围产期因素对全产期低出生体重婴儿的影响以及预测模型的构建
Liang Xu1, Xue-Juan Sheng2, Lian-Ping Gu3
1Department of Neonatology, Suzhou Ninth People's Hospital, Suzhou 215200, Jiangsu Province, China.
World journal of clinical cases
|September 17, 2024
概括
满期婴儿的低出生体重 (LBW) 与母亲的教育,产前护理和怀孕健康有关. 一个预测模型准确地识别了LBW风险,有助于对更健康的新生儿进行临床管理.
科学领域:
- 围产儿医学 围产儿医学
- 新生儿健康 新生儿健康
- 公共卫生 公共卫生
背景情况:
- 低出生体重 (LBW) 是婴儿疾病的重要风险因素.
- 确定与LBW相关的围产期因素对于早期干预至关重要.
研究的目的:
- 调查影响期内低出生体重 (LBW) 婴儿的围产因素.
- 开发一个预测模型来指导临床护理和支持新生儿健康.
主要方法:
- 追溯分析了1794例满期怀孕的情况.
- 后勤回归用于识别LBW风险因素.
- 使用ROC曲线和Hosmer-Lemeshow测试开发和验证风险预测模型.
主要成果:
- 长期LBW的发生率为3.46% (62/1794).
- 确定了关键的风险因素:母亲教育水平低,产前检查少,体重增加不足,不规则的补充剂和妊娠高血压综合征.
- 预测模型显示出高准确度 (AUC=0.853,整体准确度=81.67%).
结论:
- 术语LBW与孕产妇教育,产前检查频率,孕产妇体重增加,补充和妊娠高血压有关.
- 开发的预测模型在评估 LBW.W. 期的风险方面是有效的.
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