广西地区新生儿臂丛神经损伤的流行病学研究  

The epidemiological study of neonatal brachial plexus injury in Guangxi, China

作　　者：李光耀 薛明强[1] 王静威[1] 曾祥勇 覃俊 沙轲[1] Li Guangyao;Xue Mingqiang;Wcmg Jingwei;Zeng Xiangyong;Qin Jun;Sha Ke(Department of Orthopaedic Trauma and Hand Surgery, the First Affiliated Hospital of Guangxi Medical University, Nanning 530021, China)

机构地区：[1]广西医科大学第一附属医院创伤骨科手外科,南宁530021

出　　处：《中华手外科杂志》2019年第4期283-286,共4页Chinese Journal of Hand Surgery

摘　　要：目的分析广西地区新生儿臂丛神经损伤的流行病学特点及相关危险因素。方法回顾性分析广西12家中心医院自2007年1月至2017年12月诊治的114例新生儿臂丛神经损伤患儿资料,并综合患儿母亲孕前、孕期、分娩过程的基本情况进行分析。结果患儿平均出生体重为(4056.49±701.57)g,其中全臂丛神经损伤61例。患儿母亲孕前平均BMI为(22.83±3.23)kg/m^2,孕期平均体重增加(13.68±3.41)kg,肩难产80例,59.65%在县或乡级医院分娩。结论出生体重、母亲孕前及孕期体重、分娩方式均与新生儿臂丛神经损伤相关。应加强健康宣教,控制孕妇孕前及孕期体重,减少巨大儿发生率并加强高危孕妇的监护,谨慎使用器械助产等是防控的综合措施。Objective To analyze the epidemiological characteristics and risk factors of neonatal brachial plexus injury in Guangxi. Methods A retrospective study was conducted on 114 cases of neonatal brachial plexus injury recruited from twelve hospitals in Guangxi between January 2007 and December 2017. The basic situation of the mothers before pregnancy, during pregnancy and during childbirth was analyzed. Results The average birth weight of the children was (4 056.49± 701.57) g, of which 61 cases had total brachial plexus injury. The average BMI before pregnancy of the mothers was (22.83±3.23) kg/m2 and the average weight gain during pregnancy was (13.68±3.41) kg. There were 80 cases of shoulder dystocia and 59.65% of the mothers delivered in county or township hospitals. Conclusion The birth weight, maternal weight before and during pregnancy, and delivery mode are all related to neonatal brachial plexus injury. It is necessary to strengthen health education, control the weight of pregnant women before and during pregnancy, reduce the incidence of macrosomia, strengthen the monitoring of high-risk pregnant women, and carefully use the devices for midwifery.

关 键 词：婴儿 新生 臂丛 流行病学 广西 

分 类 号：R726.5[医药卫生—儿科]