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附件二兒童健康檢查服務(wù)技術(shù)規(guī)范一、目的通過定期健康檢查,對兒童生長發(fā)育進(jìn)行監(jiān)測和評價,早期發(fā)現(xiàn)異常和疾病,及時進(jìn)行干預(yù),指導(dǎo)家長做好科學(xué)育兒及疾病預(yù)防,促進(jìn)兒童健康成長。二、服務(wù)對象轄區(qū)內(nèi)0~6歲(7歲以下)兒童。三、內(nèi)容與方法(一)健康檢查時間嬰兒期至少4次,建議分別在3、6、8和12月齡;3歲及以下兒童每年至少2次,每次間隔6個月,時間在1歲半、2歲、2歲半和3歲;3歲以上兒童每年至少1次。健康檢查可根據(jù)兒童個體情況,結(jié)合預(yù)防接種時間或本地區(qū)實際情況適當(dāng)調(diào)整檢查時間、增加檢查次數(shù)。健康檢查需在預(yù)防接種前進(jìn)行,就診環(huán)境布置應(yīng)便于兒童先體檢、后預(yù)防接種,每次健康檢查時間不應(yīng)少于5~10分鐘。(二)健康檢查內(nèi)容1.問診(1)喂養(yǎng)及飲食史:喂養(yǎng)方式,食物轉(zhuǎn)換(輔食添加)情況,食物品種、餐次和量,飲食行為及環(huán)境,營養(yǎng)素補充劑的添加等情況。(2)生長發(fā)育史:既往體格生長、心理行為發(fā)育情況。(3)生活習(xí)慣:睡眠、排泄、衛(wèi)生習(xí)慣等情況。(4)過敏史:藥物、食物等過敏情況。(5)患病情況:兩次健康檢查之間患病情況。2.體格測量(1)體重1)測量前準(zhǔn)備:每次測量體重前需校正體重秤零點。兒童脫去外衣、鞋、襪、帽,排空大小便,嬰兒去掉尿布。冬季注意保持室內(nèi)溫暖,讓兒童僅穿單衣褲,準(zhǔn)確稱量并除去衣服重量。2)測量方法:測量時兒童不能接觸其它物體。使用杠桿式體重秤進(jìn)行測量時,放置的砝碼應(yīng)接近兒童體重,并迅速調(diào)整游錘,使杠桿呈正中水平,將砝碼及游錘所示讀數(shù)相加;使用電子體重秤稱重時,待數(shù)據(jù)穩(wěn)定后讀數(shù)。記錄時需除去衣服重量。體重記錄以千克(kg)為單位,至小數(shù)點后1位。(2)身長(身高)1)測量前準(zhǔn)備:2歲及以下兒童測量身長,2歲以上兒童測量身高。兒童測量身長(身高)前應(yīng)脫去外衣、鞋、襪、帽。2)測量方法:測量身長時,兒童仰臥于量床中央,助手將頭扶正,頭頂接觸頭板,兩耳在同一水平。測量者立于兒童右側(cè),左手握住兒童兩膝使腿伸直,右手移動足板使其接觸雙腳跟部,注意量床兩側(cè)的讀數(shù)應(yīng)保持一致,然后讀數(shù)。測量身高時,應(yīng)取立位,兩眼直視正前方,胸部挺起,兩臂自然下垂,腳跟并攏,腳尖分開約60度,腳跟、臀部與兩肩胛間三點同時接觸立柱,頭部保持正中位置,使測量板與頭頂點接觸,讀測量板垂直交于立柱上刻度的數(shù)字,視線應(yīng)與立柱上刻度的數(shù)字平行。兒童身長(身高)記錄以厘米(cm)為單位,至小數(shù)點后1位。(3)頭圍兒童取坐位或仰臥位,測量者位于兒童右側(cè)或前方,用左手拇指將軟尺零點固定于頭部右側(cè)眉弓上緣處,經(jīng)枕骨粗隆及左側(cè)眉弓上緣回至零點,使軟尺緊貼頭皮,女童應(yīng)松開發(fā)辮。兒童頭圍記錄以厘米(cm)為單位,至小數(shù)點后1位。3.體格檢查(1)一般情況:觀察兒童精神狀態(tài)、面容、表情和步態(tài)。(2)皮膚:有無黃染、蒼白、紫紺(口唇、指趾甲床)、皮疹、出血點、瘀斑、血管瘤,頸部、腋下、腹股溝部、臀部等皮膚皺褶處有無潮紅或糜爛。