深圳16882例不同胎龄单胎新生儿身长顶臀长指数研究
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摘要
目的:制定不同胎龄新生儿身长顶臀长指数,为评价新生儿出生时身体的匀称性提供参考数据。方法:采用横断面时间段整群取样实况调查方法,2013年4月至2015年9月在深圳两家医院完成了16 882例不同胎龄单胎新生儿体重、身长、顶臀长、头围、胸围现场测量,用以制定不同胎龄新生儿身长顶臀长指数。结果:制定了2015年深圳16 882例胎龄27~42周单胎新生儿身长顶臀长指数均数及其3 rd~97 th百分位曲线。胎龄27~42周每个孕周的身长顶臀长指数百分位50 th曲线数值非常恒定,维持在67.85~68.14范围内,最大差异值仅为0.29。男性与女性总平均的指数均数都是68.01,差异值为0,男女性别无差异。结论:宫内生长的身长顶臀长指数值一直维持在67.85~68.14范围内,非常恒定,无性别差异;揭示身长和顶臀长一直维持等速度、等比率的增长。该指数对内分泌及骨骼发育异常性疾病的早期发现有帮助。
Objective: To record body-length(BL) with crown-rump length(CRL) index of singleton neonates in different gestational age(GA),so as to provide a reference data for evaluating neonates at birth. Methods: A total of 16 882 singleton neonates at 27 ~ 42 weeks of GA were measured at birth by site survey method using cluster samples by a cross sectional time in Shenzhen City two hospital on April 1,2013 to September 30,2015 in this study,to create BL with CRL index of singleton neonates in different GA. Results: The means and 3 rd ~ 97 th percentile curves for BL with CRL index of singleton neonates of 27 ~ 42 weeks of GA were established in Shenzhen City,China in 2015. The values of the 50 th percentile curve for BL with CRL index in 27 ~ 42 weeks of GA were very constant for every week,within 67. 85 ~ 68. 14 range,the largest difference value was only 0. 29. The total average values of index in male and in female were 68. 01. The difference values were 0. There was no difference of BL with CRL index values in male with in female. Conclusions: BL growth is constant and steady along with CRL growth in the fetus intrauterine growth period. There is no difference of BL with CRL index values between males and females. It is helpful to detect abnormal. endocrine and bone developmental abnormal diseases be early discovered.
Objective: To record body-length(BL) with crown-rump length(CRL) index of singleton neonates in different gestational age(GA),so as to provide a reference data for evaluating neonates at birth. Methods: A total of 16 882 singleton neonates at 27 ~ 42 weeks of GA were measured at birth by site survey method using cluster samples by a cross sectional time in Shenzhen City two hospital on April 1,2013 to September 30,2015 in this study,to create BL with CRL index of singleton neonates in different GA. Results: The means and 3 rd ~ 97 th percentile curves for BL with CRL index of singleton neonates of 27 ~ 42 weeks of GA were established in Shenzhen City,China in 2015. The values of the 50 th percentile curve for BL with CRL index in 27 ~ 42 weeks of GA were very constant for every week,within 67. 85 ~ 68. 14 range,the largest difference value was only 0. 29. The total average values of index in male and in female were 68. 01. The difference values were 0. There was no difference of BL with CRL index values in male with in female. Conclusions: BL growth is constant and steady along with CRL growth in the fetus intrauterine growth period. There is no difference of BL with CRL index values between males and females. It is helpful to detect abnormal. endocrine and bone developmental abnormal diseases be early discovered.
引文
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[7]中国15城市新生儿体格发育科研协作组.我国不同胎龄新生儿体格发育的现状[J].临床儿科杂志,1991,9(2):72-77.
[8]杨凡.儿童体格生长发育//石淑华,戴耀华.儿童保健学[M].第3版.北京:人民卫生出版社,2014:19-23.
[9]黄小云,刘惠龙,雷敏,等.深圳16887例胎龄27~42周新生儿宫内生长体重、身长、头围、胸围、顶臀长曲线[J].中国当代儿科杂志,2017,19(8):877-886.
[10]黄小云,刘惠龙,雷敏,等.深圳16 887例不同胎龄单胎新生儿艾里斯曼指数研究[J].现代医学,2017,45(11):1573-1578.
[11]黄小云,刘惠龙,雷敏,等.深圳16 865例胎龄27~42周单胎新生儿维尔维克指数研究[J].中国当代儿科杂志,2018,20(1):12-16.
[12]COLE T J,GREEN P J.Smoothing reference centile curves:the LMS method and penalized likelihood[J].Stat Med,1992,11(10):1305-1319.
[13]深圳市统计局.深圳统计学年鉴-2016(M).北京:中国统计出版社,2016(26):53-55.
[14]刘喜红,张宝林,王宝琼.中国不同胎龄新生儿身体指数的研究[J].武警医学,2000,11(10):588-590.
[2]KANDRAJU H,AGRAWAL S,GEETHA K,et al.Gestational age-specific centile charts for anhropometry at birth for South Indian infants[J].Indian Pediatr,2012,49(3):199-202.
[3]OLSEN I E,GROVEMAN S A,LAWSON M L,et al.New intrauterine growth curves based on United States data[J].Pediatrics,2010,125(2):e214-224.
[4]COLE T J,WILLIAMS A F,WRIGHT C M.Revised birth centiles for weight,length and head circumference in the UKWHO growth charts[J].Ann Hum Biol,2012,38(1):7-11.
[5]KURTOGLU S,HATIPOGLU N.MAZICIOGLU M M,et al.Body weight,length and head circumference at birth in a cohort of Turkish newborns[J].J Clin Res Pediatr Endocrinol,2012,4(3):132-139.
[6]YUNIS K A,KHAWAJA M,BEYDOUN H,et al.Intrauterine growth standards in a developing country:a study of singleton livebirths at 28-42 weeks gestation[J].Paediatr Perinat Epidemiol,2007,21(5),387-396.
[7]中国15城市新生儿体格发育科研协作组.我国不同胎龄新生儿体格发育的现状[J].临床儿科杂志,1991,9(2):72-77.
[8]杨凡.儿童体格生长发育//石淑华,戴耀华.儿童保健学[M].第3版.北京:人民卫生出版社,2014:19-23.
[9]黄小云,刘惠龙,雷敏,等.深圳16887例胎龄27~42周新生儿宫内生长体重、身长、头围、胸围、顶臀长曲线[J].中国当代儿科杂志,2017,19(8):877-886.
[10]黄小云,刘惠龙,雷敏,等.深圳16 887例不同胎龄单胎新生儿艾里斯曼指数研究[J].现代医学,2017,45(11):1573-1578.
[11]黄小云,刘惠龙,雷敏,等.深圳16 865例胎龄27~42周单胎新生儿维尔维克指数研究[J].中国当代儿科杂志,2018,20(1):12-16.
[12]COLE T J,GREEN P J.Smoothing reference centile curves:the LMS method and penalized likelihood[J].Stat Med,1992,11(10):1305-1319.
[13]深圳市统计局.深圳统计学年鉴-2016(M).北京:中国统计出版社,2016(26):53-55.
[14]刘喜红,张宝林,王宝琼.中国不同胎龄新生儿身体指数的研究[J].武警医学,2000,11(10):588-590.