青岛大学学报(医学版)2024,Vol.60Issue(1) :81-84.DOI:10.11712/jms.2096-5532.2024.60.007

分娩前超声检查对不同营养状况孕妇胎儿体质量估计效果

Accuracy of prenatal ultrasound examination in estimating fetal weight in pregnant women with different nutritional status

张蔼 王田华 于学娟 王玉婷 姜洁璇 范冬梅
青岛大学学报(医学版)2024,Vol.60Issue(1) :81-84.DOI:10.11712/jms.2096-5532.2024.60.007

分娩前超声检查对不同营养状况孕妇胎儿体质量估计效果

Accuracy of prenatal ultrasound examination in estimating fetal weight in pregnant women with different nutritional status

张蔼 1王田华 2于学娟 3王玉婷 1姜洁璇 1范冬梅1
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作者信息

  • 1. 青岛大学附属青岛市妇女儿童医院胎儿医学中心,山东青岛 266011
  • 2. 青岛市妇幼保健计划生育服务中心妇保科
  • 3. 莒县人民医院妇产科
  • 折叠

摘要

目的 比较超声Hadlock法与临床公式法(袁东法)评估胎儿体质量的符合率.方法 回顾分析2020年1-4月在青岛市妇女儿童医院产科住院分娩的1 715例孕妇的临床资料,按孕前体质量指数(BMI)分为体质量过低(<18.5 kg/m2)组177例、体质量正常(18.5~23.9 kg/m2)组1 118例、体质量超标(24.0~27.9 kg/m2)组317例、肥胖(≥28.0 kg/m2)组103例.分别应用超声Hadlock法与袁东法估测胎儿体质量,比较两种方法计算的估计胎儿体质量与实际出生体质量的差异.结果 4组超声Hadlock法评估胎儿体质量的准确率均明显高于袁东法(x2=25.212~435.840,P<0.01);Hadlock法评估胎儿体质量的准确率4组差异无统计学意义(x2=1.392,P>0.05),袁东法评估胎儿体质量的准确率随BMI升高而降低,差异有统计学意义(x2=59.34,P<0.01).结论 Hadlock法评估胎儿体质量的准确率明显高于袁东法,且不受孕妇孕前BMI影响.

Abstract

Objective To investigatethe coincidence rate between the Hadlock ultrasound method and the clinical formula method(Yuan Dong method)in assessing estimated fetal weight(EFW).Methods A retrospective analysiswas performed for the clinical data of 1 715 pregnant women who were hospitalized and gave birth in Department of Obstetrics,Qingdao Women and Children's Hospital,from January to April 2020,and according to the body mass index(BMI)before pregnancy,they were divi-ded into underweight(BMI<18.5 kg/m2)group with 177 women,normal weight(18.5-23.9 kg/m2)group with 1 118 women,overweight(24.0-27.9 kg/m2)group with 317 women,and obese(≥28.0 kg/m2)group with 103 women.Fetal weight was esti-mated using the Hadlock ultrasound method and the Yuan Dong method,and the two methods were compared in terms of the difference between EFW and actual birthweight.Results The Hadlock method had a significantly higher accuracy than the Yuan Dong methodin estimating fetal weight in each group(x2=25.212-435.840,P<0.01).There was no significant difference in the accuracy of the Hadlock method in estimatingfetal weight betweenthe four groups(x2=1.392,P>0.05),while the accuracy of the Yuan Dong method in estimating fetal weight decreased significantly with the increase in BMI(x2=59.34,P<0.01).Conclusion The Hadlock method has a significantly higher accuracy than the Yuan Dong method in estimating fetal weight and is not affected by the BMI of pregnant women before pregnancy.

关键词

孕妇/人体质量指数/超声检查,产前/估测/胎儿体重

Key words

pregnant women/body mass index/ultrasonography,prenatal/forecasting/fetal weight

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基金项目

山东省医药卫生科技发展计划(202005030-272)

出版年

2024
青岛大学学报(医学版)
青岛大学医学院

青岛大学学报(医学版)

CSTPCD
影响因子:0.8
ISSN:1672-4488
参考文献量24
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