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使用细分尺度推断身高与儿童和青少年的直接测量身高相比:一个分析横截面研究
Isabela Lima Negrão1, Márcia Reimol de Andrade1, José Carlos R Rodrigues1
1Universidade Federal de São João del-Rei (UFSJ), Departamento de Medicina, Campus Dom Bosco Campus, São João del-Rei, MG, Brazil.
Jornal de pediatria
|July 5, 2024
概括
在直接测量身高是不可能的情况下,膝盖-长度 (KHL) 和长度 (TL) 对于估计儿科身高是有价值的. 这些细分测量,特别是KHL,为在临床环境中评估儿童成长提供了更准确的替代方案.
科学领域:
- 儿科内分泌学和人类学.
- 临床评估儿童的成长和发育.
背景情况:
- 在临床实践中,身高是评估儿科生长的主要指标.
- 直接测量身高可能对卧床或失能儿童来说具有挑战性.
- 分段人类测量措施为身高估计提供了一个可行的替代方案.
研究的目的:
- 为了确定哪个细分测量 (上臂长度 (UAL),骨长度 (TL) 或膝盖-脚长度 (KHL)) 最好估计孩子的实际身高.
- 为了比较不同方程的准确性,用于间接的高度估计.
主要方法:
- 一项涉及248名年龄在0~14岁的儿童的分析横截面研究.
- 人类测量和细分参数的测量.
- 使用史蒂文森方程和基哈拉方程间接估计高度.
主要成果:
- 膝盖至部长度 (KHL) 提供了与实际身高最接近的估计值,其次是部长度 (TL).
- 使用史蒂文森方程计算时,KHL和TL估计都更准确.
- 发现上臂长度 (UAL) 在身高估计方面不那么准确.
结论:
- 像KHL和TL这样的细分测量对估计身高具有临床价值,特别是在无法直接测量的患者中.
- 在儿童群体中,KHL和TL比UAL更准确地预测身高.
- 这些发现支持在常规儿科临床实践中用于增长评估的特定细分测量的使用.
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