CAJ | 학술논문

目的：通过探讨300例巨大儿的临床状况，分析巨大儿产生的相关因素，降低其发生率。方法：选取在我院出生的巨大儿300例及孕妇作为研究对象，将其作为实验组，随机抽取同年出生的足月正常儿300例作为对照组，比较两组孕妇的宫高、体重、腹围及妊娠并发症，并进行分析。结果：两组经过对比分析后，观察组的宫高、体重、腹围均明显大于对照组的宫高、体重、腹围；观察组的总并发症率54.33%明显高于对照组的并发症率11.33%，差异在统计学上有意义（P<0.05）。结论：孕妇的体重、宫高、腹围是诊断巨大儿的相关因素，在孕期需要充分掌握患者情况，提前做好诊断。妊娠并发症是引起巨大儿的重要因素，尤其是妊娠糖尿病提高了巨大儿出生的风险。早期预防、诊断巨大儿，降低母婴的危害，选择适合的分娩方式，剖腹产的分娩方式利于巨大儿的出生。
목적：통과탐토300례거대인적림상상황，분석거대인산생적상관인소，강저기발생솔。방법：선취재아원출생적거대인300례급잉부작위연구대상，장기작위실험조，수궤추취동년출생적족월정상인300례작위대조조，비교량조잉부적궁고、체중、복위급임신병발증，병진행분석。결과：량조경과대비분석후，관찰조적궁고、체중、복위균명현대우대조조적궁고、체중、복위；관찰조적총병발증솔54.33%명현고우대조조적병발증솔11.33%，차이재통계학상유의의（P<0.05）。결론：잉부적체중、궁고、복위시진단거대인적상관인소，재잉기수요충분장악환자정황，제전주호진단。임신병발증시인기거대인적중요인소，우기시임신당뇨병제고료거대인출생적풍험。조기예방、진단거대인，강저모영적위해，선택괄합적분면방식，부복산적분면방식리우거대인적출생。
Objective: Through study of 300 cases of macrosomia clinical status, analysis of related factors, macrosomia, reduce its incidence.Methods: Select the huge children born in our hospital 300 patients and pregnant women as research subjects, as in the experimental group wil be randomly selected were born the same year, 300 cases of ful-term normal children as a control group, comparison of the two groups of pregnant women palace height, weight, abdominal circumference, and pregnancy complications, and analyzed. Results : After a comparative analysis of the two groups, the Palace of the observation group height, weight, abdominal circumference were significantly greater than the control group, the Palace of height, weight, abdominal circumference; overal complication rate of 54.33% in the observation group was significantly higher complication rate of 11.33 %, the difference was statistical y significant (P<0.05). Conclusion: Maternal weight, high palace, abdominal circumference is a great children's diagnosis related factors in patients with pregnancy need to ful y grasp the situation, ahead of diagnosis. Pregnancy complications caused great children is an important factor, particularly gestational diabetes increases the risk of a huge child was born. Early prevention, diagnosis huge children, maternal and child harm reduction, and select the appropriate mode of delivery, mode of delivery cesarean birth in favor of a huge child.