197例低出生体重儿的影响因素分析

Analysis on the Risk Factors of Low Birth Weight in 197 Cases

目的通过分析新会区低出生体重儿的影响因素,初步探讨降低低出生体重儿发生率的相关措施。方法采用横断面抽样调查方法,抽查本院2003年1月—2003年12月产科和新生儿科住院病历,进行低出生体重儿与非低出生体重儿的对照研究。结果(1)197例低出生体重儿中早产119例,占低出生体重儿的比例为60.4%;多胎、外地户口、产检次数<5次、母亲胎膜早破、前置胎盘、妊高征所占比例分别为18.3%,12.7%、27.9%、35.5%,9.1%和14.7%。(2)统计学分析结果:低出生体重儿与非低出生体重儿比较,早产、多胎、外地户口、产检次数<5次、胎膜早破、前置胎盘、妊高征等影响因素差异有显著性(P<0.05)。结论低出生体重儿的发生受多种因素的影响,应采取综合预防措施以降低低出生体重儿的发生率。

OBJECTIVE To explore the main risk factors of low birth weight in Xinhui area, and to provide funcamental information for making preventive measures. METHODS Retrospective study was carried out to analyze the risk factors of low birth weight, 197 cases low birth weight infants delivered in our hospital during January 2003 to December 2003 were selected randomly. RUSULTS （ 1 ） Among the risk factors, premature birth was the most frequent, 119 cases, the incidency is 60.4%, followed by multiple pregnancies, floating resident , the frequency of being examined during pregnancy, PROM, placenta, PIH with ineideneies of 18.3%, 12.7%, 27.9%, 35.5%, 9.1%, 14.7%. （2） There was significant difference between the two groups when premature birth , multiple pregnancies, floating resident , the frequency of being examined during pregnancy, PROM, placenta, PIH ineideneies were compared （P〈 0.05）. CONCLUSION Many factors ean lead to low birth weight, synthetically measures must be taken to low down the low birth weight rate.