(3)淋巴結(jié):全身淺表淋巴結(jié)的大小、個數(shù)、質(zhì)地、活動度、有無壓痛。(4)頭頸部:有無方顱、顱骨軟化,前囟大小及張力,顱縫,有無特殊面容、頸部活動受限或頸部包塊。(5)眼:外觀有無異常,有無結(jié)膜充血和分泌物,眼球有無震顫。嬰兒是否有注視、追視情況。(6)耳:外觀有無異常,耳道有無異常分泌物。(7)鼻:外觀有無異常,有無異常分泌物。(8)口腔:有無唇腭裂,口腔粘膜有無異常。扁桃體是否腫大,乳牙數(shù)、有無齲齒及齲齒數(shù)。(9)胸部:胸廓外形是否對稱,有無漏斗胸、雞胸、肋骨串珠、肋軟骨溝等,心臟聽診有無心律不齊及心臟雜音,肺部呼吸音有無異常。(10)腹部:有無腹脹、疝、包塊、觸痛,檢查肝脾大小。(11)外生殖器:有無畸形、陰囊水腫、包塊,檢查睪丸位置及大小。(12)脊柱四肢:脊柱有無側(cè)彎或后突,四肢是否對稱、有無畸形,有條件者可進(jìn)行發(fā)育性髖關(guān)節(jié)發(fā)育不良篩查。(13)神經(jīng)系統(tǒng):四肢活動對稱性、活動度和肌張力。4.心理行為發(fā)育監(jiān)測嬰幼兒每次進(jìn)行健康檢查時,需按照兒童生長發(fā)育監(jiān)測圖的運動發(fā)育指標(biāo)進(jìn)行發(fā)育監(jiān)測,定期了解兒童心理行為發(fā)育情況,及時發(fā)現(xiàn)發(fā)育偏離兒童。有條件地區(qū)可開展兒童心理行為發(fā)育篩查。5.實驗室及其他輔助檢查(1)血紅蛋白或血常規(guī)檢查:6~9月齡兒童檢查1次,1~6歲兒童每年檢查1次。(2)聽力篩查:對有聽力損失高危因素的兒童,采用便攜式聽覺評估儀及篩查型耳聲發(fā)射儀,在兒童6、12、24和36月齡各進(jìn)行1次聽力篩查。(3)視力篩查:兒童4歲開始每年采用國際標(biāo)準(zhǔn)視力表或標(biāo)準(zhǔn)對數(shù)視力表燈箱進(jìn)行一次視力篩查。(4)其他檢查:有條件單位可根據(jù)兒童具體情況開展尿常規(guī)、膳食營養(yǎng)分析等檢查項目。(三)健康評價1.體格生長評價(1)評價指標(biāo)體重/年齡、身長(身高)/年齡、頭圍/年齡、體重/身長(身高)和體質(zhì)指數(shù)(BMI)/年齡。(2)評價方法1)數(shù)據(jù)表法=1\*GB3①離差法(標(biāo)準(zhǔn)差法)以中位數(shù)(M)為基值加減標(biāo)準(zhǔn)差(SD)來評價體格生長,可采用五等級劃分法和三等級劃分法(表1)。表1等級劃分法等級<M-2SDM-2SD~M-1SDM±1SDM+1SD~M+2SD>M+2SD五等級下中下中中上上三等級下中上=2\*GB3②百分位數(shù)法將參照人群的第50百分位數(shù)(P50)為基準(zhǔn)值,第3百分位數(shù)值相當(dāng)于離差法的中位數(shù)減2個標(biāo)準(zhǔn)差,第97百分位數(shù)值相當(dāng)于離差法的中位數(shù)加2個標(biāo)準(zhǔn)差。2)曲線圖法以兒童的年齡或身長(身高)為橫坐標(biāo),以生長指標(biāo)為縱坐標(biāo),繪制成曲線圖,從而能直觀、快速地了解兒童的生長情況,通過追蹤觀察可以清楚地看到生長趨勢和變化情況,及時發(fā)現(xiàn)生長偏離的現(xiàn)象。描繪方法:以橫坐標(biāo)的年齡或身長(身高)點做一與橫坐標(biāo)垂直的線,再以縱坐標(biāo)的體重、身長(身高)、頭圍測量值或BMI值為點作與縱坐標(biāo)垂直的線,兩線相交點即為該年齡兒童體重、身長(身高)、頭圍、BMI在曲線圖的位置或水平,將連續(xù)多個體重、身長(身高)、頭圍、BMI的描繪點連線即獲得該兒童體重、身長(身高)、頭圍、BMI生長軌跡或趨勢。