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目的 了解极低出生体重儿 (VLBWI)的预后 ,更好地指导临床实践。 方法 对 1996～1999年从我院新生儿加强监护病房 (NICU)治愈或好转出院的VLBWI进行近期随访 ,了解其生长发育、疾病等情况 ,并对 31例VLBWI作全面的体格检查和智力、视听功能测试以及免疫功能检查。 结果 体格发育和生长发育情况与随访年龄有关 ,随访年龄越小 ,体格发育和生长发育异常率越高 ,1～ 2岁时基本达正常 ,但以小于 - 1s占多数 ;智力发育异常率占 2 1.43%。体格发育和智力发育异常与胎龄和出生体重、并发症、喂养方式、早期教育间均未见相关性。本组随访儿中有反复呼吸道感染者达 80 % ,但免疫球蛋白基本正常。视听功能正常。 结论 VLBWI早期存在体格、生长发育迟后 ,至 1～ 2岁趋正常范围 ;智力发育大多数正常 ;存在反复感染 ,而免疫球蛋白正常。视力、听力功能基本正常。
Objective To understand the prognosis of very low birth weight infants (VLBWI) and to better guide clinical practice. Methods From 1996 to 1999, the VLBWI patients who had been cured or recovered from neonatal Intensive Care Unit (NICU) in our hospital were followed up for growth, development and disease, and 31 cases of VLBWI were examined for physical examination, intelligence, Functional tests and immunological tests. Results Physical development and growth and development were related to the follow-up age. The younger the follow-up was, the higher the rates of physical development and growth and development were. The rates of abnormal physical development and growth were basically normal at 1 to 2 years old, but less than -1s, 1.43%. Physical development and abnormal mental development and gestational age and birth weight, complications, feeding methods, no correlation between early education. Children with recurrent respiratory tract infection in this group were up to 80%, but immunoglobulin was normal. Audio-visual function is normal. Conclusion Early VLBWI physical growth and development delayed, to 1 to 2-year-old normal range; most of the normal mental development; there is recurrent infection, and immunoglobulin normal. Visual acuity, hearing function is normal.