波兰出生体重与妊娠年龄的参考值,与全球百分比标准的比较
Agnieszka Genowska1, Birute Strukcinskiene2, Joanna Bochenko-Łuczyńska3
1Department of Public Health, Medical University of Bialystok, 15-295 Bialystok, Poland.
Journal of clinical medicine
|September 9, 2023
概括
这项研究为波兰新生儿建立了新的出生体重百分比图表,揭示了与国际标准的差异. 这些国家参考资料对于准确评估新生儿生长和确定需要更密切监测的婴儿至关重要.
科学领域:
- 新生儿健康与发育
- 公共卫生和流行病学
- 生物统计学 生物统计学
背景情况:
- 根据妊娠年龄 (GA) 进行准确的出生体重评估对于临床评估和及时干预至关重要.
- 目前,波兰缺乏用于新生儿生长评估的国家参考图表.
- 现有的国际标准可能不能准确地反映波兰新生儿人口.
研究的目的:
- 建立从单独分娩产生的波兰新生儿出生体重百分位数的国家参考范围.
- 将波兰开发的百分比图表与国际标准 (INTERGROWTH-21和WHO) 进行比较.
主要方法:
- 分析了从2010年到2019年的波兰单胎活产的大量数据集 (n=3,745,239).
- 应用Lambda Mu Sigma (LMS) 方法和定位尺度和形状 (GAMLSS) 包的一般化添加模型.
- 为妊娠年龄23-42周构建平滑的出生体重百分位数图表 (第3-97位).
主要成果:
- 与国际标准相比,波兰新生儿的出生体重较高.
- 在所有妊娠年龄段,男孩的出生体重通常高于女孩.
- 对男女来说,在第10百分比和第90百分比之间观察到显著的体重范围.
结论:
- 制定的国家出生体重百分比图表对于评估波兰新生儿的成长至关重要.
- 这些发现凸显了对人口特异性增长参考的需求.
- 这些图表在临床上很重要,用于识别需要产后监测的新生儿.
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