2023学年完整公开课版体格评价

育婴师职业培训—生长发育的评价217日期：2017.11.1学校：山东省临沂卫生学校目录CONTANTS010203评价参照标准评价指标评价方法身长、体重评价参照标准（0-2岁男童）年龄

岁月身长(cm)体重(kg)-3SD-2SD-1SDSD+1SD+2SD+3SD-3SD-2SD-1SDSD+1SD+2SD+3SD044.246.148.049.951.853.755.62.12.52.93.33.94.45.0148.950.852.854.756.758.660.62.93.43.94.55.15.86.6252.454.456.458.460.462.464.43.84.34.95.66.37.18.0355.357.359.461.463.565.567.64.45.05.76.47.28.09.0457.659.761.863.966.068.070.14.95.66.27.07.88.79.7559.661.763.865.968.070.172.25.36.06.77.58.49.310.4661.263.365.567.669.871.974.05.76.47.17.98.89.810.9762.764.867.069.271.373.575.75.96.77.48.39.210.311.4864.066.268.470.672.875.077.26.26.97.78.69.610.711.9965.267.569.772.074.276.578.76.47.18.08.99.911.012.31066.468.771.073.375.677.980.16.67.48.29.210.211.412.71167.669.972.274.576.979.281.56.87.68.49.410.511.713.01268.671.073.475.778.180.582.96.97.78.69.610.812.013.31.169.672.174.576.979.381.884.27.17.98.89.911.012.313.71.270.673.175.678.080.583.085.57.28.19.010.111.312.614.01.371.674.176.679.181.784.286.77.48.39.210.311.512.814.31.472.575.077.680.282.885.488.07.58.49.410.511.713.114.61.573.376.078.681.283.986.589.27.78.69.610.712.013.414.91.674.276.979.682.385.087.790.47.88.89.810.912.213.715.31.775.077.780.583.286.088.891.58.08.910.011.112.513.915.61.875.878.681.484.287.089.892.68.19.110.111.312.714.215.91.976.579.482.385.188.090.993.88.29.210.311.512.914.516.2

1.1077.280.283.186.089.091.994.98.49.410.511.813.214.716.5

1.1178.081.083.986.989.992.995.98.59.510.712.013.415.016.82.078.781.784.887.890.993.997.08.69.710.812.213.615.317.1身长、体重评价参照标准（2-5岁男童）年龄体重(kg)身高(cm)年月-3SD-2SD-1SDSD+1SD+2SD+3SD-3SD-2SD-1SDSD+1SD+2SD+3SD28.69.710.812.213.615.317.1788184.187.190.293.296.32.18.89.81112.413.915.517.578.681.784.98891.194.297.32.28.91011.212.514.115.817.879.382.585.688.89295.298.32.3910.111.312.714.316.118.179.983.186.489.692.996.199.32.49.110.211.512.914.516.318.480.583.887.190.493.797100.32.59.210.411.713.114.816.618.781.184.587.891.294.597.9101.22.69.410.511.813.31516.91981.785.188.591.995.398.7102.12.79.510.71213.515.217.119.382.385.789.292.796.199.61032.89.610.812.113.715.417.419.682.886.489.993.496.9100.4103.92.99.710.912.313.815.617.619.983.486.990.594.197.6101.2104.82.19.81112.41415.817.820.283.987.591.194.898.4102105.62.119.911.212.614.21618.120.484.488.191.895.499.1102.7106.431011.312.714.316.218.320.78588.792.496.199.8103.5107.23.110.111.412.914.516.418.62185.589.29396.7100.5104.21083.210.211.51314.716.618.821.38689.893.697.4101.2105108.83.310.311.613.114.816.81921.686.590.394.298101.8105.7109.53.410.411.813.3151719.321.98790.994.798.6102.5106.4110.33.510.511.913.415.217.219.522.187.591.495.399.2103.2107.11113.610.61213.615.317.419.