秦巴山区智力发育迟缓儿童围产期危险因素研究  

Study on risk factors of perinatal stage of mental-retardation children in Qinba mountain area

作　　者：韩蓁[1] 李芬[1] 王亚文[1] 闫凤亭[1] 张富昌[2] 孙瑛[2] 

机构地区：[1]西安交通大学第一医院妇幼保健中心,710061 [2]西北大学经济管理学院

出　　处：《中国公共卫生》2003年第1期65-66,共2页Chinese Journal of Public Health

基　　金：国家科技"九五"攻关计划项目(No.96 92 0 1 1 9);卫生部科研基金 (98 1 2 4 2 )

摘　　要：目的　针对秦巴山区智力低下 (MR)患病率较高的现状 ,寻找MR发病的围产期危险因素。方法　采用 1∶1病例对照研究 ,分析与MR有关的围产期因素。结果　产前检查率、住院分娩率、新法接生率、母乳喂率MR组均低于对照组 ,有显著性差异 (P <0 0 5 ) ;胎位性难产率MR组高于对照组 ,有显著性差异 (P <0 0 5 )。围产期各项指标未达到全国农村乙类地区标准。家中无电视、异常孕产史、孕期饮酒、产时并发症、新生儿窒息、新生儿感染为MR的危险因素 ,OR值为 1 68～ 4 46(P <0 0 5 ) ;母乳喂养、新法接生为保护因素 ,OR分别为 0 85 ,0 2 6(P <0 0 5 )。结论　在贫困的秦巴山区应积极推广围产保健适宜技术和孕产期健康教育 。Objective In order to find the risk factors of the mental retardation during the perinatal period.Methods 1∶1 case-control study was used. All status were put into computer,using SPSS software packet.Results The results showed that prenatal care rate,hospital delivery rate,breast feeding rate in the case group were lower than those in the control group.While the fetal position dystocia rate was higher.The risk factors were having no TV set,drinking during pregnancy,complications during delivery,neonatal asphyxia and neonatal infection,et al. OR ranged from 1.68 to 4.46.Breast feeding and sterilization delivery were protective factors, OR were 0.85 and 0.26( P<0 05 ) respectively.Conclusion Providing systematic medical-care for the maternity,perfecting labour graphy,expanding sterilization delivery and promoting science delivery,strengthening health education were suggested.

关 键 词：秦巴山区 儿童 危险因素 智力低下 围产保健 病例对照研究 

分 类 号：R179[医药卫生—妇幼卫生保健]