来自北印度的单独和双胞胎新生儿的出生生长曲线上的基准性别特定的新生儿大小
Ambalakkuthan Murugesan1,2, Sushma Nangia1, Arvind Saili1
1Department of Neonatology, Lady Hardinge Medical College & Associated Hospitals, New Delhi, India.
Paediatrics & child health
|November 14, 2024
概括
北印度早产婴儿的新增长图显示,它们比国际标准小. 这些图表可以提高识别妊娠年龄小 (SGA) 新生儿的准确性,减少SGA发病率的高估.
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
- 公共卫生 营养 公共卫生 营养
背景情况:
- 准确的生长评估对于早产新生儿至关重要.
- 现有的全球增长图表可能无法准确地代表北印度早产婴儿等多样化的人口.
- 对妊娠年龄 (SGA) 的小小的高估可能会导致不必要的干预.
研究的目的:
- 为北印度的早产人口构建新的参考增长曲线.
- 将这些新图表与现有的国际增长标准进行比较.
- 评估使用特定区域图表对SGA评估的影响.
主要方法:
- 预期招收早产新生儿 (怀孕23-36周),不包括死胎和先天性形.
- 在出生后18小时内进行人体测量测量,并使用包括扩展新巴拉德分数 (ENBS) 在内的方法组合评估妊娠年龄.
- 使用GAMLSS方法在R软件中构建光滑的百度曲线,用于单个和双胞胎新生儿,按性别分层.
主要成果:
- 分析了2290名单独生和414名双胞胎早产新生儿的数据.
- 与国际标准相比,印度早产婴儿的体型较小.
- 使用新的图表将SGA比例从23.1% (芬顿图表) 降至10.9%.
结论:
- 开发的参考图表适用于评估北印度早产人口的增长.
- 使用西方的增长图表会高估这一群体中SGA的发病率.
- 特定区域的生长图表对于准确的新生儿评估和护理至关重要.
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