CAJ | 학술논문

目的了解胎儿营养不良(FM)发生情况、影响因素及与小于胎龄儿(sGA)的关系。方法用新生儿出生体重百分位数评定宫内发育、临床营养状态评估法(cANs)确定FM。用非条件Logistic回归分析11项可能与FM有关的因素。结果①连续出生204例新生儿中33例为FM(16％)，sGA组中FM的发生率(66％)高于适于胎龄儿组(5.9％)(x2=69.9,P＜0.01)。②在α=0.05的水准上，非条件Logistic回归模型选入新生儿体重、头围和母亲的文化程度三个因素，它们的回归系数均为负值。结论sGA易发生FM，新生儿体重低、头围小和母亲的文化程度低者较易发生FM。
목적료해태인영양불량(FM)발생정황、영향인소급여소우태령인(sGA)적관계。방법용신생인출생체중백분위수평정궁내발육、림상영양상태평고법(cANs)학정FM。용비조건Logistic회귀분석11항가능여FM유관적인소。결과①련속출생204례신생인중33례위FM(16％)，sGA조중FM적발생솔(66％)고우괄우태령인조(5.9％)(x2=69.9,P＜0.01)。②재α=0.05적수준상，비조건Logistic회귀모형선입신생인체중、두위화모친적문화정도삼개인소，타문적회귀계수균위부치。결론sGA역발생FM，신생인체중저、두위소화모친적문화정도저자교역발생FM。
Objective To investigate the incidence of fetal malnutrition( FM), its affected factors and their relationship with small - for gestational - age (SGA) fetus. Methods The intrauterinal growth of fetus was evaluated by the body weight of neonates and FM was detected by clinical assessment of nutritional status ( CANS ). Results ①33 out of 204 cases were found to be FM (16% ). FM in SGA group was significantly higher than that in AGA group ( 5.9% ) (x2 = 69.9, P ＜ 0. 01 ).② When ot = 0. 05, the body weight and head circumference of neonates, the education level of mothers were included into logistic regression model, and their regression coefficient were negative. Conclusion SGA was supposed to be two of the risk factors in developing FM. Fetus with low body weight, small head circumference and not - so - well educated mother were prone to suffer from FM.