特大儿115例临床分析  

Clinical analysis of 115 extra macrosomias

作　　者：陈茂林 

机构地区：[1]马鞍山市妇幼保健医院妇产科,安徽马鞍山243011

出　　处：《临床军医杂志》2010年第4期599-600,共2页Clinical Journal of Medical Officers

摘　　要：目的探讨特大儿发生的高危因素、产前诊断和分娩方式,以期进行早期预防,降低母婴并发症。方法对近6年115例特大儿进行回顾性分析。结果特大儿发生率1.02%,2002年-2007年特大儿发生率总体呈上升趋势。结合宫高+腹围≥140cm及宫高×腹围+200g,产前诊断符合率为73.9%。本组剖宫产90例,达78.3%,阴道分娩25例,占21.7%。结论特大儿的发生与孕妇体质量指数和身高有关。提高特大儿产前诊断率,选择适宜分娩方式,是减少分娩并发症,保证母儿安全的重要环节。Objective To investigate related high-risk factors,prenatal diagnosis and delivery mode of extra macrosomia.Methods A total of 115 extra macrosomias delivered in the recent six years were analyzed retrospectively.Results The total incidence of extra macrosomia from 2002 to 2007 was 1.02% ,and the annual incidence presented an increased tendency.Combined with 'uterine height+ abdominal circumference ≥ 140 cm'and'uterine height × abdominal circumference + 200 g',the coincidence rate of prenatal diagnosis was 73.9% .The rate of caesarean section was 78.3% (90/115 ) .Twenty-five pregnant woman (21.7% ) experienced vaginal delivery.Conclusion Extra macrosomia is related to the weight of pregnant women and body height.Enhancing the coincidence rate of prenatal diagnosis and choosing proper delivery mode may play an important role in reducing delivery complication and ensuring the safety of the parturient and their neonates.

关 键 词：特大儿 诊断 高危因素 

分 类 号：R82[医药卫生—临床医学]