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目的了解孤独症、脑瘫儿童生长发育和营养状况,为临床上对其生长发育进行有效监测和及时给予家长正确的喂养建议提供科学依据。方法对135例孤独症儿童、27例脑瘫儿童和50例正常儿童进行调查,收集患儿的性别、年龄、出生年月、身高、体重资料,采用Z评分法对其生长发育和营养状况进行评价。结果 1不同性别孤独症儿童在生长迟缓上差异有统计学意义(P<0.05),在低体重、超重、消瘦及肥胖的发生率构成比中差异无统计学意义(P>0.05);2不同年龄段儿童在生长迟缓、低体重、超重、消瘦及肥胖的发生率差异无统计学意义(P>0.05);3孤独症儿童和正常儿童营养状况比较差异无统计学意义(P>0.05);4脑瘫儿童营养不良发生率与正常儿童相比差异有统计学意义(P<0.05)。结论孤独症患儿总的营养状况与正常儿童无明显差异,脑瘫儿童营养不良发生率高于正常儿童,营养干预不容忽视。
Objective To understand the growth and nutritional status of children with autism and cerebral palsy, and to provide a scientific basis for the effective monitoring of their growth and development and the timely provision of proper feeding advice to parents. Methods 135 cases of autistic children, 27 cases of cerebral palsy children and 50 normal children were investigated. The gender, age, birth date, height and weight of the children were collected and their growth and nutritional status were evaluated by Z score . Results 1 There was significant difference in growth retardation between children with different genders of autism (P <0.05), but there was no significant difference in the proportions of low birth weight, overweight, weight loss and obesity (P> 0.05) There was no significant difference in the incidence of growth retardation, low body weight, overweight, weight loss and obesity among children in the age group (P> 0.05) .3 There was no significant difference in the nutritional status of autistic children and normal children (P> 0.05). The incidence of malnutrition in children with cerebral palsy was significantly lower than that in normal children (P <0.05). Conclusion The overall nutritional status of children with autism has no significant difference with normal children. The incidence of malnutrition in children with cerebral palsy is higher than that of normal children. Nutritional intervention can not be ignored.