双双胞胎的成长是否可以通过个性化成长评估来监测?
1Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, TX, USA.
概括
双双胞胎表现出类似的胎儿生长潜力和轨迹与单身双胞胎. 个体增长评估和胎儿生长病理评分 (-FGPS1) 有效地描述双胞胎的生长和病理.
科学领域:
- 周围生理学 周围生理学
- 胎儿医学 胎儿医学
- 新生儿科学 新生儿科学
背景情况:
- 双双胞胎在评估胎儿生长方面存在独特的挑战.
- 个人增长评估 (IGA) 提供了一种估计个人增长潜力的方法.
研究的目的:
- 用IGA来描述二双胞胎的胎儿生长情况.
- 在双胞胎怀孕中评估胎儿生长病理学得分1 (-FGPS1) 的实用性.
主要方法:
- 来自ESPRiT研究的286个胎儿/新生儿的二次分析.
- 利用连续生物识别扫描和出生测量进行生长评估.
- 应用IGA来比较双胞胎与单胞胎的生长情况,并使用 -FGPS1.1评估生长病理.
主要成果:
- 双胞胎的第二个三个月的生长速度与单胞胎的生长速度相似.
- 大多数双胞胎遵循预期的第三季度生长轨迹;在37.9%的AGA双胞胎和85.7%的SGA双胞胎中检测到异常生长.
- -FGPS1准确地分类了97.5%的病理双胞胎病例,在生长异常和新生儿不良后果之间发现了有限的联系.
结论:
- 双双胞胎表现出与单双胞胎相似的生长潜力和发展轨迹.
- IGA和-FGPS1是有效的工具,用于评估二双胞胎的胎儿生长和病理.
- 需要进一步的研究来澄清胎儿生长异常与双胞胎新生儿不良结果之间的关系.
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