摘要
目的 :探讨非糖尿病性巨大儿及其母亲的临床特征及相关因素。方法 :通过本院近 5年出生的 175例非糖尿病性巨大儿或其母亲与随机选择同期出生的 174例正常体重儿或其母亲的回顾性对照分析。结果 :非糖尿病性巨大儿的平均胎龄、体重、身高、双顶径及男性比例均显著高于对照组 ;其母亲的平均孕龄、年龄、身高、孕末期体重指数及围产期发病率、剖宫产率均显著高于对照组。结论 :非糖尿病性巨大儿是生长发育全面成熟且有生机活力的 ,以男性为多 ;其发生与其母亲孕龄、年龄、身高、产次等非糖尿病性因素有关 ,并导致其母亲围产期发病率、剖宫产率均显著增高 ;积极预防非糖尿病性巨大儿的发生是降低围产期发病率和提高产科质量的重要措施之一。
Objective:To investigate the clinical characteristics and related factors of non diabetic macrosomia and their mothers.Methods:175 cases of non diabetic macrosomia born during the five past years were matched with 174 cases of normal birth weight new born selected at random for the retrospective case control study.Results:The mean body weight, height, biparietal diameter and the ratio of male to female were significantly higher in the macrosomia group than in the control group.the mean gestational age and body height and body weight index(BWI)within one week before labor and incidence of perinatal complications and the ratio of cesarean section delivery were significantly higher in the macrosomia mothers than in the control group.Conclusions:The growth and development of non diabetic macrosomia was fully mature and vital.Most of them were male.Their incidences were related to the non metabolic factors such as maternal age and body height and gestational age,which led to the significant increase of maternal morbidity and cesarean sections.The active prevention of non diabetic fetal macrosmia was one of the most important measures for lowering the perinatal morbidity and improving the obstetric quality.
出处
《实用妇产科杂志》
CAS
CSCD
北大核心
2001年第3期145-147,共3页
Journal of Practical Obstetrics and Gynecology
