WS∕T 800-2022 不同胎龄新生儿出生时生长评价标准.pdf

ICS 11.020CCS C 63WS中 华 人 民 共 和 国 卫 生 行 业 标 准WS/T 8002022不同胎龄新生儿出生时生长评价标准Growth standard for newborns by gestational age2022 - 07 - 28 发布2022 - 10 - 01 实施中华人民共和国国家卫生健康委员会发 布WS/T 8002022I前言本标准由国家卫生健康委妇幼健康标准专业委员会负责技术审查和技术咨询， 由国家卫生健康委医疗管理服务指导中心负责协调性和格式审查， 由国家卫生健康委员会妇幼健康司负责业务管理、 法规司负责统筹管理。本标准起草单位：首都儿科研究所、北京大学第一医院、中国医学科学院北京协和医院、首都医科大学附属北京妇产医院、天津市中心妇产科医院、南京市妇幼保健院、昆明市妇幼保健院、西北妇女儿童医院。本标准主要起草人：李辉、宗心南、张亚钦、赵更力、冯琪、王丹华、张巍、郑军、田秀英、韩树萍。WS/T 80020221不同胎龄新生儿出生时生长评价标准1范围本标准规定了胎龄24周42周单胎新生儿出生时体格生长状况的判定指标和判定方法。本标准适用于胎龄24周42周单胎新生儿出生时体格生长状况的群体评价及个体评价。2规范性引用文件下列文件中的内容通过文中的规范性引用而构成本标准必不可少的条款。 其中， 注日期的引用文件，仅该日期对应的版本适用于本标准；不注日期的引用文件，其最新版本（包括所有的修改单）适用于本标准。WS/T 424人群健康监测人体测量方法3术语和定义下列术语和定义适用于本标准。3.1体重weight人体的总重量（裸重）。来源：WS/T 4242013，3.43.2身长length平卧位头顶到足跟的长度。来源：WS/T 4242013，3.23.3头围head circumference右侧齐眉弓上缘经过枕骨粗隆最高点的头部周长。来源：WS/T 4242013，3.5，有修改4出生时体格生长状况的评价4.1根据母亲末次月经和孕早期（前 3 个月）超声检查结果综合确定胎龄。当两种方法确定的胎龄相差 1 周以内时，以母亲末次月经为准，当两种方法确定的胎龄相差 1 周以上时，以超声检查为准。WS/T 800202224.2采用附录 A 对新生儿出生时的体格生长状况进行评价。新生儿实测出生体重低于同性别同胎龄第10 百分位数（P10）评价为小于胎龄儿；高于同性别同胎龄第 90 百分位数（P90）评价为大于胎龄儿；处于同性别同胎龄P10P90之间评价为适于胎龄儿。出生身长和出生头围可作为辅助指标全面评价新生儿出生时的体格生长状况。5体格测量方法新生儿出生时体重、身长和头围的测量方法按照WS/T 424的规定。WS/T 80020223附录A（规范性）不同胎龄新生儿出生体重、身长和头围的百分位数值胎龄24周42周新生儿出生体重的百分位数值见表A.1和表A.2。胎龄24周42周新生儿出生身长的百分位数值见表A.3和表A.4。胎龄24周42周新生儿出生头围的百分位数值见表A.5和表A.6。表 A.1胎龄 24 周42 周男性新生儿出生体重的百分位数值单位为克胎龄（周）P3P10P25P50P75P90P97244555706557328048749592551364073481990097810722658071982391810081096120027657809924103011301228134328745910103611541267137515032984510231162129314181539168030958115013021446158617201876311087129214571617177119202091321233145116301805197621402328331400162818202012219923802585341586182320272234243826342856351791203322472467268628973133362015225824772707293731593406372247248727082943318134103664382468270129213157339936323889392649287430913329357338094068402783300232163455370239414203412886310033143554380640514319422977318834023647390741614438WS/T 80020224表 A.2胎龄 24 周42 周女性新生儿出生体重的百分位数值单位为克胎龄（周）P3P10P25P50P75P90P97244164985646296927568332547957264872279686995826549654741826911995109627626745843941103811351250287118449551067117812881418298049511076120313301455160130906106812091352149516361800311020119813541515167618352018321151134415161694187520512254331302150916961892209122852506341477169518962108232325342771351676190221132338256827913042361896212523422575281530473305372130235725742810305232873546382358257927923026326634983753392547276229713202344036703920402686289631043336357538064055412796300532143448369139254178422891310133123551380140424301WS/T 80020225表 A.3胎龄 