评估需要多次超声波测量来准确预测出生体重的需要,使用估计的胎儿体重
Madeleine E St Ville1, Katherine L Grantz2, Jessica L Gleason2
1Biostatistics and Bioinformatics Branch, Division of Population Health Research, Division of Intramural Research, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, Maryland, USA.
概括
平均复制胎儿生物识别测量并没有提高预计胎儿体重 (EFW) 准确度来预测出生体重. 一次高质量的测量可能足以预测出生体重.
科学领域:
- 产科和妇科 产科和妇科
- 胎儿医学 胎儿医学
- 诊断性的超声波检查
背景情况:
- 准确估计胎儿体重 (EFW) 对于管理怀孕和预测出生结果至关重要.
- 标准实践通常涉及多次生物识别测量,但平均复制对EFW准确性的好处尚未确立.
研究的目的:
- 为了确定复制胎儿生物识别测量 (头周长,腹周长,股骨长度) 的平均值是否与单个测量相比提高了EFW预测的准确性.
- 分析胎儿生物识别测量的变化在整个妊娠期间如何变化.
主要方法:
- 对NICHD胎儿生长研究-单身子数据集的二次分析.
- 胎儿生物识别测量 (HC,AC,FL) 在六次研究访问中进行了三次测量.
- 对单个和平均测量与实际出生体重之间的EFW预测准确性进行了比较.
主要成果:
- 在整个妊娠期的复制测量 (HC,AC,FL) 中观察到最小的变化.
- 平均复制测量并没有显著提高EFW准确性;百分比错误和出生体重10%内的比例与单次测量相似.
- 敏感性分析证实了这些零发现.
结论:
- 在受控的研究环境中,平均复制胎儿生物识别测量并不能提高EFW对出生体重的预测.
- 一个单一的,高质量的胎儿生物识别测量可能足以预测EFW.
- 需要进一步的研究来确认可将其通用化为常规临床实践.
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