低出生体重影响因素分析  

A study on the influence factors of low birth weight

作　　者：岳福娟[1] 王素萍[1] 张亚玮 冯永亮[1] 王欣[1] 赵楠 杨海澜[3] 李淑珍[3] 

机构地区：[1]山西医科大学公共卫生学院流行病学教研室,山西太原030001 [2]Yale University School of Public Health [3]山西医科大学第一附属医院

出　　处：《中国妇幼保健》2013年第28期4658-4660,共3页Maternal and Child Health Care of China

基　　金：山西省百人计划项目(特聘教师);山西省回国留学人员科研项目〔2008-50〕

摘　　要：目的:探讨低出生体重的发生情况及其影响因素,为减少低出生体重的发生提供可靠的理论依据。方法:采用病例对照研究方法对某三甲医院产科172例低出生体重儿及1 368例正常体重新生儿的出生体重及父母双方的流行病学资料进行调查,探讨低出生体重的危险因素。结果:多因素Logistic回归分析显示:孕周<37周(OR=36.397)、该次妊娠患有妊娠期高血压疾病(OR=6.085)、初次妊娠孕期增重<10 kg(OR=1.841)是低出生体重的危险因素,产前检查≥8次(OR=0.030)是保护因素。结论:制定有效政策,做好孕期保健宣传,增强孕期保健意识,预防和控制妊娠期高血压疾病的发生发展是降低低出生体重发生的重要环节。Objective： To explore the rate of low birth weight （LBW） and investigate the influence factors of LBW infants , then provide the scientific evidence for reducing the rate of LBW. Methods： A case -control study with 172 LBW infants and 1 368 normal birth weight infants involved was performed. And the epidemiological data for both parents were investigated in order to explore the risk factors of LBW. Results ： Multi - factor logistic regression analysis showed ： the risk factors of LBW were gestational age less then 37 weeks （ OR = 36. 397）, hypertensive disorder complicating pregnancy （OR =6. 085） and gaining less 10 kg during pregnancy （OR = I. 841 ） . The pro- tective factors of LBW was more than 8 times of antenatal examinations （ OR = 0. 030） . Conclusion： To make effective policy, complete the prenatal care, strengthen the management of prenatal care, prevent and control the occurrence of hypertensive disorder complicating preg- nancy is an important part to reduce LBW.

关 键 词：新生儿 低出生体重 影响因素 

分 类 号：R722[医药卫生—儿科]