二 儿童健康检查服务技术规范

附件二儿童健康检查服务技术规范一、目的通过定期健康检查，对儿童生长发育进行监测和评价，早期发现异常和疾病，及时进行干预，指导家长做好科学育儿及疾病预防，促进儿童健康成长。二、服务对象辖区内0～6岁（7岁以下）儿童。三、内容与方法（一）健康检查时间婴儿期至少4次，建议分别在3、6、8和12月龄；3岁及以下儿童每年至少2次，每次间隔6个月，时间在1岁半、2岁、2岁半和3岁；3岁以上儿童每年至少1次。健康检查可根据儿童个体情况，结合预防接种时间或本地区实际情况适当调整检查时间、增加检查次数。健康检查需在预防接种前进行，就诊环境布置应便于儿童先体检、后预防接种，每次健康检查时间不应少于5～10分钟。（二）健康检查内容1．问诊（1）喂养及饮食史：喂养方式，食物转换（辅食添加）情况，食物品种、餐次和量，饮食行为及环境，营养素补充剂的添加等情况。（2）生长发育史：既往体格生长、心理行为发育情况。（3）生活习惯：睡眠、排泄、卫生习惯等情况。（4）过敏史：药物、食物等过敏情况。（5）患病情况：两次健康检查之间患病情况。2．体格测量（1）体重1）测量前准备：每次测量体重前需校正体重秤零点。儿童脱去外衣、鞋、袜、帽，排空大小便，婴儿去掉尿布。冬季注意保持室内温暖，让儿童仅穿单衣裤，准确称量并除去衣服重量。2）测量方法：测量时儿童不能接触其它物体。使用杠杆式体重秤进行测量时，放置的砝码应接近儿童体重，并迅速调整游锤，使杠杆呈正中水平，将砝码及游锤所示读数相加；使用电子体重秤称重时，待数据稳定后读数。记录时需除去衣服重量。体重记录以千克（kg）为单位，至小数点后1位。（2）身长（身高）1）测量前准备：2岁及以下儿童测量身长，2岁以上儿童测量身高。儿童测量身长（身高）前应脱去外衣、鞋、袜、帽。2）测量方法：测量身长时，儿童仰卧于量床中央，助手将头扶正，头顶接触头板，两耳在同一水平。测量者立于儿童右侧，左手握住儿童两膝使腿伸直，右手移动足板使其接触双脚跟部，注意量床两侧的读数应保持一致，然后读数。测量身高时，应取立位，两眼直视正前方，胸部挺起，两臂自然下垂，脚跟并拢，脚尖分开约60度，脚跟、臀部与两肩胛间三点同时接触立柱，头部保持正中位置，使测量板与头顶点接触，读测量板垂直交于立柱上刻度的数字，视线应与立柱上刻度的数字平行。儿童身长（身高）记录以厘米（cm）为单位，至小数点后1位。（3）头围儿童取坐位或仰卧位，测量者位于儿童右侧或前方，用左手拇指将软尺零点固定于头部右侧眉弓上缘处，经枕骨粗隆及左侧眉弓上缘回至零点，使软尺紧贴头皮，女童应松开发辫。儿童头围记录以厘米（cm）为单位，至小数点后1位。3．体格检查（1）一般情况：观察儿童精神状态、面容、表情和步态。（2）皮肤：有无黄染、苍白、紫绀（口唇、指趾甲床）、皮疹、出血点、瘀斑、血管瘤，颈部、腋下、腹股沟部、臀部等皮肤皱褶处有无潮红或糜烂。（3）淋巴结：全身浅表淋巴结的大小、个数、质地、活动度、有无压痛。（4）头颈部：有无方颅、颅骨软化，前囟大小及张力，颅缝，有无特殊面容、颈部活动受限或颈部包块。（5）眼：外观有无异常，有无结膜充血和分泌物，眼球有无震颤。婴儿是否有注视、追视情况。（6）耳：外观有无异常，耳道有无异常分泌物。（7）鼻：外观有无异常，有无异常分泌物。（8）口腔：有无唇腭裂，口腔粘膜有无异常。扁桃体是否肿大，乳牙数、有无龋齿及龋齿数。（9）胸部：胸廓外形是否对称，有无漏斗胸、鸡胸、肋骨串珠、肋软骨沟等，心脏听诊有无心律不齐及心脏杂音，肺部呼吸音有无异常。（10）腹部：有无腹胀、疝、包块、触痛，检查肝脾大小。（11）外生殖器：有无畸形、阴囊水肿、包块，检查睾丸位置及大小。（12）脊柱四肢：脊柱有无侧弯或后突，四肢是否对称、有无畸形，有条件者可进行发育性髋关节发育不良筛查。（13）神经系统：四肢活动对称性、活动度和肌张力。4．心理行为发育监测婴幼儿每次进行健康检查时，需按照儿童生长发育监测图的运动发育指标进行发育监测，定期了解儿童心理行为发育情况，及时发现发育偏离儿童。有条件地区可开展儿童心理行为发育筛查。5．实验室及其他辅助检查（1）血红蛋白或血常规检查：6～9月龄儿童检查1次，1～6岁儿童每年检查1次。（2）听力筛查：对有听力损失高危因素的儿童，采用便携式听觉评估仪及筛查型耳声发射仪，在儿童6、12、24和36月龄各进行1次听力筛查。（3）视力筛查：儿童4岁开始每年采用国际标准视力表或标准对数视力表灯箱进行一次视力筛查。（4）其他检查：有条件单位可根据儿童具体情况开展尿常规、膳食营养分析等检查项目。（三）健康评价1．体格生长评价（1）评价指标体重/年龄、身长（身高）/年龄、头围/年龄、体重/身长（身高）和体质指数（BMI）/年龄。（2）评价方法1）数据表法=1\*GB3①离差法（标准差法）以中位数（M）为基值加减标准差(SD)来评价体格生长，可采用五等级划分法和三等级划分法（表1）。表1等级划分法等级<M-2SDM-2SD～M-1SDM±1SDM+1SD～M+2SD>M+2SD五等级下中下中中上上三等级下中上=2\*GB3②百分位数法将参照人群的第50百分位数(P50)为基准值，第3百分位数值相当于离差法的中位数减2个标准差，第97百分位数值相当于离差法的中位数加2个标准差。2）曲线图法以儿童的年龄或身长（身高）为横坐标，以生长指标为纵坐标，绘制成曲线图，从而能直观、快速地了解儿童的生长情况，通过追踪观察可以清楚地看到生长趋势和变化情况，及时发现生长偏离的现象。描绘方法：以横坐标的年龄或身长（身高）点做一与横坐标垂直的线，再以纵坐标的体重、身长（身高）、头围测量值或BMI值为点作与纵坐标垂直的线，两线相交点即为该年龄儿童体重、身长（身高）、头围、BMI在曲线图的位置或水平，将连续多个体重、身长（身高）、头围、BMI的描绘点连线即获得该儿童体重、身长（身高）、头围、BMI生长轨迹或趋势。（3）评价内容1）生长水平：指个体儿童在同年龄同性别人群中所处的位置，为该儿童生长的现况水平（表2）。2）匀称度：包括体型匀称和身材匀称，通过体重/身长（身高）可反映儿童的体型和人体各部分的比例关系（表2）。表2生长水平和匀称度的评价指标测量值评价百分位法标准差法体重/年龄﹤P3﹤M-2SD低体重身长（身高）/年龄﹤P3﹤M-2SD生长迟缓体重/身长（身高）﹤P3﹤M-2SD消瘦P85～P97M+1SD～M+2SD超重﹥P97≥M+2SD肥胖头围/年龄﹤P3﹤M-2SD过小﹥P97﹥M+2SD过大3）生长速度：将个体儿童不同年龄时点的测量值在生长曲线图上描记并连接成一条曲线，与生长曲线图中的参照曲线比较，即可判断该儿童在此段时间的生长速度是正常、增长不良或过速。纵向观察儿童生长速度可掌握个体儿童自身的生长轨迹。=1\*GB3①正常增长：与参照曲线相比，儿童的自身生长曲线与参照曲线平行上升即为正常增长。=2\*GB3②增长不良：与参照曲线相比，儿童的自身生长曲线上升缓慢（增长不足：增长值为正数，但低于参照速度标准）、持平（不增：增长值为零）或下降（增长值为负数）。=3\*GB3③增长过速：与参照曲线相比，儿童的自身生长曲线上升迅速（增长值超过参照速度标准）。2．心理行为发育评价采用儿童生长发育监测图监测婴幼儿心理行为发育。如果某项运动发育指标至箭头右侧月龄仍未通过者，需进行心理行为发育筛查或转诊。（四）指导1．喂养与营养提倡母乳喂养，指导家长进行科学的食物转换、均衡膳食营养、培养儿童良好的进食行为、注意食品安全。预防儿童蛋白质-能量营养不良、营养性缺铁性贫血、维生素D缺乏性佝偻病、超重/肥胖等常见营养性疾病的发生。2．体格生长告知定期测量儿童体重、身长（身高）、头围的重要性，反馈测评结果，指导家长正确使用儿童生长发育监测图进行生长发育监测。3．心理行为发育根据儿童发育年龄进行预见性指导，促进儿童心理行为发育。4．伤害预防重视儿童伤害预防，针对不同地区、不同年龄儿童伤害发生特点，对溺水、跌落伤、道路交通伤害等进行预防指导。5．