预测胎儿体重方程的回归研究

本文根据逐步回归原理,用APPLE—Ⅱ微机分别探讨宫高、腹围、宫高×腹围及孕周与新生儿体重的关系,求得预测体重的方程Ⅰ:男胎体重(g)=-3684.94+82.44×宫高+14.19×腹围+74.12×孕周,女胎体重(g)=-3998.57+70.45×宫高+20.1×腹围+74.84×孕周;方程Ⅱ:男胎体重(g)=2040.35+0.89×(宫高×腹围)-15.59×腹围,女胎体重(g)=-1100.67+0.33×(宫高×腹围)+34.24×腹围,误差以±250g以内为符合,则方程Ⅰ男女符合率分别为56.67％,58.90％;方程Ⅱ男女符合率分别为58.33％,61.64％与张援邦法(1)及Iohnson公式(2)相比符合率明显提高(P<0.01)。     

胎儿体重与宫高腹围孕龄的回归关系

本文根据逐步回归原理,用IBM微型计算机分别探查宫高、腹围、孕周与胎儿体重的关系,求得预测胎儿体重的回归方程:男性体重(克)=71.9×宫高+28.2×腹围+6.2×孕龄天数-3485;女性体重(克)=105.6×宫高+10.2×腹围+1.5×孕龄天数-1678;男女体重合并简化方程=87.5×宫高+20.4×腹围+3.7×孕龄天数-2624。为临床方便,应用后一方程可预测胎儿体重。     

较低纬度地区胎儿体重预测

1984年2月-85年6月我们随机抽查84例足月孕妇的宫高、腹围等14项指标,用逐步回归及主成份分析方法,经计算机处理数据,分别建立三元预测方程: =-1105+79.6×宫高+17·1×腹围+146·7×胎儿性别(若为男性取值1,女性取值0);二元预测方程:(?)=83.9×宫高+19.2×腹围-1358。结果与新生儿实际体重对照,前方程标准估计误差为217.9克,后方程增至228.6克。为了比较,亦观察了国内外曾用过的几个预测公式的估计作用。     

一种计算成人体表面积的简化公式

在运用三医大烧伤营养公式时需先求出病员的体表面积,计算成人体表面积的通用公式较繁琐,临床使用不便。现推荐一种计算结果与通用公式相近的简化公式,供临床使用三医大烧伤营养公式或其它场合时参考。 通用公式: 体表面积(m~2)=0.0061×身高(cm)+0.0128×体重(kg)-0.1529 简化公式: 体表面积(m~2)=[身高(m)-0.587]×1.5 推导过程:身高和体表面积关系极为密     

两种预测胎儿体重方法的比较

目的探讨胎儿体重预测在临床应用中的意义,提高预测符合率.方法测量197例足月妊娠住院待产妇女的腹围(AC母)、宫高,B超测量胎儿腹围(AC胎)、双顶径(BPD)、股骨径(FL),以此五项指标与出生体重作相关分析.结果经统计学处理,导出线性回归方程式,预测胎儿体重,并与腹围(AC母)×宫高+500常用预测公式比较,P《0.001,预测符合率分别为58%、40%,(P《0.01).结论该方程式预测胎儿体重优于常用预测公式.     

多种公式预测巨大儿出生体重的效果评价

①目的对预测胎儿出生体重的7种公式进行比较分析,以找出一种较准确的公式。②方法对分娩巨大胎儿的104例孕妇测量宫高、腹围及B超检查胎儿双顶径、股骨长、腹围,分别用7种公式计算胎儿体重。预测公式如下:公式(一)EFW=187×FAC-3069;公式(二)EFW=514.3×BPD-1516.9;公式(三)EFW=2616.26 82.419×FFL;公式(四)EFW=(BPD FFL)FAC2/5.8;公式(五)EFW=2900 0.3×宫高×腹围;公式(六)EFW=宫高×腹围 500;公式(七)EFW=宫高×100±250。③结果结果与巨大儿实际出生体重比较,误差≤250g为符合。预测准确性最高的为公式(四)和公式(七),二者比较无显著性差异。④结论公式(四)和公式(七)值得在临床推广应用。     

