624例巨大儿影响因素分析

Study on 624 macrosomia and its interrelated factors

目的应用描述性研究的方法,探讨巨大儿的危险因素,为避免巨大儿的发生和为临床提前干预提供可靠的理论依据。方法符合标准的624例产妇确立为分析和研究的对象,分为观察组(体重≥4 000 g)和对照组(体重<4 000 g)。结果观察组产妇平均年龄、身高、体重、孕周明显高于对照组;经产妇、产妇空腹血糖大于6.16 mmol/L发生巨大儿的几率观察组明显高于对照组;观察组男性出生率明显高于对照组。同时对3种预测巨大儿的方法进行了评价,发现宫高、腹围预测巨大儿的灵敏度最高。结论孕妇的年龄、身高、体重、产次、孕周、空腹血糖、新生儿性别与巨大儿发生有关。

Objective The method of case-control study was used to find the influencing factors of macrosomia and provide the convincing theoretical evidence for avoiding the occurrence of macrosomia and advanced interfere treatment. Methods 624 infants conformed to the entering and excluding standard were selected as the objective of analysis and study, which were divided into two group： study gru- oup （body weight 94 000 g） and control group （body weight 〈4 000 g）. Results The average age, body height, body weight and gestational weeks of parturient women in study group was higher than that in control group significantly; parturient women, which was multiparous or fasting blood glucose 〉6.16 mmol/L, was with the high occurrence probability of macrosomia and as well as male neonatal gender. Three kinds of prediction method for macrosomia were studied too, and the result indicate uterine height and abdominal circumference may be the most sensitive. Conclusions The age, body height, body weight, grand multiparity, gestational weeks, fasting blood glucose and neonatal gender correlated with the occurrence probability of macrosomia.