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对上海市徐汇区1983年出生的,出生体重<2500g的小儿共132例,进行了连续3年生长发育纵向随访。并随机选择49例足月正常儿为对照组。两组小儿定期随访体格发育3项指标,并用Gesell发育诊断法进行发育评价。结果显示低体重儿组在3岁前体格生长指标明显低于对照组。从增长速度看,体重的增长略低于对照组,身高、头围则不明显。智能方面总发育商及多数能区发育商在3岁前均低于对照组,差别均有显著意义。从落后能区看,以动作能区最为突出。因此应加强孕产期保健,降低低出生体重儿的发生率,对低出生体重儿应进行育儿指导和早期训练,以促进其体格和智力的正常发育。
A total of 132 children born in 1983 in Xuhui District of Shanghai Municipality with a birth weight of <2500g underwent a longitudinal follow-up of 3 consecutive years of growth and development. And 49 cases of normal children as control group were randomly selected. Two groups of children were followed up regularly for 3 physical development indicators and evaluated by Gesell’s developmental diagnosis method. The results showed that the body weight index of children with low birth weight before 3 years old was significantly lower than that of the control group. From the growth rate, weight growth slightly lower than the control group, height, head circumference is not obvious. In terms of intelligence, the total number of developers and the majority of energy users were significantly lower than those of the control group before the age of 3 years, with significant differences. From the backward energy area to see the most prominent area of action. Therefore, maternal health should be strengthened to reduce the incidence of low birth weight infants, low birth weight infants should be guided and early child care training to promote their physical and mental development.