多因素预测胎儿体重的分析

目的 探讨临床上预测胎儿体重的较佳指标,为临床提供参考价值.方法 收集临产前足月、头位、单胎、无妊娠合并症的200例孕妇的临床资料,进行多因素逐步回归分析.结果 胎儿腹围、孕妇宫高、胎儿股骨长是预测胎儿体重的重要因素(P<0.01),其中胎儿的腹围(Beta=0.36)与孕妇宫高(Beta=0.396)具有很高的预测价值;孕妇体重指数、胎儿双顶径及胎儿头围不能预测胎儿体重.结论 胎儿的体重预测是多方面因素综合作用的结果,其中胎儿的腹围及孕妇宫高对胎儿体重具有很高的预测价值;胎儿股骨长度起一定的作用;孕妇的体重指数、胎儿双顶径及胎儿的头围预测胎儿体重的价值有限.     

正常新生儿心脏面积测量探讨

从正位胸片上测量了124例正常新生儿心脏面积以及心脏长径、宽径,求得身高、体重与心面积间的回归方程为:心预测面积=0.38×身高(cm)+1.54×体重(kg)-10.54;并求得心脏长径、宽径与心面积间的回归方程为:心实测面积=1.83+0.63(长径×宽径)。通过预测心面积与实测心面积的比较可得知各个体心面积是否增大。     

直线法测量宫高对估计胎儿体重的观察分析

目的：探讨直线法测量宫高对估计胎儿体重的意义及效果。方法：将2009年1～12月收治住院的538例孕妇根据入院日期单双号随机分成两组。对照组266例采用临床常用弧线法测量宫高；观察组272例采用改良的直线法测量宫高，并运用顾国华报告的估计胎儿体重公式，对孕妇的胎儿体重进行估计。结果：运用直线法测量孕妇宫高预测胎儿体重符合率及巨大儿预测率，与弧线法测量孕妇宫高预测胎儿体重符合率及巨大儿预测率比较，差异有高度显著性意义（P〈0．01）。弧线法符合率为82．3％。巨大儿预测特异度88．7％；直线法符合率为90．1％，巨大儿预测特异度98．0％。结论：直线法测量宫高，可避免孕妇因素和测量者人为因素影响，预测胎儿体重更准确，且简单易掌握，经济实用。     

特大儿病例分析及产前预测的初步探讨(附66例报告)

目的 探讨产前正确估计特大儿体重的方法 ,以采取适合分娩方式,减少母婴并发症,从而保证母婴安全.方法 回顾性分析1990年1月至2008年12月分娩的66例特大儿的临床病例资料.结果 特大儿发生率0.74%,剖宫产率92.4%,孕末期宫高+腹围≥145cm 符合率71.2%,宫高×腹围+200g预测体重符合率60.6%,B超测胎儿腹围AC≥36cm符合率78.0%.结论 特大儿的发生率呈上升趋势;孕末期宫高+腹围≥145cm 、宫高×腹围+200g、B超测胎儿腹围AC≥36cm是产前预测特大儿体重的较好指标;对特大儿应该采用剖宫产的分娩方式.     

Acupuncture Treatment of Vomiting

CASE HISTORY A female patient, 46 years old, head of the foreign affairs department of a certain university in Beijing, paid her first visit on October 9, 2006, with the chief complaint of vomiting for one month. She got vomiting after meals in early September. Before that, she had discomfortable sensation in the stomach due to angry with others, but she didn't pay much attention. Later, it developed into vomiting after eating. After the vomiting, the discomfort would be relieved, but with slight hypodynamia. She was once diagnosed as having 'neurogenic vomiting'. Having taken some western and Chinese drugs, the above symptoms were a little bit improved, but she would have nausea upon eating and with regurgitation. Because of the fear for vomiting, she did not dare to have food intake, with body weight reduction of 6 kilos in one month.     

Qiu Baoguo''''s Experience in Treating Consumptive Syndromes after Radio-Chemotherapies

Radiotherapy and chemotherapy are the important modern medical therapies for malignant tumors,yet they can also bring about serious local and systemic toxic side reactions so to decrease the patient;'s life quality,manifested by a series of consumptive symptoms.Having engaged in the combined work of Chinese and western medicine for nearly 50 years,the research fellow Qiu Baoguo in Henan Provincial Academy of TCM has developed his unique views on the TCM study of consumptive syndromes.The author of this essay had once the fortune tO follow Dr.Qiu in clinic,and specially would like to introduce in the following Dr.Qiu's experience in treating consumptive syndromes after radio-chemotherapies for patients with malignant tumor.     

