摘要
目的通过对１５９例巨大胎儿的临床分析，寻找准确诊断巨大儿的相关因素。方法将１５９例巨大儿（出生体重≥４０００ｇ）纳入研究，选择相应时间（２日内）分娩的１５９例出生体重＜４０００ｇ的正常足月儿作为对照；比较孕妇年龄、身高、体重、孕周、孕产次、分娩方式、合并症及新生儿有关情况。结果巨大儿组母亲身高、孕期体重增长、分娩孕周、孕产次均高于对照组，并有统计学差异。巨大儿男婴多于女婴。巨大儿组分娩方式以剖宫产为主，剖宫产率为７１０％，高于对照组（３２７％）。结论产妇体重、身高、分娩孕周及宫高、腹围是产前诊断巨大儿的相关因素。超声检查对估计巨大胎儿有参考价值。巨大儿的分娩方式以剖宫产为相对安全。
Objective\ To investigate the relevant factors for macrosomia diagnosis by retrospective analysis of 159 macrosomia cases.Methods\ Medical records of all 159 macrosomia(birth weight≥ 4 000g )delivered in our hospital during January 1994 to December 1996 were reviewed and 159 normal newborn(birth weight< 4 000g )delivered in the same time(within 2 days)were selected as controls.Maternal age,maternal height and body weight,gestational weeks,delivery pattern,pregnancy complications and conditions of newborns were compared.Results\ In macrosomia,maternal height,weight gain during pregnancy,gestational weeks at delivery,number of gravidity and para were significantly higher than those in controls.Among macrosomic infants,males were more than females.The rate of cesarean section delivery was 71 0% in macrosomia cases vs.32 7%in control groups( P <0 001).Conclusions\ Maternal weight and height,gestational weeks at delivery,maternal abdominal circle are predictive factors for macrosomia diagnosis.Ultrasound may contribute to prenatal diagnosis of macrosomia.Cesarean section is a relatively safer choice for macrosomia delivery.
出处
《中国实用妇科与产科杂志》
CAS
CSCD
北大核心
1999年第5期294-296,共3页
Chinese Journal of Practical Gynecology and Obstetrics
关键词
巨大胎儿
出生体重
产前诊断
Macrosomia\ Birth weight\ Prenatal diagnosis
