天津市2010年巨大儿发生率及影响因素分析  

Analysis on incidence and influencing factors of fetal macrosomia in Tianjin in 2010

作　　者：冯凌燕[1] 谭玲琳 邱中娟[1] 鲍静[1] 

机构地区：[1]天津市妇女儿童保健中心信息科,天津300070

出　　处：《现代预防医学》2013年第4期627-629,632,共4页Modern Preventive Medicine

摘　　要：目的探讨天津市2010年巨大儿发生率及其影响因素,为制订控制巨大儿发生的干预措施提供数据支持。方法使用天津市妇幼卫生信息系统获得人群数据,以天津市2010年出生的活产新生儿为研究对象,运用SPSS13.0,采用单因素χ2检验和二分类Logistic回归分析方法,筛选巨大儿相关影响因素。结果 2010年天津市出生活产新生儿108412名,巨大儿发生率为8.85%。通过信息系统导出数据发现,2009年巨大儿发生率为8.57%,2011年上半年(1月1日～6月30日)巨大儿发生率为9.09%。二分类Logistic回归进行多因素分析显示,与巨大儿发生有关的因素为:母亲孕前BMI、空腹血糖、性别、出生孕周、分娩方式、户籍类型、母亲是否贫血、孕次、文化程度、职业。结论天津市巨大儿发生率呈逐年上升趋势,在现有孕期保健工作基础上,强化孕期健康教育,加强营养指导,推动孕产期保健服务均等化,有助于预防巨大儿的发生。OBJECTIVE To explore the incidence and influencing factors of fetal macrosomia in Tianjin in 2010 and to provide basis data for making intervention measures of controlling fetal macrosomia incidence. METHODS Tianjin Women and Children Health Information System was used in the study. The live birth infants in Tianjin in 2010 were selected as study objects. All data was analyzed with SPSS 13.0 software. Single factor %5 analysis and binary Logistic regression analysis were used to screen the related effect factors of fetal macrosomia. RESULTS 108 412 infants were investigated. The incidence of fetal macrosomia in 2010 was 8.85% in Tianjin. Based on the data from Information System, the incidence of fetal macrosomia were 8.57% in 2009 and 9.09% in the first half of 2011. Logistic regression was used to analyze the influencing factors. The results suggested that the influencing factors included the pre-pregnancy BMI, fasting blood glucose （FBG）, gender, gestational weeks, delivery mode, place of residence, anemia during gestational period, multiple pregnancy, educational levels of mothers and occupation. CONCLUSION The incidence of fetal macrosomia increases over years in Tianjin. In addition to existing prenatal care, strengthening health education and nutrition education during pregnancy and improving prenatal care services should be helpful to reduce the incidence of fetal macrosomia among live birth infants.

关 键 词：巨大儿 影响因素 发生率 LOGISTIC回归 

分 类 号：R174[医药卫生—妇幼卫生保健]