【摘要】 目的 探讨胎儿营养不良(FM)与小于胎龄儿(SGA)之间的差异及临床意义。 方法 对548例单胎足月儿进行临床营养状态评估(CANS)，从9个方面迅速地对新生儿进行体表视查评分，总分≤24为FM。 结果 40例SGA中21例(占52.5%)为FM，另19例(47.5%)评分＞24；而508例适于胎龄儿中也有13例(占2.8%)为FM。 结论 SGA与FM并非同义名称，CANS评分可迅速识别FM，对高危孕母应于孕中期作生化及超声波检测，以便及时发现FM，及时进行营养疗法干预，从而防止FM儿出生。
The Difference Between Fetal Malnutrition and Small for Gestational Age and Its Clinical Significance Yang Lili, Kuang Yifang, Wan fangping. Department of Pediatrics, Wuhan Fourth Municipal Hospital, Wuhan 430033
【Abstract】 Objective To find out the difference between fetal malnutrition (FM) and small for gestational age (SGA) and its clinical significance. Methods Clinical nutritional status was assessed in 548 singleton term babies. Nine superficial, rapidly detected signs of malnutrition were taken for the clinical assessment nutritional status score (CANSCORE). FM was diagnosed if the total score was less than or equal to 24. Results Among 40 SGA, 21(52.5%) were FM, the other 19(47.5%) were not FM with scores more than 24, whereas 13(2.8%) out of 508 AGA (appropriate for gestational age) were FM. Conclusion SGA and FM are not synonymous and FM can be rapidly determined by the CANSCORE. Biochemical and ultrasonic studies should be done in high risk preg nancy during second trimester to discover FM and intervene by nutritional treatment to prevent the infants with FM.
【Key words】 Infant，newborn Nutrition disorders Infant,small for gestational age Nutritional status
