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匀称型与非匀称型足月小样儿体格智能发育

         

摘要

目的 探讨匀称型与非匀称型足月小样儿体格智能发育规律.方法 83例足月小样儿分为匀称型与非匀称型两组,并与40例正常足月儿对照,定期测量体重、身高、头围和发育商.结果 2岁时所有足月小样儿体重均达到追赶生长;匀称型在2岁时身高、头围、发育商均未能追赶上正常足月儿;发育商与头围正相关.结论 足月小样儿特别是匀称型需注意适度的生长追赶,监测体格智能发育,及早干预.%Objective To compare growth patterns and neurodevelopment of term symmetric and asymmetric small-for -gestational-age (SGA) and non-SGA infants. Methods A total of 83 SGA infants (symmetric and asymmetric) and 40 non-SGA controls were identified, weight length and head circumference (Hc) were examined, DQ were assessed with Gesell Scale. Results All of the symmetric and asymmetric SGA infants showed catch-up growth in weight, symmetric SGA infants scored lower in length Hc and DQ in 2 years old. DQ was correlated with Hc. Conclusion Adequate catch-up growth is needed for SGA, especially for the symmetric SGA. Growth and neurodevelopment parameters should be monitored, early intervention is needed if necessary.

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