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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

张蔼 王田华 于学娟 王玉婷 姜洁璇 范冬梅

青岛大学学报(医学版)2024,Vol.60Issue(1):81-84,4.
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

张蔼 1王田华 2于学娟 3王玉婷 1姜洁璇 1范冬梅1

作者信息

  • 1. 青岛大学附属青岛市妇女儿童医院胎儿医学中心,山东青岛 266011
  • 2. 青岛市妇幼保健计划生育服务中心妇保科
  • 3. 莒县人民医院妇产科
  • 折叠

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)

青岛大学学报(医学版)

OACSTPCD

1672-4488

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