对胎儿和新生儿生长曲线的比较分析
Josep Figueras-Aloy1, Montserrat Izquierdo Renau2, Ana Herranz Barbero1
1Servicio de Neonatología, ICGON, IDIBAPS, Hospital Clínic-Maternitat, BCNatal, Barcelona, Spain.
Anales de pediatria
|April 23, 2024
概括
跨生长的胎儿曲线最好地识别出妊娠年龄 (SGA) 小的新生儿的死亡风险. 对于长期的生长监测,Fenton和Intergrowth曲线是从出生到10岁最有效的.
科学领域:
- 新生儿科学 新生儿科学
- 儿童生长监测 儿童生长监测
- 围产儿医学 围产儿医学
背景情况:
- 确定最佳生长参考是评估新生儿结果的关键.
- 对于妊娠年龄 (SGA) 较小的新生儿面临的死亡风险增加.
- 准确的生长监测对于小儿发展至10岁至关重要.
研究的目的:
- 确定胎儿和新生儿生长曲线,以最好地预测怀孕年龄小的新生儿的死亡率.
- 建立最有效的生长曲线来监测婴儿到10岁的成长.
- 为了比较SGA新生儿各种生长图的区分能力.
主要方法:
- 对15122名新生儿 (2013-2022) 和6913名早产婴儿 (<32周,2019-2022) 的分析.
- 使用概率比率 (LR) 评估增长曲线,用于SGA子组的死亡率预测.
- 在定量回归中评估R平方值,以确定最佳的长期增长监测曲线.
主要成果:
- 跨生长胎儿和芬顿新生儿曲线显示,与早产婴儿 (<32周) 死亡率的最强相关性.
- 奥尔森和增长间曲线被认为是早产婴儿和新生儿的最佳情况.
- 对于监测人类数值到10岁,纵向增长间曲线是最有用的,其次是世卫组织标准. 芬顿曲线最好用于从出生到10岁的单一参考.
结论:
- 跨生长参考提供了最具歧视性的胎儿生长曲线.
- 芬顿和世卫组织的图表被推作为新生儿临床实践中的最佳参考.
- 增长曲线的选择取决于具体的临床应用,无论是死亡率预测还是长期监测.
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