低出生体重儿保健管理的效果

目的 探讨低出生体重儿体重，身高增长的速度及差异，了解干预效果。方法 对１０１例低出生体重儿从出生随访至３６个月，采用ＮＣＨＳ标准，用Ｚ评分方法进行评价和综合干预，与１９例未经干预的低出生体重儿进行比较。结果 １０１例低出生体重儿出生体重ＳＤＳ值〈－２ｓ的比例随着年龄５的增长逐渐降低，到３６个月９８％达正常范围且ＳＤＳ值明显优于对照组。

Evaluate the Effects of Health Care and Intervention on Low Birth Weight

Objective To study the growth velocity and its difference of the weight and height on the low birth weight infant and to evaluate the intervention effects. Methods 101 low birth weight infants that were followed up from birth to 36 months were intervened by general methods and evaluated according to the Z score of NCHS/WHO,as compared with 19 cases without health care intervention. Results Weight Z score(SDS)< 2 s cases of 101 low birth weight infants were decreased gradually with age.Weight SDS of 98%cases reached normal range and surpassed control group by 36 month.Velocity and needed time of catch up growth of appropriate for gestational age infant in premature (AGA) with SDS below median were obvious difference from small for gestational age infant (SGA).The catch up growth velocity of AGA was within 12 months.The peak was in 8 month.SDS was approaching median after 5 month old.The catch up growth of SGA was within 3 months.SDS was below median. Conclusion Potential of low birth weight infant in growth and development can be exploited by means of proper health care and nutrition.As a result the majority recovered normal range.