Insomnia Due to Deficiency of Both the Heart and Spleen Treated by Acupuncture-Moxibustion and Chinese Tuina

OBJECTIVE: To observe therapeutic effects of the comprehensive therapy of acupuncture-moxibustion and Chinese Tuina for treatment of insomnia due to deficiency of both the heart and spleen. METHODS: 92 cases were divided randomly into the treatment group (treated by acupuncture-moxibustion and Chinese Tuina) and the control group (treated by acupuncture-moxibustion). RESULTS: The therapeutic effect of the treatment group was obviously superior to that of the control group (the CHI2 test showed P < 0.01). CONCLUSIONS: The comprehensive therapy of acupuncture-moxibustion and Chinese Tuina can give marked therapeutic effects for treatment of insomnia due to deficiency of both the heart and spleen.     

Analysis of CK-19,PDX-1,Nestin,Ngn3 in different donor islet purity in rats

Objective: To investigate if there are the CK-19, PDX-1, Nestin, Ngn3 positive cells in the donor islets of different purity in rats. Methods: Thirty male adult SD rats were randomly divided into 3 groups. Islets were isolated using digestion by ductal injection of collagenase. Group Ⅰ (n=10): Separating cell preparations were not purified, Group Ⅱ(n=10): Islet sediment was purified with 25% Ficoll400 ,Group Ⅲ (n=10): Islet sediment was purified with 25% and 11% Ficoll-400. The levels of protein of CK-19, PDX-1, Nestin and Ngn3 were detected by immunohistochemistry and the mRNA of CK-19, PDX-1, Nestin, Ngn3 was amplified by RT-PCR. Results: After two different purification methods applied, three islet preparations of different purities were obtained. The difference of islet purity was significant among various groups (P＜0.05). Compared with group Ⅱ and group Ⅲ,the protein and mRNA of CK-19, PDX-1, Nestin,Ngn3 were both higher in group Ⅰ; group Ⅲ was poorly expressed. Conclusions: The three different islet purity donor islet have different CK-19, PDX-1, Nestin, Ngn3 positive cells within them, indicating that there are some islet stem cells in the purified donor islet.     

A preliminary screening study on the associated proteins in human psoriasis vulgaris by serum proteomics technologies

Objective：To investigate the optimum screening conditions of associated proteins in human psoriasis vulgaris by serum proteomics technique, and to screen the different expression proteins related with psoriasis vulgaris. Methods：Serum samples of peripheral blood were collected from newly diagnosed psoriasis vulgaris patients in the clinic, and 20 matched healthy persons. Serum albumin IgG was removed by filtering with ProteoExtract Albumin/IgG. After comparative proteomics analysis the different protein spots were identified using 2-DE and MS. Results ：Electrophoresis figures with high resolution and reproducibility were obtained. Three different expression proteins were found only in the serum from psoriasis vulgaris patients, while nine other different proteins expressing from healthy volunteers. Conclusion：The protein expression was different in the serum between the psoriasis vulgaris patients and healthy volunteers. It was hoped that we could find the biomarkers related to psoriasis vulgaris by using proteomics.     

A CASE OF HUGE GASTRIC DISOPYROBEZOAR

PYTOBEZOARS are common bezoars in gastrontestinal tract, commonly seen in stomach and mall intestine,1but huge disopyrobezoars are     

Acupuncture Treatment of Chest Bi Syndrome

CASE HISTORY A male,a retired officer of 61 years old,paid his first visit on May 12,2006.The patient stated that 2 weeks before he suddenly got paroxysmal precordial choking pain,with irregular attacks.Each attack would last several seconds to several minutes.The attack was accompanied with heavy oppressed sensation in the precordial region,palpitation,lassitude,and in severe cases,sweating,which was once diagnosed by a hospital as'coronary heart disease'.Recalling the case history,the patient said that several days before he got angry with others because of some affairs in work,and he was not so used to the life pattern since he had just retired from his busy working post.At usual times,he was quick tempered and peevish.In recent days,he had poor appetite,and loose stool.     

Instructions to Contributors

The English edition of Chinese Journal of Integrative Medicine is edited and published by the Chinese Journal of Integrated Traditional and Western Medicine Press.Original scientific papers of advanced clinical and experimental medicine in the field of complementary/alternative medicine or integrative medicine are expected.