2010～2013年厦门市巨大儿发生情况分析

Analysis on the occurrence of macrosomia,Xiamen city,2010-2013

目的了解厦门市巨大儿的发生情况,为巨大儿防控策略制定提供基础依据。方法 2010年4月至2013年12月在厦门市4家综合性医院内住院分娩的4 983例孕妇为研究对象,通过住院病历和妇幼保健系统收集产妇产检和婴儿出生资料进行分析。结果 2010~2013年厦门市巨大儿发生率为4.62%,男婴6.09%高于女婴2.86%(P<0.05)。孕妇分娩年龄≥35岁者巨大儿发生率(7.79%)高于分娩年龄<35岁者(4.40%)(P<0.05)。孕妇有过流产者巨大儿发生率(6.47%)高于未有过流产者(3.36%)(P<0.05)。结论厦门市巨大儿的发生率尚处于全国较低水平。

Objective To understand the occurrence of macrosomia in Xiamen city. Methods A total of 4 983 cases of puerperalwomen were chosen as the objects,who were from four general hospitals in Xiamen city during April 2010-December 2013. Maternal and neonatal data were collected by Maternal and Children Health Care System and hospital re cords for analysis. Results The incidence of macrosomia was 4.62% in Xiamen city,2010 -2013. The incidence of mac rosomia was higher in males9（6. 09%） than that of 2.86% in females （ P 〈0.05）. The rate of macrosomia in pregnant women at 35 years and above was 7.79% was higher than that in those under 35 years old （4.40%） （ P〈0.05）. The rate of macrosomia in pregnant women who had abortion was 6. 47%,higher than that of 3.36% in those without abortion （ P 〈0.05）. Conclusion The incidence of maerosomia in Xiamen city remains at a lower level in China.