不同级别医院足月单胎新生儿出生体质量及分娩方式比较  被引量:12

Study on mode of delivery and singleton newborns term birth weight in 3 hospitals

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作  者:杨延冬[1] 吴春凤[2] 杨慧霞[3] 

机构地区:[1]滨州医学院附属医院妇产科,256603 [2]首都医科大学燕京医学院附属密云医院妇产科 [3]北京大学第一医院妇产科

出  处:《中华妇产科杂志》2013年第2期98-101,共4页Chinese Journal of Obstetrics and Gynecology

摘  要:目的分析3家不同级别医院5年间足月单胎新生儿出生体质量情况及其与分娩方式的关系。方法回顾性分析2005年1月至2009年12月在北京大学第一医院(北大医院组,n=13963)、滨州医学院附属医院(滨医附院组,n=6519)、首都医科大学燕京医学院附属密云医院(密云医院组,n=8725)分娩的足月单胎活产新生儿出生体质量、巨大儿发生率等。并进一步比较北大医院和密云医院巨大儿(巨大儿组,n=2288)、非巨大儿(非巨大儿组,n=20400)分娩方式。结果(1)北大医院组、滨医附院组、密云医院组新生儿平均出生体质量分别为(3386±414)、(3389±446)、(3445±449)g,密云医院组新生儿平均出生体质量明显高于北大医院组、滨医附院组,分别比较,差异均有统计学意义(P均=0.000),滨医附院组新生儿平均出生体质量略高于北大医院组,两组比较,差异无统计学意义(P=0.638)。(2)北大医院组、滨医附院组、密云医院组巨大儿发生率分别为7.935%(1108/13963)、9.802%(639/6519)、13.524%(1180/8725),密云医院组巨大儿的发生率明显高于其他两组,滨医附院组高于北大医院,分别比较,差异均有统计学意义(P均=0.000)。(3)巨大儿组和非巨大儿组剖宫产率分别为75.306%(1723/2288)、50.765%(10356/20400),两组比较,差异有显著统计学意义(P=0.000)。结论(1)我国不同级别医院新生儿出生体质量存在差异。(2)巨大儿剖宫产风险明显高于非巨大儿。(3)产科及相关领域的工作者应关注孕期营养指导,给胎儿提供一个良好的宫内环境,以减少巨大儿的发生率并降低剖宫产率。Objective To study newborns weight in singleton term births and the association between newborns birth weight and mode of delivery in 3 hospitals. Methods From Jan. 2005 to Dec. 2009, 13 963 singleton term live neonates born in the Department of Obstetrics and Gynecology of Peking University First Hospital (PU group), 6519 neonates in Affiliated Hospital of Binzhou Medical College (BMC group, ) and 8725 neonates in Miyun Hospital Affiliated to Capital Medical University, Yanjing Medical College( MYC group) were enrolled in this retrospective study. The newborns weight and the rate of macrosomia was calculated and compared. Those newborns from PU group and MYC group were divided into 2288 neonates at macrosomia group and 20 400 neonates at non-macrosomia group, their mode of deliveries were analyzed. Results ( 1 ) The mean neonatal birth weight were (3386±414) g at PU group, ( 3389±446) g at BMC group and (3445 ± 449) g at MYC group. Neonates born weight in MYC was significantly higher than those from in PU group and BMC group ( P = 0. 000 ). Neonates born weight in BMC showed higher than those in PU group, which did not reached statistical difference (P = 0. 638). (2)The incidence of macrosomia were 7.935% (1108/13 963) in PU group, 9. 802% (639/6519) in BMU group and 13. 524% ( 1180/8725 ) in MYU group. The incidence of macrosomia in MYC group was higher than those in PU and BMC group, the incidence of macrosomia in BMC group was higher than that in PU group, whichreached statistically difference (P = 0. 000). (3) The proportion of cesarean delivery were 75. 306% ( 1723/ 2288) at macrosomia group,50. 765% ( 10 356/20 400) at non-macrosomia group, which showed statistical difference ( P = 0. 000 ). Conclusions ( 1 ) The difference of newborns birth weight existed in different administrative level hospital. (2)The risk of cesarean delivery due to macrosomia is higher than that of non- macrosomia. (3)Obstetricians should pay more

关 键 词:出生体重 婴儿 新生 剖宫产术 围生期医护 

分 类 号:R722.1[医药卫生—儿科]

 

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