【摘要】：目的探討改良宮高測(cè)量法對(duì)胎兒體質(zhì)量估計(jì)的準(zhǔn)確性。方法選擇2013年12月1日至2014年4月30日在重慶醫(yī)科大學(xué)附屬第二醫(yī)院進(jìn)行分娩的547名孕婦,于產(chǎn)前分別采用子宮傾斜角及宮高測(cè)量?jī)x測(cè)量改良宮高、常規(guī)宮高及腹圍,運(yùn)用臨床常用公式計(jì)算改良宮高法和常規(guī)宮高法估測(cè)的胎兒體質(zhì)量,并與胎兒出生的實(shí)際體質(zhì)量相比較,計(jì)算符合率。結(jié)果 547例孕婦改良宮高測(cè)量法所得宮高平均值為(31.7±2.30)cm,常規(guī)方法測(cè)量的宮高平均值為(34.7±2.46)cm,改良法所得平均宮高明顯小于常規(guī)法所得平均宮高(t=54.25,P0.01)。改良宮高法所測(cè)量數(shù)值使用宮高腹圍法、袁冬生法、卓晶如法、凌蘿達(dá)法、曾蔚越法及顧國(guó)華法估測(cè)新生兒體質(zhì)量和新生兒出生實(shí)際體質(zhì)量的符合率分別為68.4%、69.7%、59.4%、67.8%、69.3%、78.4%,而常規(guī)宮高法所測(cè)量數(shù)值計(jì)算的符合率分別為53.4%、34.4%、54.3%、46.1%、38.8%、45.9%,其中宮高腹圍法、袁冬生法、凌蘿達(dá)法、曾蔚越法、顧國(guó)華法采用改良宮高估計(jì)的胎兒體質(zhì)量符合率明顯高于采用常規(guī)宮高所得符合率(P0.01)。結(jié)論使用子宮傾斜角及宮高測(cè)量?jī)x測(cè)定的改良宮高預(yù)測(cè)胎兒體質(zhì)量準(zhǔn)確率較高,具有重要的臨床應(yīng)用價(jià)值。
[Abstract]:Objective to study the accuracy of the modified uterine height measurement in estimating fetal body mass. Methods 547 pregnant women who were delivered in the second affiliated Hospital of Chongqing Medical University from December 1, 2013 to April 30, 2014 were selected. The uterine tilt angle and height meter were used to measure the uterine height, the normal height and the abdominal circumference, respectively. The fetal body mass was estimated by the modified uterine height method and the conventional uterine height method, and the coincidence rate was calculated compared with the actual body mass of the fetus born. Results the mean value of uterine height was (31.7 鹵2.30) cm, and (34.7 鹵2.46) cm,. The average uterine height obtained by the improved method was significantly lower than that by the conventional method (t = 54.25, P 0.01). The values measured by the modified Gong Gao method were estimated by the methods of uterus height abdominal circumference method, Yuan Dongsheng method, Zhuo Jingru method, Ling Luoda method, Zeng Yuyue method and Gu Guohua method, respectively, and the coincidence rates of estimating newborn body mass and newborn actual body mass were 68.4%, respectively. 69.7 and 59.4 and 67.8 and 69.3, and 78.4, and the accuracy of the numerical calculations measured by the conventional method of height was 53.4 and 34.4, respectively, and the score of 46.1was 38.8 and 45.9, respectively. Among them, the coincidence rate of fetal body mass estimated by modified uterine height method, Yuan Dongsheng method, Ling Luoda method, Zeng Weiyue method and Gu Guohua method was significantly higher than that by conventional uterine height method (P0.01). Conclusion the improved uterine height measured by uterine tilt angle and uterine height measurement has high accuracy in predicting fetal body mass and has important clinical application value.
【作者單位】： 重慶醫(yī)科大學(xué)附屬第二醫(yī)院婦產(chǎn)科;重慶市中醫(yī)院乳腺甲狀腺外科;
【分類號(hào)】：R714.51

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