疾病预防指导家长积极预防儿童消化道、呼吸道等常见疾病，按时预防接种，加强体格锻炼，培养良好卫生习惯。（五）转诊1．对低体重、生长迟缓、消瘦、肥胖、营养性缺铁性贫血及维生素D缺乏性佝偻病儿童进行登记，并转入儿童营养性疾病管理。2．对儿童心理行为发育筛查结果可疑或异常的儿童进行登记并转诊。3．出现下列情况之一，且无条件诊治者应转诊：（1）皮肤有皮疹、糜烂、出血点等，淋巴结肿大、压痛。（2）头围过大或过小，前囟张力过高，颈部活动受限或颈部包块。（3）眼外观异常、溢泪或溢脓、结膜充血、眼球震颤，婴儿不注视、不追视，4岁以上儿童视力筛查异常。（4）耳、鼻有异常分泌物，龋齿。（5）听力筛查未通过。（6）心脏杂音，心律不齐，肺部呼吸音异常。（7）肝脾肿大，腹部触及包块。（8）脊柱侧弯或后突，四肢不对称、活动度和肌张力异常，疑有发育性髋关节发育不良。（9）外生殖器畸形、睾丸未降、阴囊水肿或包块。在健康检查中，发现任何不能处理的情况均应转诊。四、流程图五、工作要求（一）儿童健康检查人员应经过专业技术培训。（二）开展儿童健康检查的医疗保健机构需配备儿童体重秤、量床、身高计、软尺、听诊器、手电筒、消毒压舌板、听力和视力筛查工具、儿童生长发育监测图（表）和必要的实验室检查设备。1．体重秤体重测量应使用杠杆式体重秤或电子体重秤，最大称量为60kg，最小分度值为50g。2．量床供2岁及以下儿童测量身长使用，最小分度值为0.1cm。3．身高计供2岁以上儿童测量身高使用，最小分度值为0.1cm。4．软尺无伸缩性软尺，最小分度值为0.1cm。5．听力筛查工具便携式听觉评估仪，筛查型耳声发射仪。6．视力筛查工具国际标准视力表或标准对数视力表灯箱。（三）检查时注意检测工具和双手的清洁卫生，预防交叉感染；保持适宜的室内温度；检查动作轻柔，注意医疗安全，避免伤害隐患。（四）掌握正确的儿童生长发育监测和评价方法，特别是生长发育曲线的描绘和解释，早期发现生长发育偏离或异常情况。有转诊指征的儿童，应向家长说明情况，并及时转诊。（五）针对儿童营养、喂养、心理行为发育、疾病和伤害预防提供科学育儿知识和相关技能指导；及时反馈体检结果，对生长发育偏离或疾病的儿童进行追踪随访。（六）使用统一的健康检查表格，认真逐项填写，确保资料收集的完整性、连续性,并纳入儿童健康档案。六、考核指标（一）工作指标1．0～6岁儿童保健覆盖率=（该年辖区内0～6岁儿童接受1次及以上体格检查人数/该年辖区内0～6岁儿童数）×100%2．3岁以下儿童系统管理率=（该年辖区内3岁以下儿童系统管理合格人数/该年辖区内3岁以下儿童数）×100%3．0～6岁儿童血红蛋白检查率=（辖区内0～6岁儿童血红蛋白检查人数/辖区内0～6岁儿童血红蛋白应检查人数）×100%（二）疾病指标1．5岁以下儿童贫血患病率=（5岁以下儿童贫血患病人数/5岁以下儿童血红蛋白检查人数）×100%2．5岁以下儿童低体重率=（5岁以下儿童低体重人数/5岁以下儿童体重检查人数）×100%3．5岁以下儿童生长迟缓率=（5岁以下儿童生长迟缓人数/5岁以下儿童身长/身高检查人数）×100%4．5岁以下儿童消瘦率=（5岁以下儿童消瘦人数/5岁以下儿童体格检查人数）×100%5．5岁以下儿童肥胖率=（5岁以下儿童肥胖人数/5岁以下儿童体格检查人数）×100%七、附件1.0～3岁男童身长（身高）/年龄、体重/年龄百分位标准曲线图2.0～3岁男童头围/年龄、体重/身长百分位标准曲线图3.0～7岁男童体质指数（BMI）/年龄百分位标准曲线图4.0～3岁女童身长（身高）/年龄、体重/年龄百分位标准曲线图5.0～3岁女童头围/年龄、体重/身长百分位标准曲线图6.0～7岁女童体质指数（BMI）/年龄百分位标准曲线图7.0～2岁男童身长/年龄、体重/年龄标准差数值表8.2～7岁男童身高/年龄、体重/年龄标准差数值表9.0～5岁男童头围/年龄标准差数值表10.男童体重/身长标准差数值表11.男童体重/身高标准差数值表12.0～7岁男童体质指数（BMI）/年龄标准差数值表13.0～2岁女童身长/年龄、体重/年龄标准差数值表14.2～7岁女童身高/年龄、体重/年龄标准差数值表15.0～5岁女童头围/年龄标准差数值表16.女童体重/身长标准差数值表17.女童体重/身高标准差数值表18.0～7岁女童体质指数（BMI）/年龄标准差数值表附件70～2岁男童身长/年龄、体重/年龄标准差数值表年龄年龄身长(cm)体重(kg)岁月-3SD-2SD-1SD中位数+1SD+2SD+3SD-3SD-2SD-1SD中位数+1SD+2SD+3SD001120123456789101101234567891011044.248.952.455.357.659.661.262.764.065.266.467.668.669.670.671.672.573.374.275.075.876.577.278.078.746.150.854.457.359.761.763.364.866.267.568.769.971.072.173.174.175.076.076.977.778.679.480.281.081.748.052.856.459.461.863.865.567.068.469.771.072.273.474.575.676.677.678.679.680.581.482.383.183.984.849.954.758.461.463.965.967.669.270.672.073.374.575.776.978.079.180.281.282.383.284.285.186.086.987.851.856.760.463.566.068.069.871.372.874.275.676.978.179.380.581.782.883.985.086.087.088.089.089.990.953.758.662.465.568.070.171.973.575.076.577.979.280.581.883.084.285.486.587.788.889.890.991.992.993.955.660.664.467.670.172.274.075.777.278.780.181.582.984.285.586.788.089.290.491.592.693.894.995.997.02.12.93.84.44.95.35.75.96.26.46.66.86.97.17.27.47.57.77.88.08.18.28.48.58.62.53.44.35.05.66.06.46.76.97.17.47.67.77.98.18.38.48.68.88.99.19.29.49.59.72.93.94.95.76.26.77.17.47.78.08.28.48.68.89.09.29.49.69.810.010.110.310.510.710.83.34.55.66.47.07.57.98.38.68.99.29.49.69.910.110.310.510.710.911.111.311.511.812.012.23.95.16.37.27.88.48.89.29.69.910.210.510.811.011.311.511.712.012.212.512.712.913.213.413.64.45.87.18.08.79.39.810.310.711.011.411.712.012.312.612.813.113.413.713.914.214.514.715.015.35.06.68.09.09.710.410.911.411.912.312.713.013.313.714.014.314.614.915.315.615.916.216.516.817.1附件82～7岁男童身高/年龄、体重/年龄标准差数值表年龄身高(cm)体重(kg)岁月-3SD-2SD-1SD中位数+1SD+2SD+3SD-3SD-2SD-1SD中位数+1SD+2SD+3SD22334012345678910110123456789101101234578.078