青岛大学学报(医学版)2024,Vol.60Issue(1):81-84,4.DOI:10.11712/jms.2096-5532.2024.60.007
分娩前超声检查对不同营养状况孕妇胎儿体质量估计效果
Accuracy of prenatal ultrasound examination in estimating fetal weight in pregnant women with different nutritional status
摘要
Abstract
Objective To investigatethe coincidence rate between the Hadlock ultrasound method and the clinical formula method(Yuan Dong method)in assessing estimated fetal weight(EFW).Methods A retrospective analysiswas performed for the clinical data of 1 715 pregnant women who were hospitalized and gave birth in Department of Obstetrics,Qingdao Women and Children's Hospital,from January to April 2020,and according to the body mass index(BMI)before pregnancy,they were divi-ded into underweight(BMI<18.5 kg/m2)group with 177 women,normal weight(18.5-23.9 kg/m2)group with 1 118 women,overweight(24.0-27.9 kg/m2)group with 317 women,and obese(≥28.0 kg/m2)group with 103 women.Fetal weight was esti-mated using the Hadlock ultrasound method and the Yuan Dong method,and the two methods were compared in terms of the difference between EFW and actual birthweight.Results The Hadlock method had a significantly higher accuracy than the Yuan Dong methodin estimating fetal weight in each group(x2=25.212-435.840,P<0.01).There was no significant difference in the accuracy of the Hadlock method in estimatingfetal weight betweenthe four groups(x2=1.392,P>0.05),while the accuracy of the Yuan Dong method in estimating fetal weight decreased significantly with the increase in BMI(x2=59.34,P<0.01).Conclusion The Hadlock method has a significantly higher accuracy than the Yuan Dong method in estimating fetal weight and is not affected by the BMI of pregnant women before pregnancy.关键词
孕妇/人体质量指数/超声检查,产前/估测/胎儿体重Key words
pregnant women/body mass index/ultrasonography,prenatal/forecasting/fetal weight分类
医药卫生引用本文复制引用
张蔼,王田华,于学娟,王玉婷,姜洁璇,范冬梅..分娩前超声检查对不同营养状况孕妇胎儿体质量估计效果[J].青岛大学学报(医学版),2024,60(1):81-84,4.基金项目
山东省医药卫生科技发展计划项目(202005030-272) (202005030-272)