巨大胎儿相关因素及对母儿影响的临床分析  

The clinical analysis of the factors related macrosomia and their effect on mother and infant

作　　者：王立岩[1] 刘玉萍[1] 盛敏佳[1] 冷维春[1] 佟晓红[2] 郎巍[2] 

机构地区：[1]吉林大学中日联谊医院,130033 [2]吉林省长春市妇产科医院

出　　处：《中国妇幼保健》2006年第12期1648-1650,共3页Maternal and Child Health Care of China

摘　　要：目的:探讨巨大胎儿的相关因素及其对母儿的影响。方法:对86例巨大儿孕妇及同期86例正常出生体重儿孕妇进行回顾性分析。结果:经产妇、糖尿病孕妇、过期妊娠及男胎孕妇发生巨大儿的几率大;当宫高+腹围>140 cm时,巨大儿的发生率明显增加;胎儿双顶径大于等于9.5 cm,股骨长径≥7.5 cm时,巨大儿的发生率明显增加;巨大儿组剖宫产率、妊娠合并症的发生率增高。结论:巨大胎儿的发生与多种因素有关,临床上应根据宫高、腹围、双顶径等多项指标预测巨大胎儿的发生,选择正确的分娩方式,避免巨大胎儿引起的母儿并发症。Objective： To research the related factors causing macrosomia and the effect on the mother and infant. Methods： 86 gravidae delivered macrosomia and 86 gravidae delivered normal weight babies were retrospectively analysed. Results. Muhigravidae, diabetic gravidae, pregnancy to be overdue and gravidae who delivered male babies have high probability to bear macrosomia. The incidence of macrosomia increased visibly when the sum of the size of uterus and the abdomen circumference were more than 140 cm; or when biparietal diameter （BPD） ≥9. 5 cm, and the length of femurs〉7.5 cm ; The macrosomia‘s incidence of Caesarean birth and complication of pregnancy increased. Conclusion ： The occurrence of macrosomia is related to many factors, correct mode of delivery must be elected clinically according to index such as the size of uterus, abdomen circumference, BPD and so on, which help to forecast the happeness of macrosomia, in order to avoid the occurrence of complication caused by macrosomia.

关 键 词：巨大胎儿 相关因素 临床分析 

分 类 号：R173[医药卫生—妇幼卫生保健]