用尺骨长度测量与前臂测量相比较,对某儿科医院健康儿童的身高进行估计

L. Johansson, Izabela Fogiato, Pedro Viscontti, G. Oliveira, Jocemara Gurmini
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摘要

为了便于使用身体节段替代测量来监测儿童的生长情况、计算用药剂量和有机功能率,本研究选择了一家儿科医院5岁至未满18岁的健康儿童,测量了他们的身高、尺骨长度和前臂长度。选取120例患者,其中女性61例,男性59例。其中77人宣称自己的肤色是白色,40人是棕色,3人是黑色。平均年龄9.5岁,身高135cm,前臂长36.2cm,尺骨长20.9cm,性别差异有统计学意义(p<0.05)。尺骨和前臂长度具有可重复性,变异系数低。当评估替代测量是否会低估或高估身高时,没有统计学意义。在Wilcoxon检验中,女性通过尺骨长度预测身高的误差较大,男性通过前臂长度预测身高的误差较大(p<0.05)。在学生t检验统计评价中,对于研究的全样本,对于各性别和种族的分层评价,通过前臂长度估计的身高与测量的身高之间没有显著的统计学差异(p=0.28)。尺骨长度估算高度与实测值比较,差异有统计学意义(p<0.05)。也就是说,我们得出结论,通过前臂长度估算身高是更好的替代身高测量方法。
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Using ulna length measure compared to forearm measure, for height estimate of previously healthy children at a pediatric hospital
In aim to facilitate the use of replacement measures of body segments for monitoring the child’s growth, the calculation of medication doses and the organic function rates, this study selected previously healthy children from 5 to incomplete 18 years of age, at a pediatric hospital, and measured their height, ulna’s length and the forearm length. An amount of 120 patients were selected, 61 female and 59 male. From these, 77 declared their color as white, 40 as brown and 3 as black. The respective averages were 9.5 years of age, 135cm in height, 36.2cm in forearm length and 20.9cm in ulna’s length, with a statistically significant difference between the two genders (p<0.05). The ulna’s and the forearm length were reproducible, with low coefficient of variation. There were no statistical significance when evaluated if the replacement measure could underestimate or overestimate the height. At the Wilcoxon test, there were more errors on predicting the height through ulna’s length on females, and more errors through forearm length on males (p<0.05). At Student t-test statistical evaluation, for the whole sample of the study as for the stratified evaluation of each gender and ethnicities, there were no significant statistically difference between the estimated height through the forearm length and the measured height (p=0.28). Tough, the estimated height through the ulna’s length compared with the measured height had a statistical significance difference (p<0.05). That said, we have concluded the estimated height through the forearm length as the better replacement measure for height.
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