Jährig K, Jährig D, Poser H, Voigt M
Klinik für Kindermedizin, Ernst-Moritz-Arndt-Universität Greifswald.
Zentralbl Gynakol. 1989;111(6):350-5.
Re-classifying the newborns treated in the NICU of the University of Greifswald between 1983 and 1987, according to the percentiles (birthweight and length) of Lubchenco and the new standards recommended for the GDR after a data sampling in 1985, identic results could be found for the number of LGA using the 90th percentile. Certainly until the 34th week of gestation (but probably also thereafter), using the 10th percentile of the GDR standard, a to high rate (greater than 20%) of SGA infants could be found, whereas the range of birthweights of our own patients fitted exactly the distribution found by Lubchenco. The reason might be an underrepresentation of lifeborn VLBW infants in the GDR sample due to differences of the definitions used for the assessment of lifeborns and stillborns/fetal loss. Therefore, for practical use of the new standards as criterion for classifying AGA/SGA newborns until the 34th week of gestation the 5th percentile is recommended. A reevaluation of the distribution of birthweight in the GDR population is proposed including even-dead newborns in the data sampling.
根据卢琴科百分位数(出生体重和身长)以及1985年数据抽样后为民主德国推荐的新标准,对1983年至1987年在格赖夫斯瓦尔德大学新生儿重症监护病房接受治疗的新生儿进行重新分类,使用第90百分位数时,巨大儿数量可得到相同结果。当然,直到妊娠34周(但可能此后也是如此),使用民主德国标准的第10百分位数时,可发现小于胎龄儿的比例过高(大于20%),而我们自己患者的出生体重范围与卢琴科发现的分布完全吻合。原因可能是由于用于评估活产儿和死产儿/胎儿丢失的定义不同,民主德国样本中活产极低出生体重儿的代表性不足。因此,为了在实际中将新标准用作妊娠34周前适于胎龄/小于胎龄新生儿分类的标准,建议使用第5百分位数。提议对民主德国人群的出生体重分布进行重新评估,在数据抽样中纳入死产新生儿。