杨丽丽 匡谊芳 万芳萍 (430033 武汉市第四医院儿科) 杨丽丽 匡谊芳 万芳萍 中华围产医学杂志 1998 0 1 2


    关键词：婴儿；新生；营养障碍；婴儿；小于胎龄；营养状况 期刊 zhwcyxzz 0 论 著 fur -->


    

【摘要】 目的 探讨胎儿营养不良(FM)与小于胎龄儿(SGA)之间的差异及临床意义。 方法 对548例单胎足月儿进行临床营养状态评估(CANS)，从9个方面迅速地对新生儿进行体表视查评分，总分≤24为FM。 结果 40例SGA中21例(占52.5%)为FM，另19例(47.5%)评分>24；而508例适于胎龄儿中也有13例(占2.8%)为FM。 结论 SGA与FM并非同义名称，CANS评分可迅速识别FM，对高危孕母应于孕中期作生化及超声波检测，以便及时发现FM，及时进行营养疗法干预，从而防止FM儿出生。

    The Difference Between Fetal Malnutrition and Small for Gestational Ageand Its Clinical Significance Yang Lili, Kuang Yifang, Wan Fangping. Departmentof Pediatrics, Wuhan Fourth Municipal Hospital, Wuhan 430033

    【Abstract】 Objective To find out the difference between fetalmalnutrition (FM) and small for gestational age (SGA) and its clinical significance. Methods Clinicalnutritional status was assessed in 548 singleton term babies. Nine superficial, rapidlydetected signs of malnutrition were taken for the clinical assessment nutritional statusscore (CANSCORE). FM was diagnosed if the total score was less than or equal to 24. Results Among40 SGA, 21(52.5%) were FM, the other 19(47.5%) were not FM with scores more than 24,whereas 13(2.8%) out of 508 AGA (appropriate for gestational age) were FM. Conclusion SGAand FM are not synonymous and FM can be rapidly determined by the CANSCORE. Biochemicaland ultrasonic studies should be done in high risk preg nancy during second trimester todiscover FM and intervene by nutritional treatment to prevent the infants with FM.

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