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早产儿的小腿测量及生长评估

Knemometry and the assessment of growth in premature babies.

作者信息

Gibson A T, Pearse R G, Wales J K

机构信息

Jessop Hospital for Women, Sheffield.

出版信息

Arch Dis Child. 1993 Nov;69(5 Spec No):498-504. doi: 10.1136/adc.69.5_spec_no.498.

DOI:10.1136/adc.69.5_spec_no.498
PMID:8285753
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1029592/
Abstract

The characteristics of a knemometer designed for accurate lower leg measurement in babies were assessed. Repeated measurement of a 100 mm Perspex rod gave a mean length of 99.993 mm and a mean SD of 0.058. When used to measure leg length, technical error of the measurement technique was 0.31 with a mean leg length of 98.49 mm (coefficient of variation 0.31%). Leg lengths measured at birth in 324 babies from 23 to 42 weeks' gestation gave an estimated in utero leg length velocity of 0.43 mm/day (95% confidence interval 0.41 to 0.45). Assessment of interobserver variation showed poor agreement in absolute values of leg length, although similar estimates of leg length velocity could be obtained. The neonatal knemometer allows measurements to be made in situations where conventional growth measurements are not possible. It is believed that knemometry has an important role in accurate evaluation of factors that can influence short term bone growth.

摘要

对一款专为精确测量婴儿小腿而设计的小腿长度测量仪的特性进行了评估。对一根100毫米的有机玻璃棒进行重复测量,得到的平均长度为99.993毫米,平均标准差为0.058。当用于测量腿长时,测量技术的技术误差为0.31,平均腿长为98.49毫米(变异系数0.31%)。对324名妊娠23至42周的婴儿出生时的腿长进行测量,得出子宫内腿长速度估计为0.43毫米/天(95%置信区间为0.41至0.45)。观察者间差异评估显示,腿长绝对值的一致性较差,不过可以获得相似的腿长速度估计值。这款新生儿小腿长度测量仪能够在无法进行传统生长测量的情况下进行测量。据信,小腿长度测量法在准确评估可能影响短期骨骼生长的因素方面具有重要作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/398e/1029592/4ee28b6bf9af/archdisch00558-0023-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/398e/1029592/4ee28b6bf9af/archdisch00558-0023-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/398e/1029592/4ee28b6bf9af/archdisch00558-0023-a.jpg

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本文引用的文献

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Evaluation of perinatal growth. Presentation of combined intra- and extrauterine growth standards for weight, length and head circumference.围产期生长评估。体重、身长和头围的宫内和宫外联合生长标准介绍。
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Intradaily variation of the human lower leg length and short term growth--a longitudinal study in fourteen children.
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Randomised trial of iodine intake and thyroid status in preterm infants.早产儿碘摄入量与甲状腺状态的随机试验。
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Knee-heel length measurement in healthy preterm infants.健康早产儿膝跟长度测量
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Knemometry in assessment of linear growth.利用下肢长度测量法评估线性生长。
Arch Dis Child. 1987 Feb;62(2):166-71. doi: 10.1136/adc.62.2.166.
6
Human milk and preterm formula compared for effects on growth and metabolism.比较人乳和早产儿配方奶粉对生长和代谢的影响。
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Knemometry in childhood: accuracy and standardization of a new technique of lower leg length measurement.儿童小腿测量法:一种新的小腿长度测量技术的准确性与标准化
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Eur J Pediatr. 1988 May;147(4):350-5. doi: 10.1007/BF00496409.
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