極低出生體重兒及極早早產兒1年隨訪_《中國循證醫學雜志》

作者：

王華 ,  熊英

四川大學華西第二醫院新生兒科（成都 610041）;

關鍵詞：

早產兒極低出生體重兒極早早產兒隨訪

DOI：

10.7507/1672-2531.20100580

視頻：

導出 下載 收藏 掃碼 引用

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目的　評估極低出生體重兒和極早早產兒隨訪到1歲時的體格發育狀況、呼吸道感染頻率及就診頻率等情況。
方法　將2008年5月至2009年5月四川大學華西第二醫院新生兒科收治并存活出院的孕周小于32周或產重小于1 500 g的72例新生活產嬰兒分為3組：第一組26例，孕周 lt;32周而產重≥1 500 g；第二組18例，孕周≥32周而產重 lt;1 500 g；第三組28例，孕周 lt;32周且產重 lt;1 500 g。于校正胎齡1歲時收集生長狀況、呼吸道感染頻率及就診次數等信息。
結果　出院后隨訪到1歲時，第三組體重、頭圍的落后率高于第一組，身長的落后率高于第一組和第二組；第三組的中位呼吸道感染頻率（15.5）較第一組（12.5）和第二組（8.5）高，第三組中位就診次數（27.5）比第一組（17.5）和第二組（15.5）高。
結論　本研究結果提示，校正胎齡1歲時同是極低出生體重兒和極小胎齡早產兒的隨訪情況較僅為極低出生體重或極小胎齡的患兒要差，因此，胎齡和產重在評估早產兒預后方面同樣重要。

引用本文： 王華,熊英. 極低出生體重兒及極早早產兒1年隨訪. 中國循證醫學雜志, 2010, 10(11): 1253-1255. doi: 10.7507/1672-2531.20100580 復制

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2.	Wichers MJ, van der Schouw YT, Moons KG, et al. Prevalence of cerebral palsy in The Netherlands (1977-1988). Eur J Epidemiol, 2001, 17(6): 527-532.
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1. Colver AF, Gibson M, Hey EN, et al. Increasing rates of cerebral palsy across the severity spectrum in north-east England 1964-1993. The North of England Collaborative Cerebral Palsy Survey. Arch Dis Child Fetal Neonatal Ed, 2000, 83(1): F7-F12.
2. Wichers MJ, van der Schouw YT, Moons KG, et al. Prevalence of cerebral palsy in The Netherlands (1977-1988). Eur J Epidemiol, 2001, 17(6): 527-532.
3. Bhushan V, Paneth N, Kiely JL. Impact of improved survival of very low birth weight infants on recent secular trends in the prevalence of cerebral palsy. Pediatrics, 1993, 91(6): 1094-1100.
4. The Victorian Infant Collaborative Study Group. Improved outcome into the 1990s for infants weighing 500-999 g at birth. Arch Dis Child Fetal Neonatal Ed, 1997, 77(2): F91-F94.
5. 吳瑞萍, 胡亞美, 江載芳, 主編. 諸福棠使用兒科學. 第6版. 北京: 人民衛生出版社, 1996: 20-391.
6. Hutton JL, Pharoah PO, Cooke RW, et al. Differential effects of preterm birth and small gestational age on cognitive and motor development. Arch Dis Child Fetal Neonatal Ed, 1997, 76(2): F75-F81.
7. Lagercrantz H. Better born too soon than too small. Lancet, 1997, 350(9084): 1044-1045.
8. Gutbrod T, Wolke D, Soehne B, et al. Effects of gestation and birth weight on the growth and development of very low birthweight small for gestational age infants: a matched group comparison. Arch Dis Child Fetal Neonatal Ed, 2000, 82(3): F208-F214.
9. Draper ES, Manktelow B, Field DJ, et al. Prediction of survival for preterm births by weight and gestational age: retrospective population based study. BMJ, 1999, 319(7217): 1093-1097.
10. Hack M, Fanaroff AA. Outcomes of children of extremely low birthweight and gestational age in the 1990’s. Early Hum Dev, 1999, 53(3): 193-218.

《中國循證醫學雜志》

極低出生體重兒及極早早產兒1年隨訪

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《中國循證醫學雜志》

極低出生體重兒及極早早產兒1年隨訪

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