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目的通过对113例巨大儿临床分析,寻找巨大儿诊断因素、分娩方式。方法入选观察组113例,选择同期住院分娩的113例正常出生体重新生儿作为对照。结果巨大儿发生率10%,巨大儿组体重增长、孕周、B超双顶径和股骨长、宫高+腹围、剖宫产率等均高于对照组,差异有统计学意义。结论加强孕期管理,控制孕妇体重增长,减少巨大儿发生率,提高巨大儿的诊断率,加强产程管理,必要时放宽剖宫产指征。
Objective Through the clinical analysis of 113 cases of giant children, looking for the diagnosis of giant children factors, mode of delivery. Methods Selected 113 cases of observation group, select the same period of hospital delivery of 113 normal birth weight neonates as a control. Results The incidence of macrosomia was 10%. The body weight gain, gestational age, B-biparietal diameter, femur length, uterine height, abdominal circumference and cesarean section rate were all higher than those in control group. The difference was statistically significant. Conclusions Strengthen the management of pregnancy, control the weight gain of pregnant women, reduce the incidence of macrosomia, improve the diagnosis rate of macrosomia, strengthen labor management and relax the indications of cesarean section if necessary.