722.48891.995.999.9103.8107.8111.73.710.712.113.715.517.62022.788.492.496.4100.4104.5108.5112.53.810.812.213.815.717.820.22388.99397101105.1109.1113.23.910.912.41415.81820.523.389.493.597.5101.6105.7109.8113.93.11112.514.11618.220.723.689.89498.1102.2106.3110.4114.63.1111.112.614.316.218.420.923.990.394.498.6102.8106.9111.1115.2411.212.714.416.318.621.224.290.794.999.1103.3107.5111.7115.94.111.312.814.516.518.821.424.591.295.499.7103.9108.1112.4116.64.211.412.914.716.71921.724.891.695.9100.2104.4108.7113117.34.311.513.114.816.819.221.925.192.196.4100.7105109.3113.6117.94.411.613.2151719.422.225.492.596.9101.2105.6109.9114.2118.64.511.713.315.117.219.622.425.79397.4101.7106.1110.5114.9119.24.611.813.415.217.319.822.72693.497.8102.3106.7111.1115.5119.94.711.913.515.417.52022.926.393.998.3102.8107.2111.7116.1120.64.81213.615.517.720.223.226.694.398.8103.3107.8112.3116.7121.24.912.113.715.617.820.423.426.994.799.3103.8108.3112.8117.4121.94.112.213.815.81820.623.727.295.299.7104.3108.9113.4118122.64.1112.31415.918.220.823.927.695.6100.2104.8109.4114118.6123.2512.414.11618.32124.227.996.1100.7105.3110114.6119.2123.9身长、体重评价参照标准（0-2岁女童）年龄体重(kg)身长(cm)年月-3SD-2SD-1SDSD+1SD+2SD+3SD-3SD-2SD-1SDSD+1SD+2SD+3SD022.42.83.23.74.24.843.645.447.349.15152.954.712.73.23.64.24.85.56.247.849.851.753.755.657.659.523.43.94.55.15.86.67.551535557.159.161.163.2344.55.25.86.67.58.553.555.657.759.861.96466.144.455.76.47.38.29.355.657.859.962.164.366.468.654.85.46.16.97.88.81057.459.661.86466.268.570.765.15.76.57.38.29.310.658.961.263.565.76870.372.575.366.87.68.69.811.160.362.76567.369.671.974.285.66.377.9910.211.661.76466.468.771.173.575.895.86.57.38.29.310.51262.965.367.770.172.67577.4105.96.77.58.59.610.912.464.166.56971.573.976.478.9116.16.97.78.79.911.212.865.267.770.372.875.377.880.3126.377.98.910.111.513.166.368.971.47476.679.281.71.16.47.28.19.210.411.813.567.37072.675.277.880.583.11.26.67.48.39.410.612.113.868.37173.776.479.181.784.41.36.77.68.59.610.912.414.169.37274.877.580.28385.71.46.97.78.79.811.112.614.570.27375.878.681.484.2871.577.98.91011.412.914.871.17476.879.782.585.488.21.67.28.19.110.211.613.215.17274.977.880.783.686.589.41.77.38.29.210.411.813.515.472.875.878.881.784.787.690.61.87.58.49.410.612.113.715.773.776.779.782.785.788.791.71.97.68.69.610.912.3141674.577.580.683.786.789.892.91.107.88.79.811.112.514.316.475.278.481.584.687.790.8941.117.98.91011.312.814.616.77679.282.385.588.791.9952.08.1910.211.51314.81776.78083.286.489.692.996.1身长、体重评价参照标准（2-5岁女童）年龄体重(kg)身高(cm)年月-3SD-2SD-1SDSD+1SD+2SD+3SD-3SD-2SD-1SDSD+1SD+2SD+3SD28.1910.211.51314.8177679.382.585.788.992.295.42.18.29.210.311.713.315.117.376.88083.386.689.993.196