上海地区巨大儿影响因素调查  

Study on the factors influencing macrosomia.

作　　者：朱丽萍[1] 秦学伟[1] 钱尚萍[1] 

机构地区：[1]上海市第一妇婴保健院.上海市妇女保健所,200040

出　　处：《中国优生与遗传杂志》2001年第6期81-83,共3页Chinese Journal of Birth Health & Heredity

摘　　要：目的 :了解巨大儿 (macrosomia)的相关因素 ,为控制巨大儿发生提供科学依据。方法 :将 1999年在上海市第一妇婴保健院 (以下简称一妇婴 )分娩的 133例巨大儿 (出生体重≥ 40 0 0g)作为研究组 ,选择相应时间内 (同一年份内 )分娩的 135例正常体重出生儿 (2 5 0 0 - 3999g)作为对照组 ,进行回顾性调查。结果 :研究组巨大儿家族史、(外 )祖父母肥胖发生率、父母亲体质指数 (BMI)、母亲孕期宫高、腹围、孕期营养摄入、羊水过多、异常妊娠图发生率明显高于对照组 ,并有统计学差异。巨大儿男婴多于女婴。巨大儿组分娩方式以剖宫产为主。结论 :筛选高危人群 ,孕前控制体重 ,孕期合理营养与适当运动 ,加强监测 ,重视妊娠图变化 。Objective:In order to learn the related factors of macrosomia and provide scientific basis for control of the incidence of macrosomia.Methods:Medical records of all newborns with birth weight over 4000g and 135 normal newborn with birth weight less than 4000g delivered in Shanghai First Maternity and Infant Heath Hospital in 1999 were studied retrospectively.Results:Family history of macrosomia,fat grandparent,maternal and paternal BMIs.nutrition intake during pregnancy,polyhydramnios and abnormal maternal-child chart in study group were significantly higher than those in control group.Male infants had a high risk of being macrosomic.The delivery pattern of macrosomic infants is mostly caesarean section.Conclusions:It will be helpful to control the incidence of macrosomia if we take the measures such as screening for the risky population,controlling the maternal weight before pregnant,scientific nutrition intake and exercise during pregnancy,paying attention to surveillance as well as emphasizing the changes of maternal-child chart.

关 键 词：巨大儿 影响因素 调查 性别 发生率 

分 类 号：R714.7[医药卫生—妇产科学]