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中华妇幼临床医学杂志(电子版) ›› 2025, Vol. 21 ›› Issue (04) : 482 -489. doi: 10.3877/cma.j.issn.1673-5250.2025.04.015

综述

小于胎龄儿围产期及预后研究进展
李明玉1, 邓杨欢1, 郑相贻1, 夏斌2,3,†()   
  1. 1眉山市妇幼保健院新生儿科，眉山　620010
    2四川大学华西第二医院新生儿科、出生缺陷与相关妇儿疾病教育部重点实验室，成都　610041
    3四川大学华西第二医院天府医院·四川省儿童医院新生儿科，眉山　620010
  • 收稿日期:2025-06-05 修回日期:2025-07-09 出版日期:2025-08-01
  • 通信作者: 夏斌

Research progress on perinatal period and prognosis of small for gestational age infants

Mingyu Li1, Yanghuan Deng1, Xiangyi Zheng1, Bin Xia2,3,†()   

  1. 1Department of Neonatology, Meishan Maternity and Child Health Hospital, Meishan 620010, Sichuan Province, China
    2Department of Neonatology, Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, West China Second University Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China
    3Department of Neonatology, WCSUH-Tianfu·Sichuan Provincial Children′s Hospital, Meishan 620010, Sichuan Province, China
  • Received:2025-06-05 Revised:2025-07-09 Published:2025-08-01
  • Corresponding author: Bin Xia
  • Supported by:
    National Natural Science Foundation of China(81370738)
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引用本文：

李明玉, 邓杨欢, 郑相贻, 夏斌. 小于胎龄儿围产期及预后研究进展[J/OL]. 中华妇幼临床医学杂志(电子版), 2025, 21(04): 482-489.

Mingyu Li, Yanghuan Deng, Xiangyi Zheng, Bin Xia. Research progress on perinatal period and prognosis of small for gestational age infants[J/OL]. Chinese Journal of Obstetrics & Gynecology and Pediatrics(Electronic Edition), 2025, 21(04): 482-489.

目前世界对小于胎龄(SGA)儿发病率的文献报道尚不统一，为6.61%~12.28%。SGA儿相较于适于胎龄(AGA)儿有较高死亡率，以及较高围产期与远期并发症发生率。早期识别SGA儿相关危险因素及并发症，并及时干预，是改善其远期预后的关键。笔者拟对SGA儿流行病学研究现状，导致SGA儿发生的高危因素及预防，SGA儿围产期并发症与预后、SGA儿生后干预措施及改善预后的相关措施等3个方面的最新研究进展进行综述，旨在为临床对SGA儿诊治的进一步研究提供参考。

关键词: 婴儿，小于胎龄, 早产, 危险因素, 围产期, 早期医疗干预, 预后

At present, the literature reports on the incidence of small for gestational age (SGA) infants in the world are not uniform, ranging from 6.61% to 12.28%. Compared with appropriate for gestational age (AGA) infants, SGA infants have higher mortality, and higher perinatal complications and long-term complications. Early identification of SGA infants related risk factors and complications, and timely intervention are the key to improve their long-term prognosis. The author intends to review the latest research progress in three aspects about epidemiological research status of SGA infants, high risk factors and prevention of SGA infants, perinatal complications and prognosis of SGA infants, and intervention measures for SGA infants after birth and related measures to improve prognosis, in order to provide reference for further clinical research on the diagnosis and treatment of SGA infants.

Key words: Infant, small for gestational age, Premature birth, Risk factors, Peripartum period, Early medical intervention, Prognosis
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