中原油田巨大儿发生的相关因素分析

The Changes of the Fetal Macrosomia in Recent 10 Years in Zhongyuan Oil Field

目的 通过十年间巨大儿的状况变化 ,分析巨大儿发生的相关因素。方法 回顾性分析我院十年间 12 2 3例巨大儿病例。结果 十年间新生儿体重逐年增高 ,巨大儿发生率亦逐年增加 ,由 1991年的 2 95 %增至 2 0 0 0年的13 73%且超巨大儿发生率亦有逐年增长趋势。巨大儿中孕妇肥胖者占 82 6 % ,巨大儿中男性占 6 0 30 % ,明显高于非巨大儿中男性比率 4 9 4 5 % (P <0 0 1)。巨大儿剖宫产占同期剖宫产比率逐年增加。巨大儿中 ,过期妊娠占2 0 2 8% ,妊娠期糖尿病占 19 91%。巨大儿新生儿病率 12 98% ,显著高于非巨大儿 1 2 6 % (P <0 0 1)。巨大儿产妇产后出血量平均为 (32 0± 15 0 )ml,较同期孕妇产后出血明显增多 (P <0 0 5 )。结论 中原油田巨大儿发生率逐年增加 ,占同期剖宫产率逐年增加。

Objective To study the changes of the fetal macrosomia in recent 10 years in Zhongyuan Oil Field.Methods Retrospective studies were conducted on 1223 fetal macrosomia in this hospital during newly 10 years.Results Both the body weights of the neonates and the fetal giants incidence were increased year by year during newly 10 years.The fetal macrosomia incidence was increased from 2.05% in 1991 to 13.73% in 2000.The fetal overmacrosomia incidence was increased every year.Obese pregnant women with fetal macrosomia were 82.6%;The male macrosomia ratio was more than that of fetal nonmacrosomia(60.30% vs 49.4%,P<0 01) The ratio of cesarean sections due to fetal macrosomia was increased comparing with the total ration in same period every year.Postterm pregnancy incidence in fetal macrosomia group was 20.28%.Gestational diabetes melilitus (GMD) were 19.91%.Illness incidence among the neonates of fetal macrosomia was significantly higher than that of fetal non macrosomia (12.98% vs 1.26%,P<0.001);Postpartum hemorrhage average volume of parturients with fetal macrosomia was much more than those with fetal non macrosomia (320±150 ml vs 180±120 ml,P<0 05).Conclusion The fetal macrosomia incidence was increased year by year in Zhongyuan Oil Field,and the ratio of cesarean sections due to fetal macrosomia was increased comparing with the whole ratio in same period. [