.679.379.980.581.181.782.382.883.483.984.485.085.586.086.587.087.588.088.488.989.489.890.390.791.291.692.192.593.081.081.782.583.183.884.585.185.786.486.987.588.188.789.289.890.390.991.491.992.493.093.594.094.494.995.495.996.496.997.484.184.985.686.487.187.888.589.289.990.591.191.892.493.093.694.294.795.395.996.497.097.598.198.699.199.7100.2100.7101.2101.787.188.088.889.690.491.291.992.793.494.194.895.496.196.797.498.098.699.299.9100.4101.0101.6102.2102.8103.3103.9104.4105.0105.6106.190.291.192.092.993.794.595.396.196.997.698.499.199.8100.5101.2101.8102.5103.2103.8104.5105.1105.7106.3106.9107.5108.1108.7109.3109.9110.593.294.295.296.197.097.998.799.6100.4101.2102.0102.7103.5104.2105.0105.7106.4107.1107.8108.5109.1109.8110.4111.1111.7112.4113.0113.6114.2114.996.397.398.399.3100.3101.2102.1103.0103.9104.8105.6106.4107.2108.0108.8109.5110.3111.0111.7112.5113.2113.9114.6115.2115.9116.6117.3117.9118.6119.28.68.88.99.09.19.29.49.59.69.79.89.910.010.110.210.310.410.510.610.710.810.911.011.111.211.311.411.511.611.79.79.810.010.110.210.410.510.710.810.911.011.211.311.411.511.611.811.912.012.112.212.412.512.612.712.812.913.113.213.310.811.011.211.311.511.711.812.012.112.312.412.612.712.913.013.113.313.413.613.713.814.014.114.314.414.514.714.815.015.112.212.412.512.712.913.113.313.513.713.814.014.214.314.514.714.815.015.215.315.515.715.816.016.216.316.516.716.817.017.213.613.914.114.314.514.815.015.215.415.615.816.016.216.416.616.817.017.217.417.617.818.018.218.418.618.819.019.219.419.615.315.515.816.116.316.616.917.117.417.617.818.118.318.618.819.019.319.519.720.020.220.520.720.921.221.421.721.922.222.417.117.517.818.118.418.719.019.319.619.920.220.420.721.021.321.621.922.122.422.723.023.323.623.924.224.524.825.125.425.7年龄身高(cm)体重(kg)岁月-3SD-2SD-1SD中位数+1SD+2SD+3SD-3SD-2SD-1SD中位数+1SD+2SD+3SD455667678910110123456789101101234567891011093.493.994.394.795.295.696.196.596.997.497.898.298.799.199.599.9100.4100.8101.2101.6102.0102.4102.8103.2103.6103.9104.3104.7105.1105.5105.997.898.398.899.399.7100.2100.7101.1101.6102.0102.5103.0103.4103.9104.3104.8105.2105.7106.1106.5107.0107.4107.8108.2108.7109.1109.5109.9110.3110.8111.2102.3102.8103.3103.8104.3104.8105.3105.7106.2106.7107.2107.7108.2108.7109.1109.6110.1110.6111.0111.5111.9112.4112.9113.3113.8114.2114.7115.1115.6116.0116.4106.7107.2107.8108.3108.9109.4110.0110.3110.8111.3111.9112.4112.9113.4113.9114.5115.0115.5116.0116.4116.9117.4117.9118.4118.9119.4119.8120.3120.8121.3121.7111.1111.7112.3112.8113.4114.0114.6114.9115.4116.0116.5117.1117.7118.2118.7119.3119.8120.4120.9121.4121.9122.4123.0123.5124.0124.5125.0125.5126.0126.5127.0115.5116.1116.7117.4118.0118.6119.2119.4120.0120.6121.2121.8122.4123.0123.6124.1124.7125.2125.8126.4126.9127.5128.0128.5129.1129.6130.2130.7131.2131.8132.3119.9120.6121.2121.9122.6123.2123.9124.0124.7125.3125.9126.5127.1127.8128.4129.0129.6130.1130.7131.3131.9132.5133.0133.6134.2134.8135.3135.9136.5137.0137.611.811.912.012.112.212.312.412.712.813.013.113.213.313.413.613.713.813.914.114.214.314.514.614.714.915.015.115.315.415.515.713.413.513.613.713.814.014.114.414.514.614.814.915.015.215.315.415.615.715.916.016.216.316.516.616.816.917.117.217.417.517.715.215.415.515.615.815.916.016.316.416.616.716.917.017.217.417.517.717.818.018.218.318.518.718.819.019.219.319.519.719.920.017.317.517.717.818.018.218.318.518.718.919.019.219.419.619.819.920.120.320.520