中国妇幼健康研究2017，Vol.28Issue(4)：380-382,3.DOI:10.3969/j.issn.1673-5293.2017.04.006
超声检测胎儿腹围及半肩径对新生儿体重的预测
Predicting neonatal weight by detecting fetal abdominal circumference and half shoulder diameter with ultrasonography
王建春 1兰秋菊 1杨晓英 2杨粟芬 1王倩1
作者信息
- 1. 承德市妇幼保健院,河北承德067000
- 2. 承德市中心医院健康体检中心,河北承德067000
- 折叠
摘要
Abstract
Objective Analyze the predicting value of detecting fetal abdominal circumference and half shoulder diameter with ultrasonography on neonatal weight.Methods From April 2015 to April 2016 200 cases of full-term newborns were selected from Chengde Maternal and Child Health Care Hospital as research objects,and they were divided into non-macrosomia group (179 cases) and macrosomia (21 cases) according to actual birth weight.Abdominal circumference and half shoulder diameter at 30 weeks of gestation were analyzed retrospectively for two groups.Results Compared to the non-macrosomia group,abdominal circumference and half shoulder diameter were larger than those in macrosomia group,and the differences were statistically significant (t value was 4.14 and 3.25,respectively,both P ＜ 0.05).When abdominal circunfference was larger than 267.90mm and (or) half shoulder diameter was larger than 75.00mm,the sensitivity of best threshold of abdominal circumference to predict macrosomia was 71.43％,the specificity was 61.90％,Youden index was 0.334,and area under ROC curve was 0.693 (95％ CI:0.613-0.773).The sensitivity of best threshold of half shoulder diameter to predict macrosomia was 76.19％,the specificity was 66.67％,Youden index was 0.429,and area under ROC curve was 0.723 (95％ CI:0.649-0.799).Fetal abdominal circumference and half shoulder diameter were positively correlated with birth weight (r value was 0.603 and 0.661,respectively,both P ＜ 0.05).Conclusion Fetal abdominal circumference and half shoulder diameter detected at 30 weeks of gestation with ultrasonic examinafion can be taken as important indicators to judge birth weight.Abdominal circumference greater than 267.90 mm and (or) half shoulder diameter greater than 75.00 mm are of certain clinical value in predicting macrosomia.关键词
超声检测/胎儿/腹围/半肩径/新生儿体重/分娩风险Key words
ultrasonic examination/fetus/abdominal circumference/half shoulder diameter/neonatal birth weight/labor risk分类
医药卫生引用本文复制引用
王建春,兰秋菊,杨晓英,杨粟芬,王倩..超声检测胎儿腹围及半肩径对新生儿体重的预测[J].中国妇幼健康研究,2017,28(4):380-382,3.
