巨大儿259例临床分析

The clinical analysis of 259 cases macrosomia

目的：通过对本院259例巨大儿发生情况及围产儿的分析，探讨巨大儿发生的原因、诊断、分娩方式，提高对巨大儿的风险意识，努力减少母婴并发症，提高产科质量。方法：回顾性统计分析1995—2005年于本院分娩的7179例新生儿中巨大儿出生情况资料。结果：11年中出生巨大儿259例，发生率3．61％，其中特大儿25例，占巨大儿的9．65％；男性187例，占72．2％，女性72例，占27．8％，两者比较，P〈0．01；11年中巨大儿出生率无显著上升或下降趋势（均P〉0．05），巨大儿发生率明显低于国内报道，巨大儿的分娩方式以剖宫产相对安全，剖宫产率为47．10％。结论：海南地区巨大儿发生率低于国内其他地区，巨大儿发生与孕母身高、活动、过期妊娠等因素有关。

Objective： To analyze the causes, diagnosis and dilivery mode of macrosomia to reduce perinatal coplications and to improve obstetric quality. Methods： 259 cases macrosomia among 7 179 diliveries from 1995 to 2005 were studied retrospectively. Results： The incidence of macrosomia was 3. 61%, it was more likely occurred in male compare with female. There was no obvious change in terms of incidence during the last 11 years. Cesearen section is better than vaginal delivery. Cesearen rate was 47. 1%. Conclusion： The incidence is low in Hainan than that in other main provinces, it may connect with the height, activity and prolonged pregnancy.