中华围产医学杂志
中華圍產醫學雜誌
중화위산의학잡지
CHINESE JOURNAL OF PERINATAL MEDICINE
2012年
6期
349-352
,共4页
王琳%张耀文%米双利%陈杰%张勇%张知新
王琳%張耀文%米雙利%陳傑%張勇%張知新
왕림%장요문%미쌍리%진걸%장용%장지신
血管瘤%婴儿,新生%危险因素
血管瘤%嬰兒,新生%危險因素
혈관류%영인,신생%위험인소
Hemangioma%Infant,newborn%Risk factors
目的 探讨新生儿血管瘤发生的高危因素.方法 采用调查问卷的方法调查2009年1月1日至2011年12月31日在北京中日友好医院预防保健科建立《母子保健档案》的孕妇及其新生儿,调查内容包括孕母基本信息、围产期因素以及社会经济和环境因素.新生儿体检时若明确诊断血管瘤,对患处进行拍照,记录血管瘤部位及大小.采用单因素和多因素Logistic回归分析新生儿血管瘤的高危因素.结果 共回收有效问卷1998份,确诊新生儿血管瘤患儿94例,发生率为4.7％.多因素Logistic回归分析显示,新生儿血管瘤的危险因素为母亲孕龄≥30岁(OR=2.687,95％CI:1.615～4.472,P=0.000)、孕次≥2次(OR=1.730,95％CI:1.032～2.901,P=0.038)、新生儿性别(女)(OR=1.855,95％CI:1.187～2.899,P=0.007)、先兆流产(OR=3.135,95％CI:1.487～6.609,P=0.003)、羊膜腔穿刺(OR=2.754,95％CI:1.278～5.938,P=0.010)、血管瘤家族史(OR=2.978,95％CI:1.127～4.049,P=0.032)和视频显示终端暴露＞45 h/周(OR=3.166,95％CI:2.027～4.944,P=0.000).结论 新生儿血管瘤发生的高危因素可能为母亲年龄、多次妊娠、女婴、先兆流产、羊膜腔穿刺、家族史和长时间视频显示终端暴露.
目的 探討新生兒血管瘤髮生的高危因素.方法 採用調查問捲的方法調查2009年1月1日至2011年12月31日在北京中日友好醫院預防保健科建立《母子保健檔案》的孕婦及其新生兒,調查內容包括孕母基本信息、圍產期因素以及社會經濟和環境因素.新生兒體檢時若明確診斷血管瘤,對患處進行拍照,記錄血管瘤部位及大小.採用單因素和多因素Logistic迴歸分析新生兒血管瘤的高危因素.結果 共迴收有效問捲1998份,確診新生兒血管瘤患兒94例,髮生率為4.7％.多因素Logistic迴歸分析顯示,新生兒血管瘤的危險因素為母親孕齡≥30歲(OR=2.687,95％CI:1.615～4.472,P=0.000)、孕次≥2次(OR=1.730,95％CI:1.032～2.901,P=0.038)、新生兒性彆(女)(OR=1.855,95％CI:1.187～2.899,P=0.007)、先兆流產(OR=3.135,95％CI:1.487～6.609,P=0.003)、羊膜腔穿刺(OR=2.754,95％CI:1.278～5.938,P=0.010)、血管瘤傢族史(OR=2.978,95％CI:1.127～4.049,P=0.032)和視頻顯示終耑暴露＞45 h/週(OR=3.166,95％CI:2.027～4.944,P=0.000).結論 新生兒血管瘤髮生的高危因素可能為母親年齡、多次妊娠、女嬰、先兆流產、羊膜腔穿刺、傢族史和長時間視頻顯示終耑暴露.
목적 탐토신생인혈관류발생적고위인소.방법 채용조사문권적방법조사2009년1월1일지2011년12월31일재북경중일우호의원예방보건과건립《모자보건당안》적잉부급기신생인,조사내용포괄잉모기본신식、위산기인소이급사회경제화배경인소.신생인체검시약명학진단혈관류,대환처진행박조,기록혈관류부위급대소.채용단인소화다인소Logistic회귀분석신생인혈관류적고위인소.결과 공회수유효문권1998빈,학진신생인혈관류환인94례,발생솔위4.7％.다인소Logistic회귀분석현시,신생인혈관류적위험인소위모친잉령≥30세(OR=2.687,95％CI:1.615～4.472,P=0.000)、잉차≥2차(OR=1.730,95％CI:1.032～2.901,P=0.038)、신생인성별(녀)(OR=1.855,95％CI:1.187～2.899,P=0.007)、선조유산(OR=3.135,95％CI:1.487～6.609,P=0.003)、양막강천자(OR=2.754,95％CI:1.278～5.938,P=0.010)、혈관류가족사(OR=2.978,95％CI:1.127～4.049,P=0.032)화시빈현시종단폭로＞45 h/주(OR=3.166,95％CI:2.027～4.944,P=0.000).결론 신생인혈관류발생적고위인소가능위모친년령、다차임신、녀영、선조유산、양막강천자、가족사화장시간시빈현시종단폭로.
Objective To explore the risk factors for infantile hemangiomas with the emphasis on perinatal factors and socioeconomic and environmental status.Methods A questionnaire survey was carried out targeting mothers and their babies who admitted to the Department of Prevention and Health Care of China-Japan Friendship Hospital for registration from Jan.1st,2009 to Dec.31st,2011.Information gathered included maternal basic information,perinatal factors before and during pregnancy,and socioeconomic and environmental status.Photos and record of the position and size of the pathological change were taken once infantile hemangiomas were diagnosed.Univariate analysis and multivariate Logistic regression analysis were carried out to investigate the risk factors.Results One thousand nine hundred and ninety-eight questionnaires with detail information were collected,among which 94 infants were diagnosed with infantile hemangiomas (4.7 ％).It showed that maternal age≥ 30 (OR =2.687,95％ CI:1.615-4.472,P =0.000),multiple pregnancies (OR =1.730,95 ％CI:1.032-2.901,P=0.038),female infants (OR =1.855,95 ％ CI:1.187-2.899,P =0.007 ),threatened abortion ( OR =3.135,95％ CI:1.487-6.609,P =0.003),amniocentesis (OR =2.754,95 ％CI:1.278-5.938,P =0.010),family history of hemangiomas (OR =2.978,95 ％ CI:1.127-4.049,P=0.032) and video display terminals exposure ＞45 h/week (OR=3.166,95％CI:2.027-4.944,P=0.000) were closely associated with infantile hemangiomas development.Conclusions The elderly maternal age,multiple pregnancies,female infants,threatened abortion,amniocentesis and family history of infantile hemangiomas and long-time exposure of video display terminals might be the risk factors for infantile hemangiomas.
