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目的近些年孕妇分娩巨大儿的发生率不断增高,且造成严重并发症。为了更好地防止分娩巨大儿的发生,本研究对孕妇分娩巨大儿的相关因素及妊娠结局进行了探讨。方法从蚌埠市第三人民医院2012年1—12月间收治的产妇中选出分娩巨大儿的产妇296例作为观察组,选择分娩正常体重儿的产妇300例为对照组。回顾性分析2组产妇的临床资料,比较2组产妇年龄、孕龄、分娩前体重、孕次、产次、宫高、腹围、双顶径、股骨长度、新生儿体重以及分娩方式和分娩并发症,使用SPSS 17.0对所得数据进行统计学分析,计数资料采用χ2检验,计量资料采用t检验。结果 2组产妇孕次间差异无统计学意义(P>0.05);而观察组产妇年龄、孕龄、分娩前体重及产次、宫高、腹围、新生儿双顶径、股骨长度和体重均高于对照组产妇,差异有统计学意义(P<0.05);观察组产妇的非正常生产及各并发症的发生率均高于对照组,差异有统计学意义(P<0.05)。结论分娩巨大儿与多种因素相关,可增大生产难度,增加母婴生产并发症的发生率。
Objectives The incidence of maternal macrosomia in pregnant women has been increasing in recent years and has resulted in serious complications. In order to better prevent the occurrence of giant childbirth, this study investigated the related factors and pregnancy outcome of pregnant women with huge gonads. Methods 296 maternal gag births were selected from the mothers who were admitted to the Third People’s Hospital of Bengbu City from January to December 2012. 300 maternal women with normal birth weight were selected as the control group. The clinical data of two groups of maternal women were retrospectively analyzed. The maternal age, gestational age, body weight before delivery, parity, parity, uterine height, abdominal circumference, biparietal diameter, length of femur, weight of newborn, mode of delivery and delivery Complications, using SPSS 17.0 statistical analysis of the data obtained, counting data using χ2 test, measurement data using t test. Results There was no significant difference between the two groups (P> 0.05); while the observation group maternal age, gestational age, body weight and delivery before delivery, uterine height, abdominal circumference, newborn biparietal diameter, femur length and weight (P <0.05). The incidence of abnormal production and complications in the observation group were higher than those in the control group, with significant difference (P <0.05). Conclusion Giant childbirth with a variety of factors related to increase the difficulty of production and increase the incidence of maternal and childbirth complications.