(3)評價內(nèi)容1)生長水平:指個體兒童在同年齡同性別人群中所處的位置,為該兒童生長的現(xiàn)況水平(表2)。2)勻稱度:包括體型勻稱和身材勻稱,通過體重/身長(身高)可反映兒童的體型和人體各部分的比例關(guān)系(表2)。表2生長水平和勻稱度的評價指標(biāo)測量值評價百分位法標(biāo)準(zhǔn)差法體重/年齡﹤P3﹤M-2SD低體重身長(身高)/年齡﹤P3﹤M-2SD生長遲緩體重/身長(身高)﹤P3﹤M-2SD消瘦P85~P97M+1SD~M+2SD超重﹥P97≥M+2SD肥胖頭圍/年齡﹤P3﹤M-2SD過小﹥P97﹥M+2SD過大3)生長速度:將個體兒童不同年齡時點的測量值在生長曲線圖上描記并連接成一條曲線,與生長曲線圖中的參照曲線比較,即可判斷該兒童在此段時間的生長速度是正常、增長不良或過速??v向觀察兒童生長速度可掌握個體兒童自身的生長軌跡。=1\*GB3①正常增長:與參照曲線相比,兒童的自身生長曲線與參照曲線平行上升即為正常增長。=2\*GB3②增長不良:與參照曲線相比,兒童的自身生長曲線上升緩慢(增長不足:增長值為正數(shù),但低于參照速度標(biāo)準(zhǔn))、持平(不增:增長值為零)或下降(增長值為負(fù)數(shù))。=3\*GB3③增長過速:與參照曲線相比,兒童的自身生長曲線上升迅速(增長值超過參照速度標(biāo)準(zhǔn))。2.心理行為發(fā)育評價采用兒童生長發(fā)育監(jiān)測圖監(jiān)測嬰幼兒心理行為發(fā)育。如果某項運動發(fā)育指標(biāo)至箭頭右側(cè)月齡仍未通過者,需進(jìn)行心理行為發(fā)育篩查或轉(zhuǎn)診。(四)指導(dǎo)1.喂養(yǎng)與營養(yǎng)提倡母乳喂養(yǎng),指導(dǎo)家長進(jìn)行科學(xué)的食物轉(zhuǎn)換、均衡膳食營養(yǎng)、培養(yǎng)兒童良好的進(jìn)食行為、注意食品安全。預(yù)防兒童蛋白質(zhì)-能量營養(yǎng)不良、營養(yǎng)性缺鐵性貧血、維生素D缺乏性佝僂病、超重/肥胖等常見營養(yǎng)性疾病的發(fā)生。2.體格生長告知定期測量兒童體重、身長(身高)、頭圍的重要性,反饋測評結(jié)果,指導(dǎo)家長正確使用兒童生長發(fā)育監(jiān)測圖進(jìn)行生長發(fā)育監(jiān)測。3.心理行為發(fā)育根據(jù)兒童發(fā)育年齡進(jìn)行預(yù)見性指導(dǎo),促進(jìn)兒童心理行為發(fā)育。4.傷害預(yù)防重視兒童傷害預(yù)防,針對不同地區(qū)、不同年齡兒童傷害發(fā)生特點,對溺水、跌落傷、道路交通傷害等進(jìn)行預(yù)防指導(dǎo)。5.疾病預(yù)防指導(dǎo)家長積極預(yù)防兒童消化道、呼吸道等常見疾病,按時預(yù)防接種,加強體格鍛煉,培養(yǎng)良好衛(wèi)生習(xí)慣。(五)轉(zhuǎn)診1.對低體重、生長遲緩、消瘦、肥胖、營養(yǎng)性缺鐵性貧血及維生素D缺乏性佝僂病兒童進(jìn)行登記,并轉(zhuǎn)入兒童營養(yǎng)性疾病管理。2.對兒童心理行為發(fā)育篩查結(jié)果可疑或異常的兒童進(jìn)行登記并轉(zhuǎn)診。3.出現(xiàn)下列情況之一,且無條件診治者應(yīng)轉(zhuǎn)診:(1)皮膚有皮疹、糜爛、出血點等,淋巴結(jié)腫大、壓痛。(2)頭圍過大或過小,前囟張力過高,頸部活動受限或頸部包塊。(3)眼外觀異常、溢淚或溢膿、結(jié)膜充血、眼球震顫,嬰兒不注視、不追視,4歲以上兒童視力篩查異常。(4)耳、鼻有異常分泌物,齲齒。(5)聽力篩查未通過。(6)心臟雜音,心律不齊,肺部呼吸音異常。(7)肝脾腫大,腹部觸及包塊。