Term SGA infantlarda büyümenin izlemi ve büyümeyi etkileyen faktörler
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Dosyalar
Tarih
2006
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Selçuk Üniversitesi Tıp Fakültesi
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: SGA doğan infantlar yetişkin hayatta bir çok riskle karşı karşıyadırlar. Postnatal hayatta çoğu ilk 6 ay içerisinde hızlı bir büyüme göstererek yaşıtlarının büyüme yüzdelerini yakalarlar. Bu çalışmada sağlıklı term SGA infantların büyümeyi yakalamaya etkisi olan perinatal prediktif faktörler incelendi. Gereç ve yöntem: Çalışmaya sağlıklı 73 term SGA infant katıldı. Her hasta için prenatal, natal ve postnatal bilgi formu dolduruldu. nfantların 0, 1, 6, ve 12. aylarda fiziki incelemeleri yapıldı ve geçmişe yönelik anamnez formu dolduruldu. Muayene sırasında kilo, boy ve baş çevresi gibi büyüme ile ilgili parametreler kaydedildi. Postnatal dönemde büyümeyi yakalama kriteri olarak referans toplumun büyüme eğrilerinde 10. persentilin üzerine çıkma olarak tanımlandı. Büyümeyi yakalama üzerine SPSS 10.0 kullanılarak perinatal, natal ve postnatal faktörlerin etkisi araştırıldı. Bulgular 1. ayda CU grubundaki infantların boyu NCU grubundakilerden anlamlı derecede daha uzun idi. 6. aydaki CU grubunun APGAR skorları, 6.ayda ölçülen boy ve baş çevresi, 12. ayda boy ölçümleri NCU grubuna göre daha fazla bulundu. 12. aydaki NCU grubunda diğer enfeksiyonlar ve D vitamini kullanımı CU grubuna göre daha fazla bulundu. Vakaların 12. aydaki boy ve baş çevreleri NCU grubuna göre daha fazla bulundu. Sonuç: SGA'lı doğan infantların postnatal büyüme paternlerini ve büyüme hızlarını takip etmek son derece önemlidir. Sağlıklı term SGA infantlar için postnatal büyümeyi yakalamada 48 boy ve baş çevresi ve APGAR skorunun pozitif belirleyici, D vitamini ve diğer enfeksiyonlar negatif belirleyiciler olarak kullanılabilir. Ve ilk aylarda büyümeyi yakalayan infantların büyüme hızlarını özellikle ilk 6 ay koruyabilecekleri öngörülebilir. Anahtar kelimeler: SGA infant, büyümeyi yakalama, perinatal belirleyiciler.
Follow up of the growth in the term small for gestational age infants and the factors that influence growth Abstract: Aim: Infants with born SGA come up against the a lot of problems in adulthood. Most of them catch up growth rapidly in the first six months according to the same age. In this study was investigated perinatal predictive factors that influence postnatal catch up growth in the term SGA infants. Material and methods: The study included seventy three term healty infants. Prenatal, natal and postnatal information forms were filled for each infants. Infants were examined in 0, 1, 6, and 12th months. Information form was recorded. At the examination time parameters concerning with growth like weigth, length and head circumference were recorded. Postnatal growth catch up was defined as above the 10th centile according to the reference population growth curves. By the SPSS 10,0 version for windows prenatal, natal and postnatal factors that influence postnatal catch up growth were investigated. Findings: Infants in the CU group at first month were significantly more taller than NCU group. APGAR scores of the group CU at the sixth month were significantly more increased than group NCU. Lenght and head circumference of the sixth month and body lenght of the twelveth month were significantly more increased than NCU group at the sixth month. Other infections and usage of the vitamine D in the group NCU at the twelve month were significantly more increased than the group CU. Lenght and head circumference at the twelve month in group CU were significantly more increased than group NCU. 50 Results: For infants with born SGA, it is very important to follow up postnatal growth patterns and growth velocity. Body lenght, head circumference and APGAR scores can be positive predictor for the postnatal growth catch up for healty term SGA infants. Usage of the vitamine D and other infections can also be negative predictors. Infants that catch up growth firsth few months may anticipate that will be continued growth velocity for six months. Key words: SGA infant, growt catch up, perinatal predictors.
Follow up of the growth in the term small for gestational age infants and the factors that influence growth Abstract: Aim: Infants with born SGA come up against the a lot of problems in adulthood. Most of them catch up growth rapidly in the first six months according to the same age. In this study was investigated perinatal predictive factors that influence postnatal catch up growth in the term SGA infants. Material and methods: The study included seventy three term healty infants. Prenatal, natal and postnatal information forms were filled for each infants. Infants were examined in 0, 1, 6, and 12th months. Information form was recorded. At the examination time parameters concerning with growth like weigth, length and head circumference were recorded. Postnatal growth catch up was defined as above the 10th centile according to the reference population growth curves. By the SPSS 10,0 version for windows prenatal, natal and postnatal factors that influence postnatal catch up growth were investigated. Findings: Infants in the CU group at first month were significantly more taller than NCU group. APGAR scores of the group CU at the sixth month were significantly more increased than group NCU. Lenght and head circumference of the sixth month and body lenght of the twelveth month were significantly more increased than NCU group at the sixth month. Other infections and usage of the vitamine D in the group NCU at the twelve month were significantly more increased than the group CU. Lenght and head circumference at the twelve month in group CU were significantly more increased than group NCU. 50 Results: For infants with born SGA, it is very important to follow up postnatal growth patterns and growth velocity. Body lenght, head circumference and APGAR scores can be positive predictor for the postnatal growth catch up for healty term SGA infants. Usage of the vitamine D and other infections can also be negative predictors. Infants that catch up growth firsth few months may anticipate that will be continued growth velocity for six months. Key words: SGA infant, growt catch up, perinatal predictors.
Açıklama
Anahtar Kelimeler
Term SGA infant, Büyüme, Growth
Kaynak
WoS Q Değeri
Scopus Q Değeri
Cilt
Sayı
Künye
Silahlı, M. (2006). Term SGA infantlarda büyümenin izlemi ve büyümeyi etkileyen faktörler. Selçuk Üniversitesi, Yayımlanmış uzmanlık tezi, Konya.
