巨大儿394例临床分析  

作　　者：黄蓉华[1] 朱琳[1] 辜小媚 

机构地区：[1]广东省中山市陈星海医院妇产科,528415

出　　处：《中国实用医药》2009年第20期50-51,共2页China Practical Medicine

摘　　要：目的探讨巨大儿产前诊断、分娩方式及母婴并发症。方法收集本院2003-2008年394例巨大儿的临床资料，对产前诊断、分娩方式及母儿并发症进行回顾性分析。结果①发生率为3．85％；②体重预测与出生体重符合率绝对误差（〈250g）为72％，相对误差（〈10％）为95％；③巨大儿剖宫产率69．8％、产后出血6．6％、14．5％新生儿需经儿科处理均极显著高于对照组。结论降低巨大儿的发生率，提高巨大儿诊断准确率，正确评估和选择分娩方式可降低母婴并发症。Objective To analyze prenatal diagnosis , delivery mode,maternal and fetal complications by evaluating fetal weight. Methods a retrospective analysis of prenatal diagnosis, delivery methods and maternal/ fetal complications for 394 cases of fetal macrosomia at our hospital during2003-2008 six years were performed. Results ①The formation rate is 3.85% ; ②The absolute and relative error for predictive rate of estimating weight and birth weight were72% and 95% respectively.③The rate of cesarean section for maerosomia was 69. 8% ,postpartum hemorrhage was 6. 6% and 14. 5% of neonatal were needed to have pediatric treatment, ？ were signifieandy higher than the control group. Conclusion Reducing the incidence of fetal macrosomia, improving the diagnostic accuracy for fetal maerosomia, assessing and choosing the right way to deliver babies can reduce maternal/fetal complications.

关 键 词：巨大儿 诊断 分娩方式 并发症 

分 类 号：R714.5[医药卫生—妇产科学]