从临床诊疗指南及专家共识角度看小于胎龄儿的诊断和治疗

小于胎龄儿围生期患病率及病死率高,成年期发生代谢综合征风险增加,但目前国内尚且缺少小于胎龄儿的诊治共识,本文从定义、危险因素、生长激素治疗及治疗前后的评估与监测、其他治疗及小于胎龄儿的近期和远期并发症等方面进行总结,从而为临床工作中的诊断和治疗提供参考。

Diagnosis and treatment of small-for-gestational-age infants based on clinical practice guideline and expert consensus

Infants of small-for-gestational-age have high rate of mortality and morbidity in perinatal period , high risk of metabolic syndrome in adult .However , there is a lack of consensus about the diagnosis and treatment of small-for-gestational age in China .We make a literature review for the definition , risk factors, growth hormone ther-apy, evaluation before and after growth hormone therapy , short-time and long-time complications of small-for-gesta-tional-age in all the clinical practice guideline and expert consensus available all over the world , aiming at providing useful information in clinical practice .