.720.921.121.321.521.721.922.122.322.522.722.919.820.020.220.420.620.821.021.121.321.521.722.022.222.422.622.823.123.323.523.724.024.224.424.724.925.225.425.625.926.126.422.722.923.223.423.723.924.224.224.424.724.925.225.525.726.026.326.626.827.127.427.728.028.328.628.929.229.529.830.130.430.726.026.326.626.927.227.627.927.828.128.428.829.129.429.830.130.430.831.231.531.932.232.633.033.333.734.134.534.935.335.736.12～7岁男童身高/年龄、体重/年龄标准差数值表(续)附件90～5岁男童头围/年龄标准差数值表年龄头围（cm）岁月-3SD-2SD-1SD中位数+1SD+2SD+3SD00112201234567891011012345678910110123456789101130.733.835.637.038.038.939.740.340.841.241.641.942.242.542.742.943.143.243.443.543.743.843.944.144.244.344.444.544.644.744.844.844.945.045.145.131.934.936.838.139.240.140.941.542.042.542.943.243.543.844.044.244.444.644.744.945.045.245.345.445.545.645.845.946.046.146.146.246.346.446.546.633.236.138.039.340.441.442.142.743.343.744.144.544.845.045.345.545.745.946.046.246.446.546.646.846.947.047.147.247.347.447.547.647.747.847.948.034.537.339.140.541.642.643.344.044.545.045.445.846.146.346.646.847.047.247.447.547.747.848.048.148.348.448.548.648.748.848.949.049.149.249.349.435.738.440.341.742.843.844.645.245.846.346.747.047.447.647.948.148.348.548.748.949.049.249.349.549.649.749.950.050.150.250.350.450.550.650.750.837.039.641.542.944.045.045.846.447.047.547.948.348.648.949.249.449.649.850.050.250.450.550.750.851.051.151.251.451.551.651.751.851.952.052.152.238.340.842.644.145.246.247.047.748.348.849.249.649.950.250.550.751.051.251.451.551.751.952.052.252.352.552.652.752.953.053.153.253.353.453.553.60～5岁男童头围/年龄标准差数值表(续)年龄头围（cm）岁月-3SD-2SD-1SD中位数+1SD+2SD+3SD334450123456789101101234567891011045.245.345.345.445.445.545.545.645.645.745.745.845.845.945.945.946.046.046.146.146.146.246.246.246.346.646.746.846.846.946.947.047.047.147.147.247.247.347.347.447.447.547.547.547.647.647.647.747.747.748.048.148.248.248.348.448.448.548.548.648.748.748.748.848.848.948.949.049.049.149.149.149.249.249.249.549.549.649.749.749.849.949.950.050.150.150.250.250.350.350.450.450.450.550.550.650.650.750.750.750.951.051.051.151.251.351.351.451.451.551.651.651.751.751.851.851.951.952.052.052.152.152.152.252.252.352.452.552.552.652.752.852.852.953.053.053.153.153.253.253.353.453.453.553.553.553.653.653.753.753.753.853.954.054.154.154.254.354.354.454.554.554.654.754.754.854.854.954.955.055.055.155.155.255.22006年WHO儿童生长标准附件10男童体重/身长标准差数值表身长（cm）体重（kg）-3SD-2SD-1SD中位数+1SD+2SD+3SD45.045.546.046.547.047.548.048.549.049.550.050.551.051.552.052.553.053.554.054.555.055.556.056.557.057.558.058.559.059.560.060.561.061.562.062.563.063.564.064.565.065.566.066.567.01.91.92.02.12.12.22.32.32.42.52.62.72.72.82.93.03.13.23.33.43.63.73.83.94.04.14.34.44.54.64.74.84.95.05.15.25.35.45.55.65.75.85.96.06.12.02.12.22.32.32.42.52.62.62.72.82.93.03.13.23.33.43.53.63.73.84.04.14.24.34.54.64.74.85.05.15.25.35.45.65.75.85.96.06.16.26.36.46.56.62.22.32.42.52.52.62.72.82.93.03.03.13.23.33.53.63.73.83.94.04.24.34.44.64.74.95.05.15.35.45.55.65.85.96.06.16.26.46.56.66.76.86.97.07.12.42.52.62.72.82.92.93.03.13.23.33.43.53.63.83.94.04.14.34.44.54.74.85.05.15.35.45.65.75.96.06.16.36.46.56.76.86.97.07.17.37.47.57.67.72.72.82.93.03.03.13.23.33.43.53.63.83.94.04.14.24.44.54.74.85.05.15.35.45.65.75.96.16.26.46.56.76.87.07.17.27.47.57.67.87.98.08.28.38.43.03.13.13.23.33.43.63.73.83.94.04.14.24.44.54.64.84.95.15.35.45.65.85.96.16.36.46.66.87.07.17.