妊娠合并症/并发症与单胎活产新生儿体质量关系探讨  

The relationship between pregnancy complications and weight of single live births

作　　者：曾洁[1] 罗家有[1] 石艳玲[1] 周书进 

机构地区：[1]中南大学公共卫生学院儿少卫生与妇幼保健学系,湖南长沙410008 [2]湖南省浏阳市妇幼保健院妇女保健科,湖南浏阳410300

出　　处：《中国现代医学杂志》2014年第25期55-60,共6页China Journal of Modern Medicine

基　　金：国家自然科学基金(No:81172680)

摘　　要：目的 探讨妊娠合并症/并发症与新生儿体重的关系,为提高新生儿生命质量提供科学依据。方法 对2010年9月~2012年9月在浏阳市妇幼保健院和人民医院住院分娩的13 281名单胎活产产妇进行医学检查和问卷调查,新生儿体质量影响因素的单因素分析采用χ2检验,多因素分析采用有序多分类logistic回归分析。结果 被调查的13 281名产妇,有合并症/并发症者1 800人（13.6%）,13 281名新生儿中,低体质量儿（〈2 500 g）545人（4.1%）,其中早产低体质量儿339人（占低体质量儿的62.2%）、正常体质量儿（2 500-3 999 g）11 814人（89.0%）、巨大儿（≥4 000 g）922人（6.9%）。有序多分类logistic回归分析结果显示：前置胎盘、胎盘早剥、妊娠期高血压疾病、妊娠期糖尿病以及羊水过少5种妊娠合并症/并发症与新生儿的体质量有关系。结论 妊娠合并症/并发症是导致新生儿体质量异常的高危因素,应采取积极措施有效预防和控制妊娠合并症/并发症,保障母婴健康。【Objective】To explore the relationship between pregnancy complications and weight of single live births, and provide scientific evidences for improving the neonate＇s life quality. 【Methods】13 281 single live birth maternal were selected to take the survey and medical inspection. Chi-square test and logistic regression models were used to screen the determinants on the weight of single live births. 【Results】The prevalence of pregnancy complications in Liuyang was 13.6%. There are 339 premature infants（62.2%） among 454 low birth weight infants（2500 g）. The prevalence of normal birth weight infant and fetal macrosomia were 89.0% and 6.9%.Data from logistic regression models showed that placenta previa, placental abruption, hypertensive disorder complicating pregnancy,diabetes and oligohydramnios were related to neonatal weight. 【Conclusion】 It is urgent need to take active intervention to prevent and control pregnancy complications in order to guarantee the safety of women and infants.

关 键 词：妊娠合并症 并发症 活产 新生儿体质量 

分 类 号：R714.25[医药卫生—妇产科学]