蚌埠医学院学报2024,Vol.49Issue(11) :1451-1454.DOI:10.13898/j.cnki.issn.1000-2200.2024.11.009

新生儿出生指标与儿童骨龄发育的相关性分析

Correlation analysis of neonatal birth indicators and children's bone age development

侯春梅 包昌盛 马双叶
蚌埠医学院学报2024,Vol.49Issue(11) :1451-1454.DOI:10.13898/j.cnki.issn.1000-2200.2024.11.009

新生儿出生指标与儿童骨龄发育的相关性分析

Correlation analysis of neonatal birth indicators and children's bone age development

侯春梅 1包昌盛 2马双叶3
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作者信息

  • 1. 内蒙古医科大学附属人民医院儿科,内蒙古呼和浩特 010010
  • 2. 内蒙古国际蒙医医院骨科,内蒙古 呼和浩特 010010
  • 3. 内蒙古医科大学附属人民医院教学部,内蒙古呼和浩特 010010
  • 折叠

摘要

目的:调查新生儿出生指标与儿童骨龄(BA)发育的相关性.方法:选取258名新生儿为研究对象,最终60名新生儿在4岁时参加了随后的体检.所有受试者接受左手X线检查,并计算骨龄进步指数[BA与实际年龄(CA)的比率(BA/CA)].使用Pearson相关分析评估出生时生长变量与BA/CA之间的相关性.采用线性回归分析生长变量对4岁时BA/CA的影响.结果:42.9%的最低出生体质量组者在4年后仍处于最低体质量组;大约78.6%的最低出生体质量者在4岁时处于最高条件性体质量增加组;而68.8%的出生体质量最高者在4岁时处于最低的条件性体质量增加组.BA/CA与出生体质量呈明显正相关关系(r=0.412,P<0.01).多元线性回归分析结果显示,BA/CA随出生时体质量而增加;在调整性别、胎龄和4岁时身高后,BA/CA随出生时体质量、条件性体质量增加而增加(P<0.05).结论:新生儿出生时体质量大和随后的生长加速与幼儿BA提前的风险增加相关.

Abstract

Objective:To investigate the correlation between neonatal birth indicators and bone age(BA)development in children.Methods:A total of 258 neonates were selected as the study subjects,and 60 neonates participated in the subsequent physical examination at the age of 4.All subjects underwent X-rays of the left hand to calculate the bone age progress index[ratio of BA to chronological age(CA)(BA/CA)].The association between growth variables at birth and BA/CA was evaluated using the Pearson correlation analysis.Linear regression was used to analyze the effects of growth variables on the BA/CA at 4 years of age.Results:The 42.9%of the lowest birth weight group remained at the lowest weight group after 4 years.About 78.6%of those with the lowest birth weight were in the highest conditioned weight gain group at age 4,and 68.8%of those with the highest birth weight were in the lowest conditioned weight gain group at age 4.The BA/CA was positively correlated with birth weight(r=0.412,P<0.01).The results of multiple linear regression analysis showed that BA/CA increased with birth weight.After adjusting the sex,gestational age and height at age 4,the BA/CA increased with birth weight and conditional body mass(P<0.05).Conclusions:Neonate birth weight and subsequent growth acceleration are associated with an increased risk of early BA in young children.

关键词

骨龄发育/出生指标/新生儿

Key words

bone age development/birth indicators/neonate

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出版年

2024
蚌埠医学院学报
蚌埠医学院

蚌埠医学院学报

CSTPCD
影响因子:0.917
ISSN:1000-2200
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