使用六个尺寸标准比较SGA和严重SGA利率 - 有什么区别吗?
Roie Alter1, Adiel Cohen1, Einav Kremer1
1Hadassah Ein Kerem Medical Center, Department of Obstetrics and Gynecology, Jerusalem, Israel.
概括
胎儿生长标准的选择对妊娠年龄 (SGA) 小而严重的SGA识别率产生重大影响. 选择适当的尺寸标准对于准确的新生儿风险评估和临床管理至关重要.
科学领域:
- 新生儿科学 新生儿科学
- 围产儿医学 围产儿医学
- 生物统计学 生物统计学
背景情况:
- 对于妊娠年龄小的新生儿 (SGA) 面临着增加的发病风险.
- 由于设计和种群的多样性,现有的SGA尺寸标准可能缺乏通用性.
- 关于识别SGA胎儿的最佳标准存在不确定性.
研究的目的:
- 用六种不同的胎儿尺寸标准来评估SGA和严重SGA率的变化.
- 为了比较各种国际和本地增长图的诊断性能.
- 突出不同SGA识别率的临床影响.
主要方法:
- 对超过32,000个单独分娩的回顾性队列研究.
- 定义SGA和严重SGA基于出生体重百分比 (第10和第3) 使用六种不同的生长标准.
- 包括哈德洛克,FMF,世卫组织,IG-21和两个基于当地人口的标准.
主要成果:
- 在评估的标准中观察到SGA和严重SGA率的显著变化.
- 世卫组织的标准确定了16.9%的SGA,而INTERGROWTH-21只确定了5.2%.
- FMF图表发现6.37%的严重SGA,与局部图表的1%相比 (p <0.001两者).
结论:
- 胎儿生长标准的选择对SGA和严重SGA的识别产生了重大影响.
- 率的差异强调了在临床实践中需要仔细考虑所选择的尺寸标准的必要性.
- 标准化或仔细选择尺寸标准对于一致的新生儿护理至关重要.
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