线[J].中华儿科杂志,2009,47(7):487-492.
[4] 李辉,季成叶,宗心南,等. 中国0~18岁儿童青少年体块指数的标准化生长曲线[J].中华儿科杂志,2009,47(7):493-498.
[5] 首都儿科研究所,九市儿童体格发育调查协作组. 中国不同出生胎龄新生儿出生体重、身长和头围的生长参照标准及曲线[J]. 中华儿科杂志, 2020,58(9):738-746.
[6] Zhang YQ, Li H. Reference charts of sitting height, leg length and body proportions for Chinese children aged 0-18 years[J]. Annals of human biology, 2014, 25:1-8.
[7] Mei Z,Grummer-Strawn LM, Thompson D,et a1. Shifts in percentiles of growth during earlychildhood:analysis of longitudinal data from the Californiachild health and developmentstudy[J]. Pediatrics, 2004, 113(6):e617-e627.
[8] Wright CM, Williams AF, Elliman D, et al. Using the new UK-WHO growth charts [J]. BMJ, 2010,340:647-650.
[9] Wright CM,Williams AF,Cole TJ,er al.Advances in growth chart design and use:the UK experience [J]. World Rev Nutr Diet,2013, 106:66-74.
[10] 李辉. 中国0~18岁儿童青少年生长图表[M]. 上海:第二军医大学出版社, 2009.
[11] 首都儿科研究所.儿童生长发育与营养评价系统1.0[Z].中国,2015SR063524,2015-04-15.
[12] Lazar L, Phillip M. Pubertal disorders and bone maturation[J]. Endocrinol Metab Clin N Am, 2012, 41:805-825.
[13] 张鹏飞,李辉. 三种骨龄评价方法在3~17岁儿童临床应用中的一致性比较研究[J] . 中国循证儿科杂志, 2017,12(4):263-267.
[14] 蔡广, 潘其乐, 朱镕鑫. 正常儿童青少年GP图谱法和中华05法评估骨龄一致性研究[J] . 中国循证儿科杂志, 2020, 15(6):441-446.
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