新生儿体质量影响因素分析  

Analysis of Influencing Factors on Neonatal Body Weight

作　　者：李晨波[1] 王西宁 沈建芳[1] 费晓萍[1] 

机构地区：[1]江苏大学附属昆山市第一人民医院产科,江苏昆山215300 [2]陕西杨凌示范区医院,陕西西安712100

出　　处：《医学临床研究》2016年第11期2091-2095,共5页Journal of Clinical Research

基　　金：昆山市科技项目（编号：JLY20120051）

摘　　要：【目的】探讨新生儿体质量影响因素。【方法】回顾性分析2012年1月至2014年12月本院分娩的孕产妇6489例的临床资料。根据新生儿体质量将新生几分为低体质量儿、正常体质量儿及巨大儿，单因素和多因素分析新生儿体质量的影响因素。【结果]6489例孕产妇中妊娠期高血压疾病（hypertensive disorder complicating pregnancy，HDCP）发生率为9．77％（634／6489）。Logistic多因素回归分析结果显示：HDCP、早产、孕前BMI〈18．5kg／m2、孕期增重〈12kg及吸烟是新生儿发生低体质量的危险因素；HDCP、孕前BMI〉24kg／m2及孕期增重〉16kg是巨大儿的危险因素。【结论]HDCP、早产、孕前BMI、孕期体质量的变化及吸烟是影响新生儿体质量的相关因素。[Objective] To explore the influencing factors of neonatal body weight. [Methods]Retrospective analysis of clinical data of 6,489 pregnant women in our hospital from January 2012 to December 2014 was conducted. According to the newborn body weight, the newborn were divided into the low body mass, the normal body weight and the giant baby. The univariate and multivariate analysis of factors influencing the quality of neonates were performed.[Results] Among 6,489 cases of pregnant women, 634 cases suffered from hypertensive disorder complicating pregnancy （HDCP） ,the incidence was 9.77% （634/6489）. Logistic multivariate regression analysis showed that.. HDCP, preterm labor, pre pregnancy BMI（18.5 kg/m2 , weight gain during pregnancy （12 kg and smoking were risk factors for neonatal low body weight. HDCP, pre pregnancy BMI 〉 24 kg/m2 and weight gain during pregnancy 〉16 kg were risk factors of macrosomia.[Conclusion] HDCP, premature birth, BMI before pregnancy, change of body weight and smoking are the factors influencing the quality of neonatal body.

关 键 词：婴儿 新生 人体质量指数 危险因素 回顾性研究 

分 类 号：R722.1[医药卫生—儿科]