摘要
目的了解马鞍山市巨大儿的发生状况并探讨其影响因素。方法选取在2011年9月至2012年9月出生的定期来安徽省马鞍山市妇幼保健院监测的单胎婴幼儿为研究对象，采用自编问卷收集孕妇的社会人口统计学资料、妊娠情况、母亲孕前体重、孕期最高体重、妊娠并发症以及新生儿出生体重等信息。最终对2333份有效问卷进行分析。使用X。检验和多因素Logistic回归模型对数据进行分析，筛选巨大儿相关影响因素。结果马鞍山市巨大儿的发生率为10．06％。多因素Logistic回归分析结果显示，男性、母亲文化程度高、胎次多、孕期增重过多、妊娠期糖尿病是巨大儿的危险因素，其OR值分别为1．87（95％CI：1．40—2．51），2．64（95％CI：1．65—4．23），1．83（95％CI：1．22-2．73），2．50（95％CI：1．81～3．45），1．99（95％CI：1．16—3．41）；另外，随着胎龄的增加、孕前BMI增加巨大儿的发生率增加，其OR值分别为1．70（95％CI：1．48～1．95）和1．13（95％CI：1．08—1．19）。结论重视加强宣教，科学调整孕前及孕期体重，加强妊娠期糖尿病的筛查与管理，对预防巨大儿的发生至关重要。
Objective To determine the incidence of fetal macrosomia and investigate the influence factors associated with fetal macrosomia. Methods The singleton infants who were born from September 2011 to September 2012, and received child health care at Care Department of Maternal and Child Health Centers in Ma＇anshan, were selected as the study participants. All participants＇ mothers were asked to complete the self-administered questionnaires to collect data, such as demographic characteristics, pregnant status, pre-pregnant weight, and the highest weight during pregnancy, pregnancy complications and fetal birth weight. So far,2 366 valid questionnaires were collected. Descriptive statistics and logistic regression models were used to screen the related effect factors of fetal maerosomia. Results Incidence of fetal macrosomia was 10.06%. The multiple logistic regressions showed that male （ OR = 1.87,95% CI： 1.40- 2. 51 ）, higher mothers＇ （ OR = 2. 64,95% CI： 1.65 - 4.23 ）, educational level multi-pariety （ increased parity ）, （ OR = 1.83,95% CI： 1.22-2. 73） ,excess gestational weigh gain （ OR= 2. 50,95%CI： 1.81-3.45） ,gestational diabetes （ OR= 1.99,95%CI： 1.16-3.41） increased the risk of being macrosomia. As the gestational age （ OR= 1.70,95%CI： 1.48-1.95） and prepregnancy BMI （ OR = 1.13,95%CI： 1.08-1.19） increased, the incidence of fetal macrosomia increased. Conclusions Strengthening health education, appropriately adjusting pre-pregnancy and pregnancy weight, reinforcing the screening and management of gestational diabetes, all the above measures might be helpful to reduce the incidence of fetal macrosomia.
出处
《公共卫生与预防医学》
2014年第1期37-41,共5页
Journal of Public Health and Preventive Medicine
基金
安徽省预防医学与公共卫生科研课题(2011Y0110)
关键词
巨大儿
发生率
影响因素
Macrosomia
Incidence
Influence factor
