厦门市巨大儿发生现状及影响因素研究  

Survey on occurrence and impact factors of macrosomia in Xiamen

作　　者：张金华 伍啸青[2] 牛建军[3] 周裕林[4] 王昊平 陈国伟 谢荣珍[2] 林艺兰[2] 刘玲飞[1] 宋然然 ZHANG Jinhua;WU Xiaoqing;NIU Jianjun;ZHOU Yulin;Wang Haoping;CHEN guowei;XIE Rongzhen;LIN Yilan;LIU Linfei;SONG Ranran(School of Public Health,TongjiMedicai College,Huazhong University of Science and Technology,Wuhan430030;Center for Disease Control and Prevention of Xiamen,Xiamen361021;Zhongshan Hospital Affiliated to Xiamen University,Xiamen361004;Hospital of Maternal and Child Healthcare of Xiamen,Xiamen361003;Lianhua Hospital of Xiamen,Xiamen361000,China)

机构地区：[1]华中科技大学同济医学院公共卫生学院,湖北武汉430030 [2]厦门市疾病预防控制中心,福建厦门361021 [3]厦门大学附属中山医院,福建厦门361004 [4]福建厦门市妇幼保健院,福建厦门361003 [5]厦门莲花医院,福建厦门361000

出　　处：《国外医学（医学地理分册）》2017年第4期325-327,335,共4页Foreign Medical Sciences：Section of Medgeography

基　　金：福建省科技厅自然科学基金资助项目(No.2012D046);厦门市科技局科技计划资助项目(No.3502Z20124057)

摘　　要：目的探讨厦门市巨大儿发生的影响因素,为制定相应防控对策提供依据。方法采用问卷调查方法收集孕产妇在孕前和怀孕期间的相关资料,通过妇幼保健系统及住院病历资料收集婴儿出生时数据。用多因素非条件Logistic回归模型筛选巨大儿发生的影响因素。结果厦门市巨大儿发生率为4.62%。男婴(6.09%)高于女婴(2.86%)。母亲孕前肥胖(OR=5.48,95%CI:3.32~9.05),孕期增重超过15kg(OR=1.54,95%CI:1.15~2.07),孕周>40周(OR=3.07,95%CI:2.26~4.17),有过流产史(OR=1.78,95%CI:1.35~2.35),怀孕期间饮食吃的非常甜(OR=6.8,95%CI:1.7~27.8),可能是巨大儿发生的影响因素;孕27周后参加体育运动,可使巨大儿发生率降低(OR=0.62,95%CI:0.45~0.84)。结论厦门市巨大儿的发生率低于全国水平,孕妇孕前肥胖或曾流产、孕期吃的太甜或缺少运动可能引发巨大儿的发生,应加强宣传教育。O bjective To explore t he impact factors of macrosomia,so as to provide the basis for theprevention and control measures.Methods Using the questionnaire to collect the information related to the pregnant and puerperal women.Infant born data were collected through Maternal and Child Health Care System and hospital records.The multivariate unconditional Logistic regression model was used to screen the risk factors of macrosomia.Results The incidence of macrosomia was4.62%in Xiamen,which was higher in male(6.09%)than that in female(2.86%).Maters with obesity in pre pregnancy(OR=5.48,95%CI:3.32-9.05),total pregnancy weight gain more than15kg(OR=1.54,95%CI:!1.15-2.07),gestational weeks more than40weeks(OR=3.07,95%CI:2.06-4.17),the history of abortion(OR=1.78,95%CI:1.35-2.35)intaking too muchsweet food during gestation(OR=6.8,95%CI:!1.7-27.8)may be risk factors for macrosomia.Participating in sports after27weeks of gestation,the incidence of macrosomia was reduced(OR=0.62,95%CI:!0.45-0.84).Conclusion The incidence of macrosomia in Xiamen is lower than the national level.Pre pregnancy obesity or the history of abortion,intaking too much sweet food during gestationor lack of exercise may lead to the occurrence ofmacrosomia,so we should strengthen the propaganda and education.

关 键 词：巨大儿 影响因素 流行病学 横断面调查 

分 类 号：R732[医药卫生—肿瘤]