鄂州市巨大儿发生率及其影响因素分析

Incidence of Macrosomia in Ezhou City and the Influencing Factors

目的探讨湖北省鄂州市巨大儿发病率及其影响因素,为巨大儿的预防干预提供科学依据。方法利用鄂州市妇幼保健院2010~2014年分娩记录资料,分析巨大儿的发生率及变化趋势。采用χ2检验和Logistic回归进行巨大儿发生的危险因素分析。结果鄂州市妇幼保健院2010~2014年间年巨大儿发生率为5.5%,巨大儿的发生呈逐年递减的趋势;单因素以及多因素分析发现分娩年龄、孕周、流产以及婴儿性别是巨大儿发生的影响因素。结论巨大儿的发生是多因素共同作用的结果,应加强孕期保健管理,减少巨大儿的发生。

Objective To investigate the incidence of macrosomia in Ezhou of Hubei province of China,and analyze the in-fluencing factors in an attempt to provide scientific evidence for the prevention and intervention of macrosomia.Methods The incidence and change pattern of macrosomia were analyzed by reviewing the medical records of delivery between 2010 to 2014 in Maternal and Child Health Hospital of Ezhou City.Chi-square and logistic regression were used to analyze the lnfluencing fac-tors of macrosomia.Results The incidence of macrosomia in Ezhou city was 5.5% in 2010-2014,and it tended to decline by year.Univariate and multivariate analyses revealed that maternal age at delivery,gestational week,history of miscarriage and the infant gender were influencing factors of macrosomia.Conclusion The development of macrosomia is associated with many fac-tors.More attention should be paid to the pregnancy care to reduce the occurrence of macrosomia.