胎儿宫内生长受限现状调查

Current situation investigation on fetal intrauterine growth restriction

目的探讨胎儿官内生长受限（FGR）相关因素及新生儿预后的影响。方法选取该院2012年12月～2014年12月FGR孕产妇98例为试验组，正常孕产妇98例为对照组，分析FGR相关因素及两组新生儿预后情况。结果FGR内在主要因素是母体因素，占51％，母体因素中主要是妊娠并发症；其次是脐带因素，占15．2％。外在因素中居住地、未系统产检、〈36周产检发生FGR的发生率明显高于对照组，差异有统计学意义（P〈0．05），产妇〉42周产检发生FGR的发生率差异无统计学意义（P〉0．05）。试验组发生FGR、新生儿窒息、围生儿死亡的发生率明显高于对照组，差异有统计学意义（P〈O．05）。结论FGR高危因素分析和孕产妇早期诊断对减少该地区产妇发生FGR、新生儿预后不良有重要意义。

Objective To explore the related factors of fetal intrauterine growth restriction （FGR） and the effect on neonatal prognosis. Methods Ninety-eight FGR pregnant women were selected from the hospital from December 2012 to December 2014, ninety-eight normal pregnant women were selected from the hospital during the same period as control group ; the related factors of FGR and neonatal prognosis in the two groups were anaiyzed. Results The main intrinsic factor of FGR was maternal factors, accounting for 51.0% ; among various maternal factors, pregnancy complications were the main factors; followed by umbilical cord factors, accounting for 15.2%. The incidence rates of FGR among the pregnant women with extrinsic factors （ living place, absence of systematically prenatal examination, less than 36 gestational weeks） in experimental group were statistically significantly higher than those in control group （P〈0. 05 ）, there was no statistically significant difference in the incidence rate of FGR among the pregnant women more than 42 gestational weeks between the two groups （ P〉0. 05 ） . The incidence rates of FGR, neonatal asphyxia, and perinatal death in experimental group were statistically significantly higher than those in control group （P〈0.05） . Conclusion Analyzing the high risk factors of FGR and early diagnosis of pregnant women have important significance in reducing the incidence rate of FGR and improve neonatal prognosis.