调查约翰逊规则在估计胎儿体重时的准确性
Fariba Alidoosti1, Mahboubeh Valiani1, Masoume Pirhadi2
1Master Student of Midwifery, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
Journal of education and health promotion
|March 25, 2024
概括
约翰逊规则为估计胎儿体重提供了一种具有成本效益的方法,这对于管理分娩至关重要. 虽然对平均和大胎儿是准确的,但对小胎儿的准确性会降低.
科学领域:
- 产科和妇科 产科和妇科
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 临床生物识别技术
背景情况:
- 准确的胎儿体重估计对于降低围产死亡率和分娩管理至关重要.
- 约翰逊规则是估计胎儿体重的临床方法,但它的有效性需要研究.
研究的目的:
- 评估约翰逊规则在临床环境中估计胎儿体重的准确性和可靠性.
- 用约翰逊规则将估计的胎儿体重 (EFW) 与实际出生体重进行比较.
主要方法:
- 一项纵向研究涉及150名伊朗伊斯法罕的孕妇.
- 使用约翰逊规则估计胎儿体重,并与测量出生体重进行比较.
- 统计分析包括t配对测试,斯皮尔曼相关性和ROC曲线分析的灵敏度和特异性.
主要成果:
- 在平均出生体重 (3032.88 ± 481.11g) 和EFW (3152.15 ± 391.95g) (P < 0.001) 之间发现了显著的差异.
- 平均 (AGA) 和较大的妊娠年龄 (LGA) 胎儿 (分别为84.3%和70%) 的EFW精度高于较小的妊娠年龄 (SGA) 胎儿 (4%).
- 在SGA胎儿中,EFW的平均百分比误差在SGA胎儿中更大.
结论:
- 约翰逊法则是临床胎儿体重估计的一种易于获得和免费的方法.
- 这种方法是管理分娩的可行替代方案,特别是对AGA和LGA胎儿.
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