He Fang, Wu Na, Ma Xiuwei, Liu Xiaofang, Gao Ming, Feng Zhichun
Faculty of Pediatrics, The Chinese PLA General Hospital, Beijing, China.
Department of Child Development, The seventh Medical Center of PLA General Hospital, Beijing, China.
Front Pediatr. 2023 Mar 3;11:1066751. doi: 10.3389/fped.2023.1066751. eCollection 2023.
To investigate the effects of early combined training on the physical development of preterm infants of different gestational ages.
A total of 144 preterm infants from our hospital's neonatal intensive care unit (NICU) between 2019 and 2020 were selected as the research participants and randomly divided into an intervention group (77 cases) and a control group (67 cases). The physical development and catch-up growth satisfaction rate of preterm infants in the intervention and control groups were compared at 40 weeks, 3 months, 6 months and 12 months of corrected age.
At 40 weeks of gestational age and corrected 3 months of gestational age, the physical growth indexes of the intervention group were higher than those of the control group, with a statistical difference ( < 0.05). At the corrected age of 12 months, the body weight and length of preterm infants in the <29 weeks intervention group were still higher than those in the control group ( < 0.05). The body weight of preterm infants in the 29-32 weeks and 32-34 weeks intervention groups was higher than in the control group ( < 0.05). There was no statistical difference between the intervention and control groups in the 34-37 weeks category ( > 0.05). The catch-up growth satisfaction rates of all the physical growth indexes in the intervention group were higher than those of the control group at the corrected 3 months for all the gestational ages ( < 0.05). While those indexes in the three >29 weeks intervention groups were higher than those in the <29 weeks intervention group at the corrected age of 12 months ( < 0.05).
Early combined training can promote the early catch-up growth of preterm infants, especially in the early gestational age groups (<34 weeks), and the catch-up growth promotion can last for 12 months. The older the gestational age, the sooner catch-up growth satisfaction will occur.
探讨早期综合训练对不同胎龄早产儿体格发育的影响。
选取2019年至2020年我院新生儿重症监护病房(NICU)的144例早产儿作为研究对象,随机分为干预组(77例)和对照组(67例)。比较干预组和对照组早产儿在矫正年龄40周、3个月、6个月和12个月时的体格发育及追赶生长满意率。
在孕40周和矫正胎龄3个月时,干预组的体格生长指标高于对照组,差异有统计学意义(<0.05)。在矫正年龄12个月时,<29周干预组早产儿的体重和身长仍高于对照组(<0.05)。29 - 32周和32 - 34周干预组早产儿的体重高于对照组(<0.05)。34 - 37周组干预组与对照组之间无统计学差异(>0.05)。各胎龄矫正3个月时,干预组所有体格生长指标的追赶生长满意率均高于对照组(<0.05)。而在矫正年龄12个月时,三个>29周干预组的这些指标高于<29周干预组(< 0.05)。
早期综合训练可促进早产儿早期追赶生长,尤其是在孕周较小的组(<34周),且追赶生长促进作用可持续12个月。孕周越大,追赶生长满意率出现得越早。