摘要
目的通过儿童保健评估先天性食管闭锁患儿术后体格生长情况。方法回顾性分析2022年1月至2023年12月该院新生儿外科接受手术治疗成功后复诊的46例先天性食管闭锁患儿临床资料,整理所有患儿体重、身高等数据资料,评价生长发育及恢复情况。结果46例患儿中男19例,女27例,足月33例,早产13例,出生体重2.55(2.05,3.35)kg,手术日龄(3.69±3.16)d,住院时间(26.37±8.36)d,随访月龄为8.20(4.32,15.04)个月。评价结果显示,34.78%的患儿体重别年龄(W/A)位于P_(3)~<P_(25),56.52%位于P_(25)~<P_(75),8.69%位于P_(75)~P_(97);4.35%的患儿身长别年龄(H/A)<P_(3)(生长迟缓),36.96%位于P_(3)~<P_(25),54.35%位于P_(25)~<P_(75),4.35%位于P_(75)~P_(97);2.17%的患儿体重别身长(W/H)<P_(3)(消瘦),19.56%位于P_(3)~<P_(25),56.52%位于P_(25)~<P_(75),17.39%位于P_(75)~P_(97),4.35%>P_(97)(肥胖)。结论先天性食管闭锁部分患儿术后体格生长存在不同程度的偏离,建议采取多学科协作、高危儿模式管理及时干预指导。
Objective To evaluate the postoperative physical growth of children with congenital esophageal atresia(CEA)through pediatric health assessment.Methods A retrospective analysis was conducted on the clinical data of 46 children with CEA who underwent successful surgical treatment and returned for follow-up at the Department of Neonatal Surgery of this hospital from January 2022 to December 2023.Data including weight,height were collected and analyzed to evaluate growth,development,and recovery.Results Among the 46 children,there were 19 males and 27 females,including 33 full-term and 13 preterm infants.The median birth weight was 2.55(2.05,3.35)kg,the age at surgery was(3.69±3.16)d,and the hospital stay was(26.37±8.36)d.The follow-up age was 8.20(4.32,15.04)months.Evaluation results showed that for weight-for-age(W/A),34.78%of the children were P_(3)-<P_(25),56.52%were P_(25)-<P_(75),and 8.69%were P75-P_(97).For height-for-age(H/A),4.35%of the children were<P_(3)(indicating stunting),36.96%were P_(3)-<P25,54.35%were P_(25)-<P_(75),and 4.35%were P_(75)-P97.For weight-for-height(W/H),2.17%of the children were<P_(3)(indicating wasting),19.56%between P_(3) and<P25,56.52%between P25 and<P75,17.39%between P75 and P97,and 4.35%>P97(indicating obesity).Conclusion Some children with CEA exhibit varying degrees of deviation in postoperative physical growth.It is recommended to adopt multidisciplinary collaboration and a high-risk infant management model for timely intervention and guidance.
作者
刘冬梅
龚俊
谢芸芸
邱晓露
罗秀
陈快
钟云莺
LIU Dongmei;GONG Jun;XIE Yunyun;QIU Xiaolu;LUO Xiu;CHEN Kuai;ZHONG Yunying(Department of Pediatric Health Care,Jiangxi Provincial Children’s Hospital,Nanchang,Jiangxi 330006,China;Department of Neonatal Surgery,Jiangxi Provincial Children’s Hospital,Nanchang,Jiangxi 330006,China)
出处
《重庆医学》
2026年第3期560-562,567,共4页
Chongqing Medical Journal
基金
江西省卫生健康委科技计划项目(202211179)。
关键词
儿童保健
先天性食管闭锁
体格生长
发育
多学科协作
pediatric health care
congenital esophageal atresia
physical growth
development
multidis ciplinary collaboration
