江门市新会区低出生体重儿影响因素调查与干预对策研究  

Study on the Risk Factors and Countermeasures of Low Birth Weight in Xinhui Area

作　　者：周炜茹[1] 杨起鹏[1] 杨晓慧[1] 聂颖坤 余秀华[1] 蒋佩红 李彩霞[1] 林贞[1] 

机构地区：[1]江门市新会区妇幼保健院,广东江门529100

出　　处：《中国初级卫生保健》2008年第5期43-45,共3页Chinese Primary Health Care

摘　　要：目的调查分析影响新会区低出生体重儿发生的危险因素,为制定预防措施提供科学依据。方法调查2006—2007年新会区低出生体重儿发生的影响因素,用病例对照研究方法,对721名低出生体重儿和对照组进行单因素分析及Logistic多因素回归分析。结果单因素及多因素Logistic回归分析皆显示:早产、多胎、胎膜早破、妊高征、前置胎盘、产检次数<5次、流动户口、小学及以下文化、被动吸烟和家庭月收入<2 000元是低出生体重儿发生的危险因素。结论低出生体重的发生受多种因素的影响,早产、妊高征、母亲文化程度低、被动吸烟等因素可显著增加危险性,应采取综合性措施,特别是要加强孕产期保健及高危妊娠的管理,以此降低低出生体重儿发生率。OBJECTIVE To investigate and detect the factors of low birth weight（LBW）in the new borns in Xinhui Area, so as to provide scientific bases preventing LBW. METHODS Case-control study and univariate Logistic regression analysis were carried out to analyze the risk factors of LBW, 721 LBW infants delivered in Xinhui during 2006 to 2007 were selected randomly. RESULTS Both univariate analysis and Logistic regression analysis showed that the risk factors were premature birth, multiple pregnancies, PROM, PIH, placenta previa, little pregnatal care, floating resident, poor maternal education, father smoking, low family income.CONCLUSION Many factors can lead to low birth weight, premature birth, PIH, poor maternal education, father smoking were significantly associated with an increased risk of LBW, synthetically measures must be taken to low down the low birth weight rate, it was important to strength the health protection of pregnant period and management of high risk pregnant.

关 键 词：低出生体重 危险因素 病例对照研究 干预对策 

分 类 号：R172[医药卫生—妇幼卫生保健]