37.47.67.77.98.08.28.38.58.68.78.99.09.23.33.43.53.63.73.83.94.04.24.34.44.54.74.85.05.15.35.45.65.86.06.16.36.56.76.97.17.27.47.67.88.08.18.38.58.68.88.99.19.39.49.69.79.910.0男童体重/身长标准差数值表(续1)身长（cm）体重（kg）-3SD-2SD-1SD中位数+1SD+2SD+3SD67.568.068.569.069.570.070.571.071.572.072.573.073.574.074.575.075.576.076.577.077.578.078.579.079.580.080.581.081.582.082.583.083.584.084.585.085.586.086.587.087.588.088.589.089.56.26.36.46.56.66.66.76.86.97.07.17.27.27.37.47.57.67.67.77.87.97.98.08.18.28.28.38.48.58.58.68.78.88.99.09.19.29.39.49.59.69.79.89.910.06.76.86.97.07.17.27.37.47.57.67.67.77.87.98.08.18.28.38.38.48.58.68.78.78.88.99.09.19.19.29.39.49.59.69.79.89.910.010.110.210.410.510.610.710.87.27.37.57.67.77.87.98.08.18.28.38.48.58.68.78.88.88.99.09.19.29.39.49.59.59.69.79.89.910.010.110.210.310.410.510.610.710.811.011.111.211.311.411.511.67.98.08.18.28.38.48.58.68.88.99.09.19.29.39.49.59.69.79.89.910.010.110.210.310.410.410.510.610.710.810.911.011.211.311.411.511.611.711.912.012.112.212.412.512.68.58.78.88.99.09.29.39.49.59.69.89.910.010.110.210.310.410.610.710.810.911.011.111.211.311.411.511.611.711.811.912.012.112.212.412.512.612.812.913.013.213.313.413.513.79.39.49.69.79.810.010.110.210.410.510.610.810.911.011.211.311.411.511.611.711.912.012.112.212.312.412.512.612.712.813.013.113.213.313.513.613.713.914.014.214.314.514.614.714.910.210.310.510.610.810.911.111.211.311.511.611.811.912.112.212.312.512.612.712.813.013.113.213.313.413.613.713.813.914.014.214.314.414.614.714.915.015.215.315.515.615.815.916.116.2男童体重/身长标准差数值表(续2)身长（cm）体重（kg）-3SD-2SD-1SD中位数+1SD+2SD+3SD90.090.591.091.592.092.593.093.594.094.595.095.596.096.597.097.598.098.599.099.5100.0100.5101.0101.5102.0102.5103.0103.5104.0104.5105.0105.5106.0106.5107.0107.5108.0108.5109.0109.5110.010.110.210.310.410.510.610.710.710.810.911.011.111.211.311.411.511.611.711.811.912.012.112.212.312.412.512.612.712.812.913.013.213.313.413.513.613.713.814.014.114.210.911.011.111.211.311.411.511.611.711.811.912.012.112.212.312.412.512.612.712.812.913.013.213.313.413.513.613.713.914.014.114.214.414.514.614.714.915.015.115.315.411.811.912.012.112.212.312.412.512.612.712.812.913.113.213.313.413.513.613.713.914.014.114.214.414.514.614.814.915.015.215.315.415.615.715.916.016.216.316.516.616.812.712.813.013.113.213.313.413.513.713.813.914.014.114.314.414.514.614.814.915.015.215.315.415.615.715.916.016.216.316.516.616.816.917.117.317.417.617.817.918.118.313.813.914.114.214.314.414.614.714.814.915.115.215.315.515.615.715.916.016.216.316.516.616.816.917.117.317.417.617.817.918.118.318.518.618.819.019.219.419.619.820.015.015.115.315.415.615.715.816.016.116.316.416.516.716.817.017.117.317.517.617.818.018.118.318.518.718.819.019.219.419.619.820.020.220.420.620.821.021.221.421.721.916.416.516.716.817.017.117.317.417.617.717.918.018.218.418.518.718.919.119.219.419.619.820.020.220.420.620.821.021.221.521.721.922.122.422.622.823.123.323.623.824.12006年WHO儿童生长标准附件11男童体重/身高标准差数值表身高（cm）体重（kg）-3SD-2SD-1SD中位数+1SD+2SD+3SD65.065.566.066.567.067.568.068.569.069.570.070.571.071.572.072.573.073.574.074.575.075.576.076.577.077.578.078.579.079.580.080.581.081.582.082.583.083.584.084.585.085.586.086.587.05.96.06.16.16.26.36.46.56.66.76.86.96.97.07.17.27.37.47.47.57.67.77.77.87.98.08.08.18.28.38.38.48.58.68.78.78.88.99.09.19.29.39.49.59.66.36.46.56.66.76.86.97.07.17.27.37.47.57.67.77.87.97.98.08.18.28.38.