应用国际新标准筛查SGA和LGA的可行性研究

发布时间：2018-02-16 19:35

本文关键词： 新生儿出生体重 SGA LGA　出处：《安徽医科大学学报》2017年02期 　论文类型：期刊论文

【摘要】：目的应用the INTERGROWTH-21~(st)Project(2014)标准筛查小于胎龄儿(SGA)和大于胎龄儿(LGA)的可行性。方法应用我国15城市标准和the INTERGROWTH-21~(st) Project(2014)标准对收集的1 859例新生儿出生体重进行分布描述,同时按中国定义和国际定义筛查SGA和LGA,以我国15城市不同胎龄新生儿的正常体重标准为金标准,对the INTERGROWTH-21~(st)Project(2014)标准筛查SGA和LGA。结果收集到的1 859例新生儿出生体重资料显示,小于中国15城市标准和the INTERGROWTH-21~(st)Project(2014)标准P3的婴儿数分别为23、31例,而大于P97的婴儿数分别为308、107例,差异有统计学意义(P0.01)。以P10和P90为切点,中国15城市标准和the INTERGROWTH-21~(st)Project(2014)标准SGA发生率分布为3.98%、4.68%。LGA发生率分别为30.61%、17.11%;以P3和P97为切点,中国15城市标准和the INTERGROWTH-21~(st)Project(2014)标准SGA发生率分布为1.24%、1.67%,LGA发生率分别为16.57%、5.76%。the INTERGROWTH-21~(st)Project(2014)标准筛查SGA和LGA,灵敏度、阴性似然比均较低,特异度、阳性预测值、阴性预测值、阳性似然比较高。结论可以应用the INTERGROWTH-21~(st)Project(2014)标准检出SGA和LGA。
[Abstract]:Objective to evaluate the feasibility of screening small gestational age (SGA) and larger than gestational age (LGA) by the InterGROWTH-21stGROWTH-21stProject (2014.Methods to describe the distribution of birth weight of 1 859 newborns collected according to the standard of 15 cities in China and the InterGROWTH-21stProject 2014). At the same time, according to the definition of China and the international definition, the normal weight standard of newborns of different gestational ages in 15 cities of China was taken as the gold standard, and the the InterGROWTH-21stProject 2014) standard was used to screen SGA and LGA.Results the data of 1 859 newborns' birth weight collected from the study showed that. The number of infants less than 15 cities in China and the INTERGROWTH-21 / 21 standard P3 was 2331 cases, while the number of infants larger than P97 was 308,107 cases respectively, the difference was statistically significant (P 0.01), taking P10 and P90 as cutting points. The incidence rate of SGA in China's 15 urban standards and the InterGROWTH-21stProject 2014) is 3.98 and 4.68.LGA is 30.61and 17.11, respectively; with P3 and P97 as cutting points, the incidence of SGA in China's 15 urban standards and the InterGROWTH-21stProject2014) is 1.24 / 1.67LGA (16.575.76.The INTERGROWTH-21stProject2014) standard screening for SGA and LGA, sensitivity, sensitivity, sensitivity, Negative likelihood ratio was lower, specificity, positive predictive value, negative predictive value and positive likelihood ratio were higher. Conclusion SGA and LGA can be detected by the standard.
【作者单位】：安徽医科大学公共卫生学院营养与食品卫生学系;
【基金】：安徽省教育厅自然基金重点项目(编号:KJ2012A158) 安徽省自然科学基金面上项目(编号:1408085MH160) 国家自然科学基金面上项目(编号:81373011)
【分类号】：R714.5

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