.42.28.49.410.511.913.515.417.777.580.884.187.490.894.197.42.38.59.510.712.113.715.71878.181.584.988.391.79598.42.48.69.710.912.3141618.378.882.285.789.192.59699.42.58.89.811.112.514.216.218.779.582.986.489.993.496.9100.32.68.91011.212.714.416.51980.183.687.190.794.297.7101.32.7910.111.412.914.716.819.380.784.387.991.49598.6102.22.89.110.311.613.114.917.119.681.384.988.692.295.899.4103.12.99.310.411.713.315.117.32081.985.689.392.996.6100.3103.92.19.410.511.913.515.417.620.382.586.289.993.697.4101.1104.82.119.510.71213.715.617.920.683.186.890.694.498.1101.9105.639.610.812.213.915.818.120.983.687.491.295.198.9102.7106.53.19.710.912.4141618.421.384.28891.995.799.6103.4107.33.29.811.112.514.216.318.721.684.788.692.596.4100.3104.2108.13.39.911.212.714.416.5192285.389.293.197.1101105108.93.410.111.312.814.616.719.222.385.889.893.897.7101.7105.7109.73.510.211.51314.816.919.522.786.390.494.498.4102.4106.4110.53.610.311.613.11517.219.82386.890.99599103.1107.2111.23.710.411.713.315.217.420.123.487.491.595.699.7103.8107.91123.810.511.813.415.317.620.423.787.99296.2100.3104.5108.6112.73.910.61213.615.517.820.724.188.492.596.7100.9105.1109.3113.53.110.712.113.715.718.120.924.588.993.197.3101.5105.8110114.23.1110.812.213.915.918.321.224.889.393.697.9102.1106.4110.7114.9410.912.31416.118.521.525.289.894.198.4102.7107111.3115.74.11112.414.216.318.821.825.590.394.699103.3107.7112116.44.211.112.614.316.41922.125.990.795.199.5103.9108.3112.7117.14.311.212.714.516.619.222.426.391.295.6100.1104.5108.9113.3117.74.411.312.814.616.819.422.626.691.796.1100.6105109.5114118.44.511.412.914.81719.722.92792.196.6101.1105.6110.1114.6119.14.611.51314.917.219.923.227.492.697.1101.6106.2110.7115.2119.84.711.613.215.117.320.123.527.79397.6102.2106.7111.3115.9120.44.811.713.315.217.520.323.828.193.498.1102.7107.3111.9116.5121.14.911.813.415.317.720.624.128.593.998.5103.2107.8112.5117.1121.84.111.913.515.517.920.824.428.894.399103.7108.4113117.7122.44.111213.615.6182124.629.294.799.5104.2108.9113.6118.3123.1512.113.715.818.221.224.929.595.299.9104.7109.4114.2118.9123.71.生长水平将儿童某一年龄时点的某一项体格生长指标测量值（横断面测量）如体重、身高（长）、头围、胸围、上臂围等与参照人群值进行比较（横向比较），即该儿童生长的现实水平，通常以等级表示。不能预示生长趋势。体格生长评价内容2.生长速度定期连续测量儿童某项体格生长发育指标（纵向观察）如身高（长）、体重，获得该项指标在某一年龄阶段的增长值，即为该儿童该项指标的生长速度。生长速度的评价较生长水平更能真实反映儿童生长情况。生长速度正常的儿童生长基本正常。体格生长评价内容2.生长速度体格生长评价内容测量时间频率6个月内每月1次6~12个月每2月1次1~2岁每3月1次3~6岁每半年一次6岁以上每年一次3.匀称程度评估儿童体格发育各项指标间的关系。①体型匀称：常以身高（长）所得的体重与参照人群值比较，反映体型生长的比例关系，即一定身高的相应体重增长范围。②身材匀称：以坐高（顶臀长）/身长（高）的比值与参照人群值比较，反映儿童下肢发育情况，评价身材是否匀称。体格生长评价内容1.均值差离法（标准差法）适用于正态分布状况。根据不同年龄、性别，固定分组，通过大量人群的横断面调查算出均值（X）和标准差（SD），以X±SD来表示。通常以X±2SD（包含95%的总体）为正常范围。体格生长评价常用方法2.中位数、百分位数法适用于正态和非正态分布状况。将一组变量值（如身高、体重）按大小顺序排列