2012年四城市新生儿出生情况调查  

Study on the neonatal conditions in four cities of China in 2012

作　　者：易礼兰[1] 张宝林[2] 韩琦[3] 刘嘉琦[4] 陈兰[5] 刘学芹[6] 

机构地区：[1]怀化医学高等专科学校,湖南长沙418000 [2]中南大学湘雅医院,湖南长沙410008 [3]哈尔滨医科大学附属第二医院,黑龙江哈尔滨150086 [4]中山大学附属第六医院,广东广州510655 [5]湖南省妇幼保健院,湖南长沙410008 [6]清华大学附属第一医院,北京100016

出　　处：《临床儿科杂志》2013年第10期917-920,共4页Journal of Clinical Pediatrics

基　　金：湖南省教育厅青年项目(No.11B098)

摘　　要：目的了解中国城市新生儿出生情况及其变化趋势。方法采取整群随机抽样方法收集北京、哈尔滨、长沙及广州4城市的单胎活产新生儿体格发育数据,并与1986—1987年15城市新生儿体格发育调查组建立的全国新生儿体格发育参考标准及有关原始资料进行对比分析。结果共调查新生儿5 539例,其中北京1 412例、哈尔滨1 410例、长沙1 274例、广州1 443例。与1986—1987年新生儿体格发育参考标准比较,除男婴的头围外,2012年四城市足月新生儿的体质量、身长及头围均增加,差异有统计学意义(P均<0.05);早产儿及巨大儿发生率和男女性别比有所上升,低出生体质量儿及过期产发生率有所下降,差异有统计学意义(P均<0.01)。结论与25年前相比,四城市新生儿出生情况总体良好,应重视对早产儿及巨大儿发生率以及出生人口性别比的控制。Objective To understand the birth conditions of newborns in four cities of China and its trend. Methods The physical development data of single live newborns in 4 cities of Beijing, Harbin, Changsha and Guangzhou were investi- gated by random cluster sampling method, and was compared with the national neonatal growth standard developed from the investigation in 15 cities from 1986 to 1987. Results The study investigated a total of 5 539 newborns： 1 412 in Beijing, 1 410 in Harbin, 1 274 in Changsha and 1 443 in Guangzhou. Except for the head circumference of male newborns, the weight, height and head circumference of full-term newborns in four cities in 2012 were all more than the national neonatal growth standard of 1986-1987 （P〈0.05）. Compared with the data obtained from 1986-1987, the sex ratio and the prevalence of macrosomia and premature were higher, but the rates of post-term delivery and low birth weight were lower （P〈0.01）. Conclusions The new- borns in four cities of China are in good condition during recent 25 years. More attention should be paid to improve the birth sex ratio and to decrease rates of macrosomia and premature.

关 键 词：新生儿 体格发育 早产儿 巨大儿 变化趋势 

分 类 号：R722.1[医药卫生—儿科]