Klimek R, Klimek M, Rzepecka-Weglarz B
Chair and Department of Endocrinology and Fertility, Jagiellonian University, Cracow, Poland.
Int J Gynaecol Obstet. 2000 Nov;71(2):101-5. doi: 10.1016/s0020-7292(00)00261-7.
To investigate the clinical repeatability of Klimek's method of fetal maturity assessment in newborns.
A cohort of 800 consecutive singletons was assessed immediately after birth by a pediatrician, who was unaware of the infants' gestational age. The assessment, according to Klimek's method, consisted of six criteria to evaluate posture and skin appearance, and each variable was scored from 0 to 2 points. After dividing the material into two identical groups, the results were compared with those obtained by means of Ballard's method.
Statistical analysis did not show statistically significant differences between the compared averages in both groups. A significant correlation between the clinically compared methods of fetal maturity grading was found (r> or =0.69, t> or =19, and P<0.001).
Klimek's method of fetal maturity assessment offers a possibility of objective evaluation of maturity immediately after birth. The clinical methods used to date do not have such advantages. Moreover, they require the evaluation of 12-34 parameters, their point range is more complex and their results are given on the scale of 10-50 points. In each of the applied divisions of observed newborns, there was found a high, statistically significant correlation between the indexes evaluating maturity by means of both comparable methods (i.e. Ballard and Klimek scores), which do not take into account weight and fetal age, but refer directly to fetal maturity. The new scale, which has been proposed, is simple and produces comparable results encompassing full maturity in the range of only 6-12 points.
研究克利梅克法评估新生儿胎儿成熟度的临床可重复性。
一组800例连续的单胎新生儿出生后立即由一位不知晓婴儿胎龄的儿科医生进行评估。根据克利梅克法，评估包括六项评估姿势和皮肤外观的标准，每个变量从0到2分进行评分。将资料分成两个相同的组后，将结果与通过巴拉德法获得的结果进行比较。
统计学分析未显示两组比较平均值之间存在统计学显著差异。发现临床比较的胎儿成熟度分级方法之间存在显著相关性（r≥0.69，t≥19，P<0.001）。
克利梅克法评估胎儿成熟度为出生后立即进行成熟度的客观评估提供了可能。迄今为止使用的临床方法不具备这样的优势。此外，它们需要评估12 - 34个参数，其评分范围更复杂，结果以10 - 50分的量表给出。在观察的新生儿的每个应用分组中，通过两种可比方法（即巴拉德评分和克利梅克评分）评估成熟度的指标之间发现了高度的、统计学显著的相关性，这两种方法不考虑体重和胎龄，而是直接参考胎儿成熟度。所提出的新量表简单，产生的可比结果涵盖仅6 - 12分范围内的完全成熟度。
