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香港低出生体重中国婴儿的不完全追赶生长。

Incomplete catch-up growth in low birthweight Chinese infants in Hong Kong.

作者信息

Lam B, Karlberg J, Low L C, Yeung C Y

机构信息

Department of Paediatrics, University of Hong Kong, Hong Kong.

出版信息

J Paediatr Child Health. 1995 Oct;31(5):428-34. doi: 10.1111/j.1440-1754.1995.tb00852.x.

Abstract

OBJECTIVE

To describe the early catch-up growth in length in Chinese low birthweight (< 2500 g) infants.

METHODOLOGY

The infants (n = 181) were delivered between 1988 and 1993 and followed up at Queen Mary and Tsan Yuk Hospitals, Hong Kong. One third had a birthweight below -2SDS, most of whom were term or close-to-term babies small-for-gestational-age (SGA). The remaining babies were appropriate-for-gestational-age (AGA) in birthweight, but frequently born prematurely.

RESULTS

The SGA group did not show a catch-up growth in height comparable to that reported on other recent studies, as 33-35% of the patients were still short at 6 and 12 months (7-12% for the AGA group). When comparing the postnatal mean growth curve of the SGA group with the mean curve of the AGA group there was little sign of catch-up growth.

CONCLUSIONS

The results showed that Hong Kong SGA infants have an incomplete catch-up growth and for successful intervention the causative mechanisms have to be identified.

摘要

目的

描述中国低出生体重(<2500克)婴儿早期身长追赶性生长情况。

方法

1988年至1993年间分娩的181名婴儿在香港玛丽医院和赞育医院接受随访。三分之一的婴儿出生体重低于-2SDS,其中大多数为足月儿或近足月儿,属于小于胎龄儿(SGA)。其余婴儿出生体重为适于胎龄儿(AGA),但经常早产。

结果

SGA组未表现出与其他近期研究报告相当的身高追赶性生长,因为33%-35%的患者在6个月和12个月时仍身材矮小(AGA组为7%-12%)。将SGA组的出生后平均生长曲线与AGA组的平均曲线进行比较,几乎没有追赶性生长的迹象。

结论

结果表明,香港SGA婴儿的追赶性生长不完全,为成功进行干预,必须确定其致病机制。

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