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新的宫内生长百分位数:土耳其伊斯坦布尔一项基于医院的研究。

New intrauterine growth percentiles: a hospital-based study in Istanbul, Turkey.

作者信息

Salihoglu Ozgul, Karatekin Guner, Uslu Sinan, Can Emrah, Baksu Basak, Nuhoglu Asiye

机构信息

Department of Neonatology, Sisli Etfal Training and Research Hospital, Istanbul, Turkey.

出版信息

J Pak Med Assoc. 2012 Oct;62(10):1070-4.

PMID:23866450
Abstract

OBJECTIVE

To develop gender and gestation-specific growth percentiles for singleton live-born neonates and to compare new weight for age unisex percentiles with Lubchenco unisex percentiles.

METHODS

Cross-sectional birth data were collected from the neonatal registry from January 2000 to April 2006 (n = 15.509). After exclusion, the sample included 15.112 neonates.

RESULTS

Newly developed weight for age, charts were compared with Lubchenco unisex percentiles, 91.8% of the subjects were classified in the same way (Kappa = 0.74, P < 0.001). Small for gestational age (SGA) and large for gestational age (LGA) according to the Lubchenco percentiles differed from the new percentiles (Mc Nemar test, P < 0.001). The percentage of SGA neonates was underestimated by Lubcheno percentile (5.8% vs. 10.6%, respectively), whereas the percentage of LGA neonates was overestimated by Lubcheno percentile (10.3% vs. 9.3%, respectively).

CONCLUSION

New growth chart for newborn delivered at different gestational ages have been established, which can be used to define SGA and LGA in Turkish neonates. Studies comparing the Lubchenco percentiles with new percentiles are needed.

摘要

目的

为单胎活产新生儿制定性别和孕周特异性生长百分位数,并将新的不分性别的年龄别体重百分位数与卢琴科不分性别的百分位数进行比较。

方法

收集2000年1月至2006年4月新生儿登记处的横断面出生数据(n = 15509)。排除后,样本包括15112名新生儿。

结果

将新制定年龄别体重图表与卢琴科不分性别的百分位数进行比较,91.8%的受试者分类方式相同(Kappa = 0.74,P < 0.001)。根据卢琴科百分位数划分的小于胎龄儿(SGA)和大于胎龄儿(LGA)与新百分位数不同(Mc Nemar检验,P < 0.001)。卢琴科百分位数低估了SGA新生儿的百分比(分别为5.8%和10.6%),而高估了LGA新生儿的百分比(分别为10.3%和9.3%)。

结论

已建立不同孕周分娩新生儿的新生长图表,可用于定义土耳其新生儿的SGA和LGA。需要进行将卢琴科百分位数与新百分位数进行比较的研究。

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