重庆医学
重慶醫學
중경의학
Chongqing Medicine
2015年
25期
3526-3528
,共3页
唐溪瞳%孙江川%常淑芳%王亚冬
唐溪瞳%孫江川%常淑芳%王亞鼕
당계동%손강천%상숙방%왕아동
胎儿%改良宫高%常规宫高%体质量
胎兒%改良宮高%常規宮高%體質量
태인%개량궁고%상규궁고%체질량
fetals%modiefied uterine fundal height%normal fundal height%weight
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,P <0.01)。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(P <0.01)。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。
目的：探討改良宮高測量法對胎兒體質量估計的準確性。方法選擇2013年12月1日至2014年4月30日在重慶醫科大學附屬第二醫院進行分娩的547名孕婦,于產前分彆採用子宮傾斜角及宮高測量儀測量改良宮高、常規宮高及腹圍,運用臨床常用公式計算改良宮高法和常規宮高法估測的胎兒體質量,併與胎兒齣生的實際體質量相比較,計算符閤率。結果547例孕婦改良宮高測量法所得宮高平均值為(31.7±2.30)cm,常規方法測量的宮高平均值為(34.7±2.46)cm,改良法所得平均宮高明顯小于常規法所得平均宮高(t=54.25,P <0.01)。改良宮高法所測量數值使用宮高腹圍法、袁鼕生法、卓晶如法、凌蘿達法、曾蔚越法及顧國華法估測新生兒體質量和新生兒齣生實際體質量的符閤率分彆為68.4%、69.7%、59.4%、67.8%、69.3%、78.4%,而常規宮高法所測量數值計算的符閤率分彆為53.4%、34.4%、54.3%、46.1%、38.8%、45.9%,其中宮高腹圍法、袁鼕生法、凌蘿達法、曾蔚越法、顧國華法採用改良宮高估計的胎兒體質量符閤率明顯高于採用常規宮高所得符閤率(P <0.01)。結論使用子宮傾斜角及宮高測量儀測定的改良宮高預測胎兒體質量準確率較高,具有重要的臨床應用價值。
목적：탐토개량궁고측량법대태인체질량고계적준학성。방법선택2013년12월1일지2014년4월30일재중경의과대학부속제이의원진행분면적547명잉부,우산전분별채용자궁경사각급궁고측량의측량개량궁고、상규궁고급복위,운용림상상용공식계산개량궁고법화상규궁고법고측적태인체질량,병여태인출생적실제체질량상비교,계산부합솔。결과547례잉부개량궁고측량법소득궁고평균치위(31.7±2.30)cm,상규방법측량적궁고평균치위(34.7±2.46)cm,개량법소득평균궁고명현소우상규법소득평균궁고(t=54.25,P <0.01)。개량궁고법소측량수치사용궁고복위법、원동생법、탁정여법、릉라체법、증위월법급고국화법고측신생인체질량화신생인출생실제체질량적부합솔분별위68.4%、69.7%、59.4%、67.8%、69.3%、78.4%,이상규궁고법소측량수치계산적부합솔분별위53.4%、34.4%、54.3%、46.1%、38.8%、45.9%,기중궁고복위법、원동생법、릉라체법、증위월법、고국화법채용개량궁고고계적태인체질량부합솔명현고우채용상규궁고소득부합솔(P <0.01)。결론사용자궁경사각급궁고측량의측정적개량궁고예측태인체질량준학솔교고,구유중요적림상응용개치。
Objective To investigate the accuracy of fetal weight estimation by modiefied uterine fundal height.Methods Totally 547 pregnant women admitted to maternity ward of the Second Affiliated Hospital of Chongqing Medical University from December 1,2013 to April 30,2014 with childbirth were chosen as the subject.The modified uterine fundal height were measured by the uterus inclination and modiefied fundal height admeasuring apparatus,normal uterine fundal height and and abdomen circumfer-ence were measured by tape.The fetal weight was estimated by utilizing modified uterine fundal height.Results The modified fun-dal height was(31.7±2.30)cm,which was significantly higher than that normal fundal height(34.7 ± 2.46 )cm(t = 54.25,P <0.01).The accuracy rate of modified uterine fundal height for fetal weight estimation with empirical formulas,Yuan′s,Zhuo′s,Lin′s,Zen′s,Gu′s were 68.4%,69.7%,59.4%,67.8%,69.3%,78.4%,respectively.The accuracy rate of normal uterine fundal height for fetal weight estimation with the same formulas were 53.4%,34.4%,54.3%,46.1%,38.8%,45.9%,respectively.The accuracy rate of modiefied uterine fundal height for fetal weight estimation with empirical formulas,Yuan′s,Lin′s,Zen′s,Gu′s were significantly higher than that of utilizing normal uterine fundal height estimation with the same formulas(P <0.01).Conclusion Modified uterine fundal height has better accuracy in estimating fetal weight,it has a important clinical significance.
