摘要
目的探究厦门市常见妊娠合并症和并发症风险级别与低出生体质量儿的关系。方法分析2020年在厦门市妇幼信息系统建册且分娩的产妇及其活产儿资料。结果多因素logistic回归分析显示低出生体质量儿的保护因素有产妇年龄20~25岁(OR=0.666,95%CI:0.503~0.883)、25~30岁(OR=0.690,95%CI:0.534~0.892)、30~35岁(OR=0.748,95%CI:0.580~0.966),产妇受教育程度高中(OR=0.794,95%CI:0.697~0.905)、大学专科及以上(OR=0.819,95%CI:0.739~0.908),经产妇(OR=0.882,95%CI:0.805~0.965),产妇孕前体重指数(BMI)18.5~24 kg·m^(-2)(OR=0.651,95%CI:0.586~0.724)、24~28 kg·m^(-2)(OR=0.604,95%CI:0.517~0.706)、≥28 kg·m^(-2)(OR=0.567,95%CI:0.435~0.740)(P<0.05)。低出生体质量儿的危险因素有双胎或多胎(OR=39.262,95%CI:33.022~46.682),妊娠糖尿病黄色风险(OR=1.157,95%CI:1.040~1.288)、妊娠糖尿病橙色及以上风险(OR=2.098,95%CI:1.374~3.203),肝病橙色及以上风险(OR=1.864,95%CI:1.494~2.327),妊娠高血压黄色风险(OR=2.615,95%CI:2.011~3.402)、妊娠高血压橙色及以上风险(OR=16.545,95%CI:11.564~23.671)(P<0.05)。结论对常见妊娠合并症和并发症有影响的风险因素进行重点管理,可预防厦门市低出生体质量儿的发生。
Objective Analysis the relationship between the risk levels of common pregnancy comorbidities and complications and low birth weight infants in Xiamen.Methods Analysised the data of pregnant women and their live births registered in Xiamen Maternal and Child Information System in 2020.Results The multivariable logistic regression analysis showed that the protective factors of low birth weight infants were maternity age was 20-25 years old(OR=0.666,95%CI:0.503-0.883),25-30 years old(OR=0.690,95%CI:0.534-0.892),30-35 years old(OR=0.748,95%CI:0.580-0.966),maternity education level was senior school(OR=0.794,95%CI:0.697-0.905),junior college or above(OR=0.819,95%CI:0.739-0.908),multipara(OR=0.882,95%CI:0.805-0.965),maternal body mass index(BMI)before pregnancy was 18.5-24 kg·m^(-2)(OR=0.651,95%CI:0.586-0.724),24-28 kg·m^(-2)(OR=0.604,95%CI:0.517-0.706),≥28 kg·m^(-2)(OR=0.567,95%CI:0.435-0.740)(P<0.05).The risk factors of low birth weight infants were twin or multiple(OR=39.262,95%CI:33.022-46.682),yellow risk of pregnancy diabetes(OR=1.157,95%CI:1.040-1.288),orange risk and above of pregnancy diabetes(OR=2.098,95%CI:1.374-3.203),orange risk and above of pregnancy hepatitis(OR=1.864,95%CI:1.494-2.327),yellow risk of pregnancy hypertension(OR=2.615,95%CI:2.011-3.402),orange risk and above of pregnancy hypertension(OR=16.545,95%CI:11.564-23.671)(P<0.05).Conclusion We can focus on the management of risk factors affecting common pregnancy comorbidities and complications,to prevent the occurrence of low birth weight infants in Xiamen.
作者
赖智双
刘珺
何红玉
LAI Zhishuang;LIU Jun;HE Hongyu(Health Department,Women and Children’s Hospital Affiliated to Xiamen University/Xiamen Maternal and Child Health Hospital,Xiamen 361003,China)
出处
《河南医学研究》
CAS
2023年第5期821-825,共5页
Henan Medical Research
