围产期死亡儿童人体测量资料的评估

K. Moiseeva, D. Ivanov, V. K. Yur'ev, E. Berezkina, Kseniya G. Shevtsova, A. V. Alekseeva, Sh. Kharbedia
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摘要

背景。尽管胎儿死亡率有所下降,但围产期死亡率和死产率仍然很高。生存能力的医学标准之一是儿童的人体测量指标,因此,对其进行相关的医学和统计评估可能使我们有机会减少围产期存活儿童的损失。本研究的目的是评估围产期死亡儿童的人体测量数据。我们分析了277例产前和产后死亡的儿童和197例出生后7天内死亡的新生儿。采用标准差法和百分位法对围产期死亡儿童的人体测量资料进行了评价。围产期死亡早产儿的人体测量数据在90-94%的病例中与该胎龄儿童的身体发育相对应。足月儿童在出生后168小时内死亡的人体测量数据,70.0%的病例对应于3-6个身体发育走廊(P10-P90), 20.0%的病例对应于7-8个走廊。围产期死亡的足月儿和谐发育的比例为58.3%,明显超过严重不和谐发育(19.5%)和不和谐发育(22.2%)的比例。79.0%的新生儿死亡发生在生命的头72小时(新生儿早期),而第一天的死亡占第一周儿童死亡总数的54.0%。本研究表明,围产期死亡儿童的人体测量数据与该胎龄儿童的标准指标显著相符。
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Assessment of Anthropometric Data of Children Died at Perinatal Period
Background. Despite the decrease in fetoinfantile losses, the levels of perinatal mortality and stillbirth remain quite high. One of the medical criteria for viability is the anthropometric indicators of the child, therefore, their relevant medical and statistical assessment may allow us to establish potential opportunities for reducing the loss of viable children at perinatal period.Objective. The aim of the study is to assess anthropometric data of children died at perinatal period.Methods. We have analyzed 277 cases of children deaths at ante- and intranatal periods and 197 cases of newborns deaths during first 7 days of life. Assessment of anthropometric data of children died at perinatal period was presented via the method of sigmal deviations and the centile method.Results. Anthropometric data of premature infants died at perinatal period in 90–94% of cases corresponded to the physical development for children of this gestational age. Anthropometric data of full-term children died during the first 168 hours of life, in 70.0% of cases, corresponded to 3–6 corridors of physical development (P10–P90), in 20.0% of cases — 7–8 corridors. 58.3% of full-term children died at perinatal period have harmonious development which significantly exceeds the proportion of children with sharply disharmonious development (19.5%) and with disharmonious development (22.2%). 79.0% of all neonatal deaths occur in the first 72 hours of life (for the early neonatal period), while losses on the first day account for 54.0% of all deaths in children during the first week.Conclusion. This study has shown that the anthropometric data of children died at perinatal period significantly corresponded to the standard indicators established for children of this gestation age. 
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