CAJ | 학술논문

目的：研究巨大儿的生长发育模式，为健康干预措施提供依据。方法将昆山市1998年1月1日～2006年6月30日出生，出生体重4,000g的2,548例新生儿作为研究对象，回顾性随访其体重、身长和头围等指标，并以足月正常体重儿（2,500g＜出生体重4,000g，37周胎龄＜42周）作为对照组；随访时间为：出生时、42d、3个月、6个月、9个月、12个月、18个月、24个月、30个月及36个月。结果巨大儿组各生长发育监测点的体重、身长、头围均值均大于正常出生体重儿组，但生长有向对照组回归的趋势。与正常对照组相比，42d时，巨大儿组身长及头围曲线出现增长峰值，反映了小儿在出生后3个月内快速增长的基本规律；但体重曲线未出现峰值，说明在正常喂养情况下，宫内营养充足产生的巨大儿，高出生体重导致其体重增长速度呈小于正常出生体重儿的趋势。结论巨大儿因胎儿宫内过度生长，出生体重过重，婴幼儿期的生长模式与正常出生体重儿有所差别，因此巨大儿应在婴幼儿期（特别是在婴儿期），加强正确的喂养指导，防止体重过快增长。
목적：연구거대인적생장발육모식，위건강간예조시제공의거。방법장곤산시1998년1월1일～2006년6월30일출생，출생체중4,000g적2,548례신생인작위연구대상，회고성수방기체중、신장화두위등지표，병이족월정상체중인（2,500g＜출생체중4,000g，37주태령＜42주）작위대조조；수방시간위：출생시、42d、3개월、6개월、9개월、12개월、18개월、24개월、30개월급36개월。결과거대인조각생장발육감측점적체중、신장、두위균치균대우정상출생체중인조，단생장유향대조조회귀적추세。여정상대조조상비，42d시，거대인조신장급두위곡선출현증장봉치，반영료소인재출생후3개월내쾌속증장적기본규률；단체중곡선미출현봉치，설명재정상위양정황하，궁내영양충족산생적거대인，고출생체중도치기체중증장속도정소우정상출생체중인적추세。결론거대인인태인궁내과도생장，출생체중과중，영유인기적생장모식여정상출생체중인유소차별，인차거대인응재영유인기（특별시재영인기），가강정학적위양지도，방지체중과쾌증장。
Objective To study the growth patterns of the macrosomic infants and to provide the basis for application of intervening measures.Methods 2,548 macrosomic infants living in Kunshan,born on January 1st,1998~June 30th,2006 were enrolled.Their physical conditions,i.e. weight,length and head circumference were observed at birth,42 days and 3, 6, 9, 12, 18, 24, 30, 36 months of age and compared with full-term normal birth weight infants of same period.Results Macrosomic infants were higher than control subjects in weight,length and head circumference through 3 years.But it also shows that trend of growth among macrosomia is center line returning.Conclusion The intervention and instruction must be reinforced according to the feature of physical development in macrosomic infants.