巨大儿318例的相关因素及其预后分析

The correlation factors of macrosomia:Analysis of 318 cases

目的分析318例巨大儿发生的相关因素及其预后,为降低巨大儿的发生率和减少母婴并发症的发生提供参考。方法回顾分析2007-01～2012-03在我院产科住院分娩318例巨大儿的孕妇孕期体重增长、血糖检测、分娩方式、产时并发症、新生儿体重、新生儿产伤、新生儿窒息、新生儿低血糖等资料。结果巨大胎儿发生的相关因素有遗传因素、孕妇肥胖与身高、妊娠期糖代谢异常、过期妊娠、种族、地区、生活饮食习惯及经济状况、产次、男胎、羊水过多等。结论积极进行早期干预,正确诊断并选择恰当的分娩方式能降低巨大儿的发生率和减少母婴并发症的发生。

Objective To analyze the correlation factors of macrosomia in order to avoid its occurrence and provide a reliable theoretical basis for intervention. On the other hand, to explore tile mode of delivery and treatment scheme of maerosomia in order to reduce maternal injury and improve the prognosis of maerosomia. Methods The clinical data of 318 macrosomic infants who were born in the people＇ s Hospital of Guangxi Zhuang Autonomous Re- gion were analyzed retrospectively from January 2007 to March 2012. These data included pregnant women＇ s raise of weight, blood glucose, modes of delivery, complications, weight of infants, neonatal birth injury, neonatal asphyxia and hypog]ycemia of neonates. Results Tile correlation factors of maerosomia included hereditary factor, pregnant women＇ s weight and stature, abnormal glucose metabolism, postterm pregnancy, race, district, habits of life and e- conomic status, parity, male fetus and polyhydramnios factors. Conclusion Paying close attention to the correlation factors of macrosomia, early prevention, adopting appropriate mode of delivery can reduce the occurrence of macrosomia and its related complications.