(8)脊柱側(cè)彎或后突,四肢不對稱、活動度和肌張力異常,疑有發(fā)育性髖關(guān)節(jié)發(fā)育不良。(9)外生殖器畸形、睪丸未降、陰囊水腫或包塊。在健康檢查中,發(fā)現(xiàn)任何不能處理的情況均應(yīng)轉(zhuǎn)診。四、流程圖五、工作要求(一)兒童健康檢查人員應(yīng)經(jīng)過專業(yè)技術(shù)培訓(xùn)。(二)開展兒童健康檢查的醫(yī)療保健機(jī)構(gòu)需配備兒童體重秤、量床、身高計、軟尺、聽診器、手電筒、消毒壓舌板、聽力和視力篩查工具、兒童生長發(fā)育監(jiān)測圖(表)和必要的實驗室檢查設(shè)備。1.體重秤體重測量應(yīng)使用杠桿式體重秤或電子體重秤,最大稱量為60kg,最小分度值為50g。2.量床供2歲及以下兒童測量身長使用,最小分度值為0.1cm。3.身高計供2歲以上兒童測量身高使用,最小分度值為0.1cm。4.軟尺無伸縮性軟尺,最小分度值為0.1cm。5.聽力篩查工具便攜式聽覺評估儀,篩查型耳聲發(fā)射儀。6.視力篩查工具國際標(biāo)準(zhǔn)視力表或標(biāo)準(zhǔn)對數(shù)視力表燈箱。(三)檢查時注意檢測工具和雙手的清潔衛(wèi)生,預(yù)防交叉感染;保持適宜的室內(nèi)溫度;檢查動作輕柔,注意醫(yī)療安全,避免傷害隱患。(四)掌握正確的兒童生長發(fā)育監(jiān)測和評價方法,特別是生長發(fā)育曲線的描繪和解釋,早期發(fā)現(xiàn)生長發(fā)育偏離或異常情況。有轉(zhuǎn)診指征的兒童,應(yīng)向家長說明情況,并及時轉(zhuǎn)診。(五)針對兒童營養(yǎng)、喂養(yǎng)、心理行為發(fā)育、疾病和傷害預(yù)防提供科學(xué)育兒知識和相關(guān)技能指導(dǎo);及時反饋體檢結(jié)果,對生長發(fā)育偏離或疾病的兒童進(jìn)行追蹤隨訪。(六)使用統(tǒng)一的健康檢查表格,認(rèn)真逐項填寫,確保資料收集的完整性、連續(xù)性,并納入兒童健康檔案。六、考核指標(biāo)(一)工作指標(biāo)1.0~6歲兒童保健覆蓋率=(該年轄區(qū)內(nèi)0~6歲兒童接受1次及以上體格檢查人數(shù)/該年轄區(qū)內(nèi)0~6歲兒童數(shù))×100%2.3歲以下兒童系統(tǒng)管理率=(該年轄區(qū)內(nèi)3歲以下兒童系統(tǒng)管理合格人數(shù)/該年轄區(qū)內(nèi)3歲以下兒童數(shù))×100%3.0~6歲兒童血紅蛋白檢查率=(轄區(qū)內(nèi)0~6歲兒童血紅蛋白檢查人數(shù)/轄區(qū)內(nèi)0~6歲兒童血紅蛋白應(yīng)檢查人數(shù))×100%(二)疾病指標(biāo)1.5歲以下兒童貧血患病率=(5歲以下兒童貧血患病人數(shù)/5歲以下兒童血紅蛋白檢查人數(shù))×100%2.5歲以下兒童低體重率=(5歲以下兒童低體重人數(shù)/5歲以下兒童體重檢查人數(shù))×100%3.5歲以下兒童生長遲緩率=(5歲以下兒童生長遲緩人數(shù)/5歲以下兒童身長/身高檢查人數(shù))×100%4.5歲以下兒童消瘦率=(5歲以下兒童消瘦人數(shù)/5歲以下兒童體格檢查人數(shù))×100%5.5歲以下兒童肥胖率=(5歲以下兒童肥胖人數(shù)/5歲以下兒童體格檢查人數(shù))×100%七、附件1.0~3歲男童身長(身高)/年齡、體重/年齡百分位標(biāo)準(zhǔn)曲線圖2.0~3歲男童頭圍/年齡、體重/身長百分位標(biāo)準(zhǔn)曲線圖3.0~7歲男童體質(zhì)指數(shù)(BMI)/年齡百分位標(biāo)準(zhǔn)曲線圖4.0~3歲女童身長(身高)/年齡、體重/年齡百分位標(biāo)準(zhǔn)曲線圖5.0~3歲女童頭圍/年齡、體重/身長百分位標(biāo)準(zhǔn)曲線圖6.0~7歲女童體質(zhì)指數(shù)(BMI)/年齡百分位標(biāo)準(zhǔn)曲線圖7.0~2歲男童身長/年齡、體重/年齡標(biāo)準(zhǔn)差數(shù)值表8.2~7歲男童身高/年齡、體重/年齡標(biāo)準(zhǔn)差數(shù)值表9.0~5歲男童頭圍/年齡標(biāo)準(zhǔn)差數(shù)值表10.