改良宫高测量法对胎儿体质量估计的临床意义

发布时间：2018-12-13 05:09

【摘要】：目的探讨改良宫高测量法对胎儿体质量估计的准确性。方法选择2013年12月1日至2014年4月30日在重庆医科大学附属第二医院进行分娩的547名孕妇,于产前分别采用子宫倾斜角及宫高测量仪测量改良宫高、常规宫高及腹围,运用临床常用公式计算改良宫高法和常规宫高法估测的胎儿体质量,并与胎儿出生的实际体质量相比较,计算符合率。结果 547例孕妇改良宫高测量法所得宫高平均值为(31.7±2.30)cm,常规方法测量的宫高平均值为(34.7±2.46)cm,改良法所得平均宫高明显小于常规法所得平均宫高(t=54.25,P0.01)。改良宫高法所测量数值使用宫高腹围法、袁冬生法、卓晶如法、凌萝达法、曾蔚越法及顾国华法估测新生儿体质量和新生儿出生实际体质量的符合率分别为68.4%、69.7%、59.4%、67.8%、69.3%、78.4%,而常规宫高法所测量数值计算的符合率分别为53.4%、34.4%、54.3%、46.1%、38.8%、45.9%,其中宫高腹围法、袁冬生法、凌萝达法、曾蔚越法、顾国华法采用改良宫高估计的胎儿体质量符合率明显高于采用常规宫高所得符合率(P0.01)。结论使用子宫倾斜角及宫高测量仪测定的改良宫高预测胎儿体质量准确率较高,具有重要的临床应用价值。
[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 卤2.30) cm, and (34.7 卤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.
【作者单位】：重庆医科大学附属第二医院妇产科;重庆市中医院乳腺甲状腺外科;
【分类号】：R714.51

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