24 周42 周男性新生儿出生身长的百分位数值单位为厘米胎龄（周）P3P10P25P50P75P90P972426.928.329.731.232.633.835.02528.129.631.032.534.035.336.52629.230.832.333.935.436.738.02730.532.133.735.336.938.339.62831.733.435.136.838.439.841.22933.034.836.538.239.941.342.73034.336.237.939.741.442.844.23135.737.739.441.242.844.345.63237.239.140.942.644.345.647.03338.740.742.444.145.646.948.33440.242.243.845.446.848.249.53541.843.645.246.648.049.250.73643.245.046.447.749.050.451.83744.446.247.548.749.851.252.93845.647.348.549.550.652.153.73946.548.249.350.351.252.654.44047.348.949.850.851.753.154.94147.949.450.251.252.153.555.34248.349.750.551.452.453.855.6WS/T 80020226表 A.4胎龄 24 周42 周女性新生儿出生身长的百分位数值单位为厘米胎龄（周）P3P10P25P50P75P90P972426.928.229.430.631.832.833.72528.029.430.632.033.234.235.22629.130.631.933.334.735.836.82730.231.833.234.736.237.438.52831.433.034.636.237.739.040.22932.534.335.937.639.240.541.83033.835.637.339.040.742.143.43135.136.938.640.442.143.544.93236.438.340.041.843.544.946.33337.839.741.443.244.946.347.63439.341.242.944.646.247.548.73540.842.744.345.947.448.650.03642.444.145.747.148.549.650.93743.745.346.948.249.450.451.93844.846.447.949.150.151.152.63945.847.348.749.950.751.753.24046.548.149.450.451.352.353.74147.148.749.850.951.752.654.24247.649.250.151.252.053.054.5WS/T 80020227表 A.5胎龄 24 周42 周男性新生儿出生头围的百分位数值单位为厘米胎龄（周）P3P10P25P50P75P90P972419.420.321.222.022.823.524.02520.321.322.223.123.924.625.22621.222.223.224.125.025.726.42722.123.224.125.126.026.827.52823.024.125.126.127.027.828.62923.925.026.027.028.028.929.73024.725.826.928.029.029.930.73125.626.727.728.829.930.831.73226.427.528.629.730.731.732.63327.328.429.430.531.532.533.43428.129.230.231.332.333.234.23528.930.030.931.932.933.934.83629.730.631.632.533.534.435.33730.331.232.133.134.034.935.83830.931.832.633.534.435.336.13931.332.233.033.934.735.636.54031.632.533.334.135.035.836.74131.932.833.634.435.236.036.94232.233.033.834.635.436.237.1WS/T 80020228表 A.6胎龄 24 周42 周女性新生儿出生头围的百分位数值单位为厘米胎龄（周）P3P10P25P50P75P90P972419.320.020.721.622.322.823.22520.120.921.722.623.323.924.42620.921.822.623.624.425.025.62721.722.723.624.525.426.126.72822.623.524.525.526.527.227.92923.424.425.426.527.528.329.03024.225.226.327.428.529.330.13125.026.127.228.329.430.331.13225.927.028.129.230.331.232.13326.827.928.930.131.132.133.03427.728.729.730.831.932.833.73528.529.530.531.532.633.534.43629.330.231.232.233.134.034.93730.030.931.832.733.634.535.33830.531.432.333.134.034.835.73931.031.932.733.534.335.236.04031.432.233.033.834.635.436.34131.732.533.334.134.935.736.64231.932.833.634.335.236.036.9_