48.58.58.68.78.88.88.99.09.19.29.39.39.49.59.69.79.910.010.110.210.310.46.97.07.17.27.37.47.57.67.77.87.98.08.18.28.38.48.58.68.78.88.99.09.19.29.29.39.49.59.69.79.79.89.910.010.110.210.310.410.510.710.810.911.011.111.27.47.67.77.87.98.08.18.28.48.58.68.78.88.99.09.19.29.39.49.59.69.79.89.910.010.110.210.310.410.510.610.710.810.911.011.111.211.311.411.511.711.811.912.012.28.18.28.38.58.68.78.89.09.19.29.39.59.69.79.89.910.010.210.310.410.510.610.710.810.911.011.111.211.311.411.511.611.711.811.912.112.212.312.412.512.712.812.913.113.28.88.99.19.29.49.59.69.89.910.010.210.310.410.610.710.811.011.111.211.311.411.611.711.811.912.012.112.212.312.412.612.712.812.913.013.113.313.413.513.713.813.914.114.214.49.69.89.910.110.210.410.510.710.811.011.111.311.411.611.711.812.012.112.212.412.512.612.812.913.013.113.313.413.513.613.713.814.014.114.214.414.514.614.814.915.115.215.415.515.7男童体重/身高标准差数值表(续1)身高（cm）体重（kg）-3SD-2SD-1SD中位数+1SD+2SD+3SD87.588.088.589.089.590.090.591.091.592.092.593.093.594.094.595.095.596.096.597.097.598.098.599.099.5100.0100.5101.0101.5102.0102.5103.0103.5104.0104.5105.0105.5106.0106.5107.0107.5108.0108.5109.0109.59.79.89.910.010.110.210.310.410.510.610.710.810.911.011.111.111.211.311.411.511.611.711.811.912.012.112.212.312.412.512.612.812.913.013.113.213.313.413.513.713.813.914.014.114.310.510.610.710.810.911.011.111.211.311.411.511.611.711.811.912.012.112.212.312.412.512.612.812.913.013.113.213.313.413.613.713.813.914.014.214.314.414.514.714.814.915.115.215.315.511.311.511.611.711.811.912.012.112.212.312.412.612.712.812.913.013.113.213.313.413.613.713.813.914.014.214.314.414.514.714.814.915.115.215.415.515.615.815.916.116.216.416.516.716.812.312.412.512.612.812.913.013.113.213.413.513.613.713.813.914.114.214.314.414.614.714.814.915.115.215.415.515.615.815.916.116.216.416.516.716.817.017.217.317.517.717.818.018.218.313.313.513.613.713.914.014.114.214.414.514.614.714.915.015.115.315.415.515.715.815.916.116.216.416.516.716.917.017.217.317.517.717.818.018.218.418.518.718.919.119.319.519.719.820.014.514.714.814.915.115.215.315.515.615.815.916.016.216.316.516.616.716.917.017.217.417.517.717.918.018.218.418.518.718.919.119.319.519.719.920.120.320.520.720.921.121.321.521.822.015.816.016.116.316.416.616.716.917.017.217.317.517.617.817.918.118.318.418.618.818.919.119.319.519.719.920.120.320.520.720.921.121.321.621.822.022.222.522.722.923.223.423.723.924.2男童体重/身高标准差数值表(续2)身高（cm）体重（kg）-3SD-2SD-1SD中位数+1SD+2SD+3SD110.0110.5111.0111.5112.0112.5113.0113.5114.0114.5115.0115.5116.0116.5117.0117.5118.0118.5119.0119.5120.014.414.514.614.814.915.015.215.315.415.615.715.816.016.116.216.416.516.716.816.917.115.615.815.916.016.216.316.516.616.816.917.117.217.417.517.717.918.018.218.318.518.617.017.117.317.517.617.818.018.118.318.518.618.819.019.219.319.519.719.920.020.220.418.518.718.919.119.219.419.619.820.020.220.420.620.821.021.221.421.621.822.022.222.420.220.420.720.921.121.321.521.721.922.122.422.622.823.023.323.523.723.924.124.424.622.222.422.722.923.123.423.623.924.124.424.624.925.125.425.625.926.126.426.626.927.224.424.725.025.225.525.826.026.326.626.927.227.527.828.028.328.628.929.229.529.830.12006年WHO儿童生长标准附件120～7岁男童体质指数(BMI)/年龄标准差数值表年龄体质指数（BMI）岁月-3SD-2SD-1SD中位数+1SD+2SD+3SD00112a01234567891011012345678910110a10.211.312.513.113.413.513.613.713.613.613.513.413.413.313.213.113.113.012.912.912.812.812.712.712.711