中国11市412 755例新生儿宫内生长等级分类评价报告-现代医学

中国11市412 755例新生儿宫内生长等级分类评价报告

作者：黄小云¹ 朱元方¹ 刘惠龙¹ 符免艾² 刘传永³ 曾定元⁴ 贺骏⁵ 施庆喜⁶ 陈长水⁷ 朱斌⁸ 王高雄⁹ 石浩¹⁰ 卢浩华¹¹

单位：1. 深圳市宝安区妇幼保健院, 广东深圳 518102;
2. 海口市妇幼保健院, 海南海口 571103;
3. 重庆市万州区妇幼保健院, 重庆 400010;
4. 柳州市妇幼保健院, 广西柳州 545001;
5. 长沙市妇幼保健院, 湖南长沙 410007;
6. 连云港市妇幼保健院, 江苏连云港 222

关键词：宫内生长曲线单胎双胎新生儿出生体重

分类号：R174

出版年·卷·期（页码）：2023·51·第二期（175-182）

摘要：

目的：开展新生儿群体宫内生长等级分类评价，获得新生儿宫内生长水平的客观证据。方法：以《2015年深圳单胎儿、双胎儿出生体重、身长、头围、胸围、顶臀长百分位曲线》为评价参考标准，对中国11市11家妇幼保健院2017—2020年出生的412 755例单胎儿和双胎儿进行宫内生长等级分类评价。结果：获得中国11市395 583例单胎儿、17 172例双胎儿下等、中下等、中等、中上等、上等、小于胎龄儿（SGA）、适于胎龄儿（AGA）、大于胎龄儿（LGA）、营养不良儿、肥胖儿人数和构成比数据。单胎儿出生体重水平从低到高排位：海口、桂林、柳州、广州、泉州、深圳、成都、重庆、长沙、宁波、连云港。双胎儿出生体重水平从低到高排位：柳州、泉州、桂林、海口、广州、成都、重庆、深圳、长沙、宁波、连云港。验证了海口、桂林、柳州、广州、泉州、深圳、重庆、成都、长沙9市合计单胎儿、双胎儿出生体重水平与《2015年深圳单胎儿、双胎儿出生体重曲线》接近；验证了宁波市和连云港市合计单胎儿、双胎儿出生体重水平明显高于《2015年深圳单胎儿、双胎儿出生体重曲线》水平。结论：获得中国11市新生儿宫内生长水平及其排位的客观数据。《2015年深圳单胎儿、双胎儿出生体重曲线》可作为11市新生儿宫内生长评价的参考标准。

Objective: To classify and evaluate the neonate intrauterine growth grade in order to obtain the objective evidence of neonate intrauterine growth level. Methods: In accordance with the standard of Birth Weight, Length, Head Circumference, Chest Circumference, and Crown-Rump Length Percentile Curves of Shenzhen Singleton and Twin Neonates, intrauterine growth grade of 412 755 singleton and twin neonates delivered in 11 maternal and child health care hospitals of 11 cities in China from 2017 to 2020 was evaluated and classified. Results: The number and the composition ratio of 395 583 singleton neonate and 17 172 twin neonates classified as low, low-middle, middle, up-middle, upper, small-for-gestational-age(SGA), appropriate-for-gestational-age(AGA), large-for-gestational-age(LGA), malnourished children, obese children in 11 cities were obtained. Birth weight level of singleton neonates from the lowest to the highest ranked as follows:Haikou, Guilin, Liuzhou, Guangzhou, Quanzhou, Shenzhen, Chongqing, Chengdu, Changsha, Ningbo and Lianyungang. The birth weight level of twin neonates from the lowest to the highest rank was Liuzhou, Quanzhou, Guilin, Haikou, Guangzhou, Chongqing, Chengdu Shenzhen, Changsha, Ningbo and Lianyungang. The results showed that the birth weight curve level of singleton neonates and twin neonates in Haikou, Guilin, Liuzhou, Guangzhou, Quanzhou, Shenzhen, Chongqing, Chengdu and Changsha was basically the same as that of Shenzhen Singleton Neonates and Twin Neonates in 2015. The Birth Weight Curve Level of Singleton Neonates and Twin Neonates in Ningbo and Lianyungang was verified to be significantly higher than that of Shenzhen Singleton Neonates and Twin Neonates in 2015. Conclusion: The objective data of intrauterine growth level and the ranking of singleton and twin neonates in 11 cities are obtained. The Birth Weight Curve of Singleton and Twin Neonates of Shenzhen in 2015 can be used as an evaluation standard for the 11 cities in China.

参考文献：

[1] OLSEN I E, GROVEMAN S A, LAWSON M L, et al.New intrauterine growth curves based on United States data[J].Pediatrics, 2010, 125(2):e214-24.
[2] 黄小云, 刘惠龙, 雷敏, 等.新生儿出生后体格生长指标现场测量值与籍贯差异的调查研究[J].中国预防医学杂志, 2018, 19(1):25-29.
[3] NAHO M, ICHIRO K, EMILY O, et al.Social and anthropometric factors explaining racial/ethnical differences in birth weight in the United States[J].Sci Rep, 2017, 7:46657.
[4] 黄小云, 刘惠龙, 雷敏, 等.深圳16887例胎龄27-42周新生儿宫内生长体重、身长、头围、胸围、顶臀长曲线[J].中国当代儿科杂志, 2017, 19(8):877-886.
[5] HUSAM S, HILAL A R, SAWSAN A O, et al.Racial and ethnic analysis of birth weight trends among full-term singleton newborns delivered in a prosperous multicultural society[J].Open J Obstet Gynecol, 2021, 11(12):1791-1802.
[6] 黄小云, 朱元方, 刘惠龙, 等.中国11市93720例胎龄24~42周单胎儿出生体重曲线及其地区差异特征[J].中国当代儿科杂志, 2022, 24(5):482-491.
[7] SANKILAMPI U, HANNILA M L, SAARI A, et al.New population-based references for birth weight, length, and head circumference in singletons and twins from 23 to 43 gestation weeks[J].Ann Med, 2013, 45(5-6):446-454.
[8] 黄小云, 刘惠龙, 雷敏, 等.胎龄27-40周双胎新生儿宫内生长状况研究[J].中国当代儿科杂志, 2018, 20(4):267-273.
[9] 黄小云, 朱元方, 刘惠龙, 等.中国11市17256例胎龄25-40周双胎儿出生体重曲线及地区差异特征[J].中国当代儿科杂志, 2022, 24(5):482-491.
[10] KUMAR V S, JEYASEELAN L, SEBASTIAN T, et al.New birth weight reference standards customized to birth order and sex of babies from South India[J].BMC Pregnancy Childbirth 2013, 13:38.
[11] 黄小云, 刘惠龙, 雷敏, 等.初产足月儿与经产足月儿宫内生长水平差异的研究[J].中国当代儿科杂志, 2018, 20(3):184-188.
[12] 黄鸿眉, 陈益华.不同新生儿出生体重标准曲线的应用比较[J].中国生育健康杂志, 2022, 33(2):130-134.
[13] 产业信息网.2019年中国新生儿死亡率、婴儿死亡率、5岁以下儿童死亡率、孕产妇死亡率及死亡因素分析[图] [EB/OL].[2021-11-18].https://www.chyxx.com/industry/202010/899839.html.

服务与反馈：

【文章下载】【发表评论】【查看评论】【加入收藏】

提示：您还未登录，请登录！点此登录