Bertino E, Gilli G, Occhi L, Giuliani F, Di Nicola P, Spada E, Fabris C
SCDUNeonatologia, Dipartimento di Scienze Pediatriche, Università degli Studi di Torino, Italy.
Minerva Pediatr. 2010 Jun;62(3 Suppl 1):71-4.
Preterm Infants' survival has greatly increased in the last few decades thanks to the improvement in obstetrical and neonatal care. These neonates constitute the large majority of the population in neonatal intensive care units. The correct evaluation of postnatal growth of these babies is nowadays of primary concern, although the definition of their optimal postnatal growth pattern is still controversial. Concerns have also been raised about the strategies to monitor their growth,specifically in relation to the charts used. At present the available charts in clinical practice are fetal growth charts, neonatal anthropometric charts and postnatal growth charts for term infants. None of these, for different reasons, is suitable to correctly evaluate preterm infant growth. An international multicentric project has recently started a study aiming at building a prescriptive standard for the evaluation of postnatal growth of preterm infants and it will be available in the next years. At present, while an international longitudinal standard for evaluating preterm infant postnatal growth is lacking, in Italy the best compromise in clinical practice is likely to be as follows: new Italian INeS (Italian Neonatal Study) charts up to term; International longitudinal charts WHO 2006 or CDC 2002 from term to two years; finally, the Italian Society for Pediatric Endocrinology and Diabetes (SIEDP) 2006 growth charts could be suitable for monitoring the growth of these infants from two years up to 20 years of age.
在过去几十年中，由于产科和新生儿护理的改善，早产儿的存活率大幅提高。这些新生儿构成了新生儿重症监护病房中的大多数人群。如今，对这些婴儿出生后生长情况的正确评估是首要关注的问题，尽管其最佳出生后生长模式的定义仍存在争议。人们还对监测他们生长的策略提出了担忧，特别是关于所使用的生长图表。目前临床实践中可用的图表有胎儿生长图表、新生儿人体测量图表和足月儿出生后生长图表。由于不同原因，这些图表都不适用于正确评估早产儿的生长情况。一个国际多中心项目最近启动了一项研究，旨在建立一个评估早产儿出生后生长情况的规范性标准，该标准将在未来几年推出。目前，虽然缺乏评估早产儿出生后生长情况的国际纵向标准，但在意大利，临床实践中最好的折衷办法可能如下：使用新的意大利INeS（意大利新生儿研究）图表直至足月；使用世界卫生组织2006年或美国疾病控制与预防中心2002年的国际纵向图表从足月到两岁；最后，意大利儿科内分泌学和糖尿病学会（SIEDP）2006年生长图表可能适用于监测这些婴儿从两岁到20岁的生长情况。