.112.413.714.314.514.714.714.814.714.714.614.514.414.314.214.114.013.913.913.813.713.713.613.613.612.213.615.015.515.815.916.016.015.915.815.715.615.515.415.315.215.115.014.914.914.814.714.714.614.613.414.916.316.917.217.317.317.317.317.217.016.916.816.716.616.416.316.216.116.116.015.915.815.815.714.816.317.818.418.718.818.818.818.718.618.518.418.218.118.017.817.717.617.517.417.317.217.217.117.016.317.819.420.020.320.520.520.520.420.320.120.019.819.719.519.419.319.119.018.918.818.718.718.618.518.119.421.121.822.122.322.322.322.222.122.021.821.621.521.321.221.020.920.820.720.620.520.420.320.32b2330b12345678910110123456789101112.912.812.812.712.712.712.612.612.512.512.512.412.412.412.312.312.312.212.212.212.212.212.112.113.813.813.713.713.613.613.613.513.513.513.413.413.413.313.313.313.213.213.213.213.113.113.113.114.814.814.814.714.714.714.614.614.614.514.514.514.414.414.414.314.314.314.314.214.214.214.214.216.016.015.915.915.915.815.815.815.715.715.715.615.615.615.515.515.515.515.415.415.415.415.415.317.317.317.317.217.217.117.117.117.017.017.016.916.916.916.816.816.816.816.816.716.716.716.716.718.918.818.818.718.718.618.618.518.518.518.418.418.418.318.318.318.218.218.218.218.218.218.218.220.620.520.520.420.420.320.220.220.120.120.020.020.019.919.919.919.919.919.819.819.819.819.819.90～7岁男童体质指数(BMI)/年龄标准差数值表(续)年龄体质指数（BMI）岁月-3SD-2SD-1SD中位数+1SD+2SD+3SD4455667012345678910110123456789101101234567891011012.112.112.112.112.012.012.012.012.012.012.012.012.012.112.112.112.112.112.112.112.112.112.112.112.112.112.212.212.212.212.212.212.212.212.212.212.313.113.013.013.013.013.013.013.012.912.912.912.912.913.013.013.013.013.013.013.013.013.013.013.013.013.013.113.113.113.113.113.113.113.113.113.113.114.114.114.114.114.114.114.014.014.014.014.014.014.014.114.114.114.114.114.114.114.114.114.114.114.114.114.114.114.114.114.114.114.214.214.214.214.215.315.315.315.315.315.315.315.215.215.215.215.215.215.315.315.315.315.315.315.315.315.315.315.315.315.315.315.315.415.415.415.415.415.415.415.515.516.716.716.716.616.616.616.616.616.616.616.616.616.616.616.616.716.716.716.716.716.716.716.716.716.816.816.816.816.816.916.916.916.917.017.017.017.018.218.218.218.218.218.218.218.218.218.218.318.318.318.318.318.318.318.318.418.418.418.418.518.518.518.618.618.618.718.718.718.818.818.918.919.019.019.919.919.919.919.920.020.020.020.120.120.220.220.320.220.220.220.320.320.420.420.520.520.620.620.720.820.820.921.021.021.121.221.321.321.421.521.6注：若24月龄的男童使用卧式身长计测量身长，则使用年龄为2a行的数据，若其使用立式身高计测量身高，则使用年龄为2b行的数据。此表上0-2岁的BMI值是根据身长测算的，若0-2岁的男童测量的是立式身高，要在身高基础上增加0.7cm，转换成身长后再计算BMI指数。若2-5岁的男童测量的是卧式身长，则要在身长基础上减少0.7cm，转换成身高后再计算。2006年WHO儿童生长标准附件13年龄身长(cm)体重(kg)岁月-3SD-2SD-1SD中位数年龄身长(cm)体重(kg)岁月-3SD-2SD-1SD中位数+1SD+2SD+3SD-3SD-2SD-1SD中位数+1SD+2SD+3SD001120123456789101101234567891011043.647.851.053.555.657.458.960.361.762.964.165.266.367.368.369.370.271.172.072.873.774.575.276.076.745.449.853.055.657.859.661.262.764.065.366.567.768.970.071.072.073.074.074.975.876.777.578.479.280.047.351.755.057.759.961.863.565.066.467.769.070.371.472.673.774.875.876.877.878.879.780.681.582.383.249.153.757.159.862.164.065.767.368.770.171.572.874.075.276.477.578.679.780.781.782.783.784.685.586.451.055.659.161.964.366.268.069.671.172.673.975.376.677.879.180.281.482.583.684.785.786.787.788.789.652.957.661.164.066.468.570.371.973.575.076.477.879.280.581.783.084.285.486.587.688.789