Neonatal Unit, University of Turin, 10126 Turin, Italy.
J Biol Regul Homeost Agents. 2012 Jul-Sep;26(3 Suppl):15-7.
Auxological evaluation of the newborn should be based on accurate anthropometry at birth and a reliable estimate of gestational age (GA). However, a comprehensive evaluation of the neonate should consider not only anthropometric traits at birth, but also fetal ultrasound biometry and Doppler velocimetry. Many charts have been proposed, but they are hardly comparable with each other, due to numerous methodological problems. The Italian Societies of Neonatology, of Pediatric Endocrinology and Diabetology and the Italian Society of Medical Statistics and Clinical Epidemiology promoted a multicenter survey with the aim to produce an Italian neonatal anthropometric reference (Italian Neonatal Study [INeS] charts) fulfilling the set of the criteria that a reliable neonatal chart should possess. In order to construct an international standard, an international project (INTERGROWTH-21st) has started a study aiming to create a prescriptive standard. Until an international standard is developed, the use of national updated reference charts is recommended.
新生儿的人体测量学评估应基于出生时准确的人体测量学数据和可靠的胎龄(GA)估计。然而,对新生儿的全面评估不仅应考虑出生时的人体测量学特征,还应考虑胎儿超声生物测量和多普勒血流速度。已经提出了许多图表,但由于存在许多方法学问题,它们几乎无法相互比较。意大利新生儿学会、儿科内分泌学和糖尿病学会以及意大利医学统计学和临床流行病学学会发起了一项多中心调查,旨在制定符合可靠新生儿图表应具备的一系列标准的意大利新生儿人体测量学参考(意大利新生儿研究[INeS]图表)。为了制定国际标准,一个国际项目(INTERGROWTH-21st)已经启动了一项研究,旨在创建一个规范性标准。在制定国际标准之前,建议使用国家更新的参考图表。