中国妇幼健康研究2015，Vol.26Issue(4)：824-826,3.DOI:10.3969/j.issn.1673-5293.2015.04.058
定性与定量法共同预测巨大儿的临床应用
Clinical application of qualitative method combined with quantitative method in predicting fetal macrosomia
卜凡文 1王辉 2赵艳坤 1尹海军 1姜莉1
作者信息
- 1. 内蒙古医科大学第三附属医院超声科,内蒙古包头014010
- 2. 内蒙古医科大学第三附属医院妇产科,内蒙古包头014010
- 折叠
摘要
Abstract
Objective To analyze the clinical application of qualitative method combined with quantitative method in predicting fetal macrosomia and thus provide reference for selecting delivery mode.Methods Retrospective analysis was conducted on the data of 1 196 pregnant woman delivering in the Third Clinical Hospital of Inner Mongolia Medical College, including 139 cases giving birth to macrosomia.Four methods were used to predict fetal macrosomia, uterine height and maternal abdominal circumference≥140cm, uterine height≥35cm and fetal circumference≥35cm, clinical method, and ultrasound method.Neonatal birth weight of fetal macrosomia was measured and recorded within 5 minutes after birth, and the best predicting method was explored.Results The sensitivity and specificity of ultrasound method in predicting fetal macrosomia were highest, and they were 87.05%and 98.24%, respectively, followed by the second method.The sensitivity and specificity of the first method was lowest and they were 51.08% and 67.64%, respectively.The positive predictive value and negative predictive value of ultrasound method in predicting fetal macrosomia were highest, and they were 85.21%and 98.49%, respectively.But the first method had the lowest positive predictive value and negative predictive value (15.50%, 92.25%). Conclusion Qualitative method combined with quantitative method has significant clinical value in predicting fetal macrosomia.Ultrasound method is the best method for prediction of fetal weight, but the values predicted with uterine height and maternal abdominal circumference method are lowest.关键词
巨大儿/超声检查/宫高/胎儿腹围/胎儿体重Key words
fetal macrosomia/ultrasound method/uterine height/abdomen circumference/fetal weight分类
医药卫生引用本文复制引用
卜凡文,王辉,赵艳坤,尹海军,姜莉..定性与定量法共同预测巨大儿的临床应用[J].中国妇幼健康研究,2015,26(4):824-826,3.
