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构建用于监测宫内胎儿生长的本地标准宫底高度曲线。

Construction of a local standard symphysis fundal height curves for monitoring intrauterine fetal growth.

作者信息

Medhat W M, Fahmy S I, Mortada M M, Sallam H N, Nofal L M, Nosseir S A, Aboulfotouh M A

机构信息

High Institute of Public Health, Alexandria University.

出版信息

J Egypt Public Health Assoc. 1991;66(3-4):305-31.

PMID:1791406
Abstract

The aim of the present study was to construct standard symphysis fundal height percentile curves to be used as a reference chart in monitoring fetal growth. The construction was based on 1185 observations (symphysis fundal height measured to the nearest 0.5 cm by a malleable elastic tape) obtained from follow up of 105 cases of healthy pregnant women who were: sure of date of their last menstrual period, confirmed by early dating scan "before 20th gestational week", experienced a very strict normal course of pregnancy, giving birth to normal term newborn with appropriate weight for gestational age and sex. The selection of the study sample went through several screening levels starting by 4088 cases and ending by 105 cases. The measurements were taken biweekly from the 18th week of gestation to delivery "37-42 weeks of gestation." Tenth, 25th, 50th, 75th, 90th and 95th percentiles were calculated and represented graphically. Mean, mean-1 SD, mean-2 SD, mean +1 SD, mean + 2 SD were also calculated and represented graphically. The curve of best fit was determined by polynominal regression. The resulted percentile curves and mean values were found to be comparable to those in both developed and developing countries. It was recommended to incorporate the reference charts of symphysis fundal height into the maternity services after using it in routine antenatal examination for large number of cases and establishing its sensitivity and specificity.

摘要

本研究的目的是构建标准的宫底高度百分位数曲线,用作监测胎儿生长的参考图表。该曲线的构建基于对105例健康孕妇随访获得的1185次观察结果(使用可塑弹性卷尺测量宫底高度,精确到最接近的0.5厘米),这些孕妇:月经末次日期确定,在妊娠20周前经早期超声检查确认,孕期经历非常严格的正常过程,分娩出孕周和性别合适的足月新生儿。研究样本的选择经过了几个筛选阶段,从4088例开始,最终确定为105例。测量从妊娠第18周开始,每两周进行一次,直至分娩(妊娠37 - 42周)。计算了第10、25、50、75、90和95百分位数,并以图形表示。还计算了均值、均值减1个标准差、均值减2个标准差、均值加1个标准差、均值加2个标准差,并以图形表示。通过多项式回归确定最佳拟合曲线。结果发现所得的百分位数曲线和均值与发达国家和发展中国家的曲线和均值相当。建议在大量病例的常规产前检查中使用宫底高度参考图表并确定其敏感性和特异性后,将其纳入产科服务。

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