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目的:探讨新疆医科大学第二附属医院南湖分院近五年巨大儿的影响因素,为控制巨大儿的发生提供依据。方法:将从2008年1月1日至2012年12月31日在新疆医科大学第二附属医院南湖分院分娩的出生体重≥4000 g的活产新生儿306例为巨大儿组,出生体重2500~3999 g的活产新生儿306例为正常体重新生儿组进行回归分析。结果:①孕前BMI、孕期体重增加、孕妇年龄及孕周与巨大儿的发生有关(P<0.01)。②多元逐步Logistic回归分析得出:孕妇年龄、孕周、孕期体重增加、孕妇分娩次数是巨大儿发生的危险因素,胎儿性别为女性是巨大儿的保护因素。结论:孕前BMI与巨大儿的发生有关。孕期体重增加、孕妇年龄、孕妇分娩次数、孕周是巨大儿发生的危险因素等的增加值的逐渐变大,巨大儿发生的危险性是逐渐增加,胎儿性别女性为保护因素。
Objective: To investigate the influential factors of giant children in Nanhu Branch of the Second Affiliated Hospital of Xinjiang Medical University in recent five years, and to provide the basis for controlling the occurrence of giant children. Methods: From January 1, 2008 to December 31, 2012 in the Second Affiliated Hospital of Xinjiang Medical University, Nanhu Lake Branch birth of birth weight ≥ 4000 g of live births 306 newborns as giant children, birth weight 2500 ~ A total of 306 newborns from 3999 g live births were regressed for the normal weight neonates. Results: ① BMI before pregnancy, weight gain during pregnancy, pregnant women age and gestational age were associated with the occurrence of macrosomia (P <0.01). ② Multiple stepwise logistic regression analysis showed that: pregnant women age, gestational age, weight gain during pregnancy, the number of pregnant women giving birth is a risk factor for macrosomia, fetus sex is a protective factor for macrosomia in children. Conclusion: BMI before pregnancy is related to the occurrence of macrosomia. Weight gain during pregnancy, pregnant women age, number of pregnant women giving birth, gestational age is a risk factor for macrosomia increased gradually increased, the risk of macrosomia is gradually increased, the fetus female gender as a protective factor.