Objective To observe the growth and development, as well as catch-up growth of premature infants within corrected age of 24 months, and to determine the catch-up growth period. Methods A total of 270 premature infants and 105 full-term infants, who took physical examination in Maternal and Child Health Care Hospital of Shuangliu District, Chengdu during December 2016 to December 2017, were enrolled in this study.These infants were divided into non-premature infant group, low-risk premature infant group and high-risk premature infant group.The Z-score method was used to assess body weight, body length, head circumference and body weight for height, thus to analyze the catch-up growth within 24 months of correct age. Results The body length, body weight, head circumference and body weight for height in both premature infants and full-term infants showed catch-up growth within 24 months of correct age.The incidence of catch-up growth in weight was high within 2 months of correct age, and the peak of catch-up growth lasted longer in height.After 5 months of corrected age, the incidence of catch-up growth leveled off, and the groups diverged in terms of height by weight after 6 months old.At 24 months of corrected age, the incidence rates of catch-up growth in weight, length, head circumference and length-by-weight were 83.2%, 66.27%, 37.73%, and 89.7% for the low-risk group and 89.0%, 70.21%, 49.7%, and 98.98% for the high-risk group. Conclusions The growth trajectories of preterm and full-term infants are inconsistent, and the low-risk preterm infants show greater growth potential.The premature infants basically complete catch-up growth within 5 months of correct age, and the catch-up growth of body weight, body length and head circumference is unbalanced.
Key words
preterm infant /
catch-up growth /
Z score
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
References
[1] 朱燕.早产儿流行病学特征的前瞻性多中心调查[D].上海:复旦大学,2012.
[2] 张勇, 李燕晖, 梁静, 等.低出生体重早产儿1岁内体格追赶生长的纵向研究[J].中国妇幼健康研究, 2020, 31(4):413-417.
[3] 国家卫生和计划生育委员会办公厅.早产儿保健工作规范[J].中华围产医学杂志, 2017, 20(6):401-406.
[4] 王丹华.早产/低出生体重儿出院后喂养建议解读[J].北京医学, 2016, 38(8):756-758.
[5] 熊菲, 毛萌.早产儿生后体格生长评价[J].中华儿科杂志, 2019, 57(4):318-320.
[6] Brandt I, Sticker EJ, Gausche R, et al.Catch-up growth of supine length/height of very low birth weight, small for gestational age preterm infants to adulthood[J].J Pediatr, 2005, 147(5):662-668.
[7] Casey PH, Kraemer HC, Bernbaum J, et al.Growth patterns of low birth weight preterm infants: a longitudinal analysis of a large, varied sample[J].J Pediatr, 1990, 117(2 Pt 1):298-307.
[8] Higgins RD, Devaskar S, Hay WW, et al.Executive summary of the workshop "Nutritional Challenges in the High Risk Infant"[J].J Pediatr, 2012, 160(3):511-516.
[9] Singhal A, Cole TJ, Fewtrell M, et al.Promotion of faster weight gain in infants born small for gestational age: is there an adverse effect on later blood pressure?[J].Circulation, 2007, 115(2):213-220.
[10] 王雪茵, 周敏, 张小松, 等.374例早产儿追赶生长的纵向随访研究[J].中国妇幼健康研究, 2017, 28(12):1497-1500.
[11] 袁嘉嵘, 李楠.婴儿期不同阶段追赶性生长对1岁儿童生长的影响分析[J].中国妇幼保健, 2019, 34(9):2033-2035.