张路指数在本溪地区新生儿体格发育评价中的应用  

Application of Zhang-Lu Index for Evaluation of Physical Growth of Neonates in Benxi Area

作　　者：林红 路晴[2] 

机构地区：[1]本溪钢铁集团公司总医院儿科,辽宁本溪117000 [2]大连医科大学第二临床学院儿科,辽宁大连116023

出　　处：《实用儿科临床杂志》2006年第5期303-304,共2页Journal of Applied Clinical Pediatrics

摘　　要：目的验证张路指数(ZLI)的科学性、实用性及在儿童保健工作中的意义。方法通过对辽宁本溪地区858例单胎活产新生儿体质量、头围、身长的测量,根据ZLI=体质量(g)+250/头围(cm)×身长(cm)×2公式计算,并通过原始数据对ZLI与惯用的胎龄-体质量法进行验证比较。结果本溪地区新生儿足月适于胎龄(AGA)儿生后3 d ZLI均值较全国协作组提供的参考值偏高,差别有统计学意义(P<0.01);ZLI值与胎龄-体质量法比较,其灵敏度、特异度、漏诊率、误诊率和符合率分别为90%、53%、10%、47%和65%。结论ZLI是评价新生儿体格发育的有用指数之一。Objective To validate scientificalness, practicability and useful values in medical care of Zhang-Lu index （ZLI）. Methods ZLI- weight（g） ＋ 250/height（cm） head circumference（cm）×2 was computed and compared with the conventional body weight for gestational age based data of body height, body weight and head circumference measured from 858 neonates in Benxi. Results The ZLI of the first 3 days of fullterm appropriate for gestational age（AGA） was higher than reference from national neonatal physical growth science research association. The difference was significantly（P〈0.01）. Compared with the method of body weight for gestational age, the sensivity, specificity, omission diagnostic rate, mistake diagnastic rate as well as the total consistent rate for ZLI were 90 % ,53 %, 10 %, 47 %, and 65 %, respectively. Conclusion ZLI is a better indicator for evaluating the physical growth of neonates.

关 键 词：张路指数 体格发育评价 婴儿 新生 

分 类 号：R174[医药卫生—妇幼卫生保健]