意大利新生儿出生体重图表来源于INeS,并未按出生顺序分开
Elena Spada1, Chiara Peila2, Alessandra Coscia1
1Department of Public Health and Pediatrics, Neonatal Unit, University of Turin, Turin, Italy.
Italian journal of pediatrics
|April 28, 2024
概括
新的意大利新生儿图表 (INeS) 不按出生顺序分离,在缺少平价数据时提供可靠的出生体重评估. 这些图表有助于识别妊娠年龄小 (SGA) 和妊娠年龄大 (LGA) 的新生儿,以便更好地预测健康风险.
科学领域:
- 新生儿科学 新生儿科学
- 儿科生长标准 儿童生长标准
- 生物统计学 生物统计学
背景情况:
- 准确评估胎儿生长对于预测新生儿健康风险和指导早期干预至关重要.
- 对于妊娠年龄来说小 (SGA) 和妊娠年龄来说大 (LGA) 的分类确定新生儿患产后疾病的风险较高.
- 现有的意大利新生儿图表 (INeS) 以前是按出生顺序分开的,占出生体重的3%的差异.
研究的目的:
- 提交新的意大利新生儿图表 (INeS) 出生体重没有分离出生的顺序.
- 为新生儿人类测量评估提供可靠的工具,当平价信息不可用或不可靠时.
- 为了方便与其他国际新生儿图表进行比较,这些图表不根据出生顺序进行区分.
主要方法:
- 使用参数函数来追踪23至42周的妊娠年龄的非分离INeS图表.
- 采用Cole和Green的Lambda Mu和Sigma (LMS) 模型来对图表进行参数化.
- 能够计算标准偏差得分以进行准确的风险评估.
主要成果:
- 非分离的INeS图表的百分点位于先前分离的第一和后生图表之间的百分点之间.
- 预产期观察到的最大体重差异约为100g,以后出生图表和70g,以初生图表.
- 对于两性来说,L和S功能表现出相似的形状,特定的峰值表明了跨妊娠年龄的生长模式.
结论:
- 非分离的出生体重INeS图表为新生儿健康评估提供了宝贵的资源,特别是在没有平价数据的情况下.
- 在分离和非分离图表之间观察到的差异通常很小,这证实了它们的可靠性.
- 这些图表,以及L和S参数的见解,增强了SGA和LGA新生儿出生体重的标准化和性别/妊娠年龄调整,支持新生儿学研究和临床实践.
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