高原环境对世居藏族产妇足月顺产新生儿生长发育及Apgar评分的影响  

Effects of plateau environment on physical development and Apgar score of full-term fetus of Tibetan nationality

作　　者：柴丽娜 徐建国[3] 熊丽华[4] 龙卉[1,2] 任尉华[1,2] 郝丽芸 冯晨[1,2] Chai Li’na;Xu Jianguo;Xiong Lihua;Long Hui;Ren Weihua;Hao Liyun;Feng Chen(Department of Pediatrics,the First Medical Center of Chinese PLA General Hospital,Beijing 100853,China;Department of Pediatric Medicine,Chinese PLA General Hospital,Beijing 100700,China;Department of Gynecology and Obstetrics,Chinese PLA Tibet Military Region General Hospital,Lhasa Tibet 850007,China;Department of Gynecology and Obstetrics,the First Medical Center of Chinese PLA General Hospital,Beijing 100853,China)

机构地区：[1]解放军总医院第一医学中心儿科,北京100853 [2]解放军总医院儿科医学部,北京100700 [3]中国人民解放军西藏军区总医院妇产科,西藏拉萨850007 [4]解放军总医院第一医学中心妇产科,北京100853

出　　处：《中国医刊》2024年第12期1326-1328,共3页Chinese Journal of Medicine

基　　金：军队后勤科研项目计划生育专项课题(23JSZ15)。

摘　　要：目的 通过比较世居高原藏族产妇与平原汉族产妇足月顺产新生儿的出生体重、身长及Apgar评分,了解高原环境对世居藏族胎儿生长发育的影响。方法 选取2023年3—12月中国人民解放军西藏军区总医院收治的世居高原藏族产妇足月顺产新生儿106例作为高原组,另选取同期解放军总医院第一医学中心收治的汉族产妇足月顺产新生儿159例作为平原组。比较两组新生儿的出生体重、身长及Apgar评分。结果 高原组新生儿出生体重、身长与平原组比较差异无统计学意义(P>0.05)。与平原组相比,高原组新生儿1 min Apgar评分更低,差异有统计学意义(P<0.05),而两组5 min Apgar评分比较差异无统计学意义(P>0.05)。结论 高原缺氧低压环境对世居藏族孕妇胎儿的生长发育影响有限。Objective By comparing the birth weight,length and Apgar score of full-term newborns in Tibetan plateau and Han plain,we can understand the infl uence of hypoxic environment on growth and development of native Tibetan fetus.Method 106 full-term spontaneous births of Tibetan mothers who lived in the plateau from March to December 2023 in the Chinese PLA Tibet Military Region General Hospital were selected as the plateau group,and 159 full-term spontaneous births of Han mothers in the First Medical Center of the Chinese PLA General Hospital in the same period were selected as the plain group.Compared the birth weight,length,and Apgar score of two groups of newborns.Result There was no statistically signifi cant difference in birth weight and length between newborns in the plateau group and those in the plain group(P>0.05).Compared with the plain group,the 1-minute Apgar score of newborns in the plateau group was lower,and the difference was statistically signifi cant(P<0.05),while there was no statistically signifi cant difference in 5-minute Apgar score between the two groups(P>0.05).Conclusion The anoxic and low pressure environment in plateau had limited impact on the growth and development of Tibetan fetus.

关 键 词：世居藏族 平原汉族 高原环境 胎儿生长 缺氧适应 

分 类 号：R722[医药卫生—儿科]