足月低体重儿危险因素的logistic回归分析  

Logistic Regression Analysis of Risk Factors of Term Infants with Low Birth Weight

作　　者：李玉玲 

机构地区：[1]盘锦市中心医院妇产院区妇产科,辽宁盘锦124000

出　　处：《中国实用乡村医生杂志》2017年第3期44-47,共4页Chinese Practical Journal of Rural Doctor

摘　　要：目的分析足月低出生体重儿可能的危险因素，为该病的病因研究及预防提供依据。方法选取2013年1月1日2016年10月31日盘锦市中心医院妇产院区收治的胎龄37-42周，出生体重〈2500g的新生儿171例作为观察组；选取同时期性别相同且出生体重正常的健康新生儿171例作为对照组。采用自行编制的调查问卷对两组新生儿的父母进行现场调查。对调查数据进行单因素及多因素logistic回归分析。结果单因素分析显示：家人吸烟、母亲文化程度较低、家庭人均月收入≤2800元、首胎、孕期未规律产检、未接受健康教育及营养不均衡，是足月低出生体重儿的危险因素。多因素分析显示：母亲文化程度较低、家庭人均月收入≤2800元、孕期未规律产检、未接受健康教育及营养不均衡，是足月胎儿低出生体重儿的危险因素。结论足月低出生体重的发生与多种危险因素有关，应引起相关部门重视，提高妇幼保健单位孕产期保健服务水平，加强对孕产妇的健康教育，以减少或避免足月低出生体重的发生，改善妊娠结局。Objective To analyze the possible risk factors of term infants with low birth weight and to provide evidence for the etiological study and prevention of the disease. Methods One hundred and seventy-one cases of newborns with gestational age of 37-42 weeks and birth weight less than 2,500 g in Panjin Central Hospital from January 1 st, 2013 to October 31 st, 2016 were selected as the observation group, while 171 healthy newborns with the same sex and normal birth weight were selected as control group. A self-designed questionnaire was used in the field investigation of the parents of newborns of two groups. Univariate and multivariate logistic regression analyses of survey data were conducted. Results The univariate logistic regression analysis showed that having smoking family members, low level of education of mothers, family per capita monthly income of less than or equal to 2,800 yuan, being the first child, irregular prenatal examination, having not received health education and nutritional imbalance were risk factors for term infants with low birth weight. It was shown in the multivariate logistic regression analysis that low level of education of mothers, family per capita monthly income of less than or equal to 2,800 yuan, irregular prenatal examination, having not received health education and nutritional imbalance were risk factors for term infants with low birth weight. Conclusion The occurrence of term infants with low birth weight is related to many risk factors, which should be paid attention to by relevant departments, and health care during the pregnant and perinatal period of maternal and child health care units should be improved and the health education of pregnant women is supposed to be strengthened to reduce or avoid the occurrence of term infants with low birth weight and improve the outcome of pregnancy.

关 键 词：足月低体重儿 危险因素 LOGISTIC回归分析 

分 类 号：R72[医药卫生—儿科]