.890.891.992.954.759.563.266.168.670.772.574.275.877.478.980.381.783.184.485.787.088.289.490.691.792.994.095.096.12.02.73.44.04.44.85.15.35.65.85.96.16.36.46.66.76.97.07.27.37.57.67.87.98.12.43.23.94.55.05.45.76.06.36.56.76.97.07.27.47.67.77.98.18.28.48.68.78.99.02.83.64.55.25.76.16.56.87.07.37.57.77.98.18.38.58.78.99.19.29.49.69.810.010.23.24.25.15.86.46.97.37.67.98.28.58.78.99.29.49.69.810.010.210.410.610.911.111.311.53.74.85.86.67.37.88.28.69.09.39.69.910.110.410.610.911.111.411.611.812.112.312.512.813.04.25.56.67.58.28.89.39.810.210.510.911.211.511.812.112.412.612.913.213.513.714.014.314.614.84.86.27.58.59.310.010.611.111.612.012.412.813.113.513.814.114.514.815.115.415.716.016.416.717.0注：若24月龄的女童使用立式身高计测量身高，则数值请参见“2-5岁女童身高、体重标准差单位数值表”的24月龄数据2006年WHO儿童生长标准附件142～7岁女童身高/年龄、体重/年龄标准差数值表年龄身高(cm)体重(kg)岁月-3SD-2SD-1SD中位数+1SD+2SD+3SD-3SD-2SD-1SD中位数+1SD+2SD+3SD22334012345678910110123456789101101234576.076.877.578.178.879.580.180.781.381.982.583.183.684.284.785.385.886.386.887.487.988.488.989.389.890.390.791.291.792.179.380.080.881.582.282.983.684.384.985.686.286.887.488.088.689.289.890.490.991.592.092.593.193.694.194.695.195.696.196.682.583.384.184.985.786.487.187.988.689.389.990.691.291.992.593.193.894.495.095.696.296.797.397.998.499.099.5100.1100.6101.185.786.687.488.389.189.990.791.492.292.993.694.495.195.796.497.197.798.499.099.7100.3100.9101.5102.1102.7103.3103.9104.5105.0105.688.989.990.891.792.593.494.295.095.896.697.498.198.999.6100.3101.0101.7102.4103.1103.8104.5105.1105.8106.4107.0107.7108.3108.9109.5110.192.293.194.195.096.096.997.798.699.4100.3101.1101.9102.7103.4104.2105.0105.7106.4107.2107.9108.6109.3110.0110.7111.3112.0112.7113.3114.0114.695.496.497.498.499.4100.3101.3102.2103.1103.9104.8105.6106.5107.3108.1108.9109.7110.5111.2112.0112.7113.5114.2114.9115.7116.4117.1117.7118.4119.18.18.28.48.58.68.88.99.09.19.39.49.59.69.79.89.910.110.210.310.410.510.610.710.810.911.011.111.211.311.49.09.29.49.59.79.810.010.110.310.410.510.710.810.911.111.211.311.511.611.711.812.012.112.212.312.412.612.712.812.910.210.310.510.710.911.111.211.411.611.711.912.012.212.412.512.712.813.013.113.313.413.613.713.914.014.214.314.514.614.811.511.711.912.112.312.512.712.913.113.313.513.713.914.014.214.414.614.815.015.215.315.515.715.916.116.316.416.616.817.013.013.313.513.714.014.214.414.714.915.115.415.615.816.016.316.516.716.917.217.417.617.818.118.318.518.819.019.219.419.714.815.115.415.716.016.216.516.817.117.317.617.918.118.418.719.019.219.519.820.120.420.720.921.221.521.822.122.422.622.917.017.317.718.018.318.719.019.319.620.020.320.620.921.321.622.022.322.723.023.423.724.124.524.825.225.525.926.326.627.02～7岁女童身高/年龄、体重/年龄标准差数值表(续)年龄身高(cm)体重(kg)岁月-3SD-2SD-1SD中位数+1SD+2SD+3SD-3SD-2SD-1SD中位数+1SD+2SD+3SD455667678910110123456789101101234567891011092.693.093.493.994.394.795.295.395.796.196.597.097.497.898.298.699.099.499.8100.2100.5100.9101.3101.7102.1102.5102.9103.2103.6104.0104.497.197.698.198.599.099.599.9100.1100.5101.0101.4101.9102.3102.7103.2103.6104.0104.5104.9105.3105.7106.1106.6107.0107.4107.8108.2108.6109.0109.5109.9101.6102.2102.7103.2103.7104.2104.7104.8105.3105.8106.3106.8107.2107.7108.2108.6109.1109.6110.0110.5110.9111.3111.8112.2112.7113.1113.6114.0114.5114.9115.3106.2106.7107.3107.8108.4108.9109.4109.6110.1110.6111.2111.7112.2112.7113.2113.7114.2114.6115.1115.6116.1116.6117.0117.5118.0118.4118.9119.4119.9120.3