男童體重/身長標(biāo)準(zhǔn)差數(shù)值表11.男童體重/身高標(biāo)準(zhǔn)差數(shù)值表12.0~7歲男童體質(zhì)指數(shù)(BMI)/年齡標(biāo)準(zhǔn)差數(shù)值表13.0~2歲女童身長/年齡、體重/年齡標(biāo)準(zhǔn)差數(shù)值表14.2~7歲女童身高/年齡、體重/年齡標(biāo)準(zhǔn)差數(shù)值表15.0~5歲女童頭圍/年齡標(biāo)準(zhǔn)差數(shù)值表16.女童體重/身長標(biāo)準(zhǔn)差數(shù)值表17.女童體重/身高標(biāo)準(zhǔn)差數(shù)值表18.0~7歲女童體質(zhì)指數(shù)(BMI)/年齡標(biāo)準(zhǔn)差數(shù)值表附件70~2歲男童身長/年齡、體重/年齡標(biāo)準(zhǔn)差數(shù)值表年齡年齡身長(cm)體重(kg)歲月-3SD-2SD-1SD中位數(shù)+1SD+2SD+3SD-3SD-2SD-1SD中位數(shù)+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歲男童身高/年齡、體重/年齡標(biāo)準(zhǔn)差數(shù)值表年齡身高(cm)體重(kg)歲月-3SD-2SD-1SD中位數(shù)+1SD+2SD+3SD-3SD-2SD-1SD中位數(shù)+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年齡身高(cm)體重(kg)歲月-3SD-2SD-1SD中位數(shù)+1SD+2SD+3SD-3SD-2SD-1SD中位數(shù)+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歲男童身高/年齡、體重/年齡標(biāo)準(zhǔn)差數(shù)值表(續(xù))附件90~5歲男童頭圍/年齡標(biāo)準(zhǔn)差數(shù)值表年齡頭圍(cm)歲月-3SD-2SD-1SD中位數(shù)+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歲男童頭圍/年齡標(biāo)準(zhǔn)差數(shù)值表(續(xù))年齡頭圍(cm)歲月-3SD-2SD-1SD中位數(shù)+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兒童生長標(biāo)準(zhǔn)附件10男童體重/身長標(biāo)準(zhǔn)差數(shù)值表身長(cm)體重(kg)-3SD-2SD-1SD中位數(shù)+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男童體重/身長標(biāo)準(zhǔn)差數(shù)值表(續(xù)1)身長(cm)體重(kg)-3SD-2SD-1SD中位數(shù)+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男童體重/身長標(biāo)準(zhǔn)差數(shù)值表(續(xù)2)身長(cm)體重(kg)-3SD-2SD-1SD中位數(shù)+