巨大儿206例临床分析  

FETAL MACROSOMIA: A CLINICAL ANALYSIS OF 206 CASES

作　　者：宋爱琴[1] 刘慧俭[2] 董增义[1] 陈维萍[3] 

机构地区：[1]青岛大学医学院附属医院儿科,山东青岛266003 [2]山东铝业公司医院妇产科 [3]青岛大学医学院附属医院产科

出　　处：《青岛大学医学院学报》2006年第3期265-266,共2页Acta Academiae Medicinae Qingdao Universitatis

摘　　要：目的探讨巨大儿发生原因、产前诊断、分娩方式及并发症,以期进行早期预防,降低母婴并发症。方法选择我院近4年来分娩的206例巨大儿,对其分娩及产程情况、新生儿情况进行分析。结果剖宫产与阴道分娩出血情况比较差异无显著性(P>0.05);阴道分娩巨大儿较剖宫产巨大儿易发生新生儿窒息(χ2=11.451,P<0.05)。结论巨大儿可增加母婴并发症,应积极进行早期预防,正确产前诊断并采用恰当的分娩方式。Objective To explore the causes, prenatal diagnosis, delivery modality and complications of fetal macrosomia soas to prevent and decrease the complications of mothersand neonates. Methods This study consisted of 206 macrosomic babies bornin our hospital from January, 2001 to December, 2004. The clinical information of the delivery, birth process and neonates was analyzed. Results There was no difference in excessive bleeding between cesarean section and vaginal delivery （P〉 0.05）. Neonatal asphyxia was more liable to occur in babies born through vaginal delivery （x^2 = 11. 451, P〈0.05）. Conclusion Macrosomia may increase the complications of mothers and neonates, measures such as early prevention, correct prenatal diagnosis and appropriate delivery should be applied.

关 键 词：巨大胎儿 产前诊断 预防 

分 类 号：R714.431[医药卫生—妇产科学]