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兒童生長標(biāo)準(zhǔn)附件11男童體重/身高標(biāo)準(zhǔn)差數(shù)值表身高(cm)體重(kg)-3SD-2SD-1SD中位數(shù)+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男童體重/身高標(biāo)準(zhǔn)差數(shù)值表(續(xù)1)身高(cm)體重(kg)-3SD-2SD-1SD中位數(shù)+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男童體重/身高標(biāo)準(zhǔn)差數(shù)值表(續(xù)2)身高(cm)體重(kg)-3SD-2SD-1SD中位數(shù)+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兒童生長標(biāo)準(zhǔn)附件120~7歲男童體質(zhì)指數(shù)(BMI)/年齡標(biāo)準(zhǔn)差數(shù)值表年齡體質(zhì)指數(shù)(BMI)歲月-3SD-2SD-1SD中位數(shù)+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歲男童體質(zhì)指數(shù)(BMI)/年齡標(biāo)準(zhǔn)差數(shù)值表(續(xù))年齡體質(zhì)指數(shù)(BMI)歲月-3SD-2SD-1SD中位數(shù)+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月齡的男童使用臥式身長計測量身長,則使用年齡為2a行的數(shù)據(jù),若其使用立式身高計測量身高,則使用年齡為2b行的數(shù)據(jù)。此表上0-2歲的BMI值是根據(jù)身長測算的,若0-2歲的男童測量的是立式身高,要在身高基礎(chǔ)上增加0.7cm,轉(zhuǎn)換成身長后再計算BMI指數(shù)。若2-5歲的男童測量的是臥式身長,則要在身長基礎(chǔ)上減少0.7cm,轉(zhuǎn)換成身高后再計算。2006年WHO兒童生長標(biāo)準(zhǔn)附件13年齡身長(cm)體重(kg)歲月-3SD-2SD-1SD中位數(shù)年齡身長(cm)體重(kg)歲月-3SD-2SD-1SD中位數(shù)+1SD+2SD+3SD-3SD-2SD-1SD中位數(shù)+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月齡的女童使用立式身高計測量身高,則數(shù)值請參見“2-5歲女童身高、體重標(biāo)準(zhǔn)差單位數(shù)值表”的24月齡數(shù)據(jù)2006年WHO兒童生長標(biāo)準(zhǔn)附件142~7歲女童身高/年齡、體重/年齡標(biāo)準(zhǔn)差數(shù)值表年齡身高(cm)體重(kg)歲月-3SD-2SD-1SD中位數(shù)+1SD+2SD+3SD-3SD-2SD-1SD中位數(shù)+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歲女童身高/年齡、體重/年齡標(biāo)準(zhǔn)差數(shù)值表(續(xù))年齡身高(cm)體重(kg)歲月-3SD-2SD-1SD中位數(shù)+1SD+2SD+3SD-3SD-2SD-1SD中位數(shù)+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

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