中外医学研究
中外醫學研究
중외의학연구
CHINESE AND FOREIGN MEDICAL RESEARCH
2014年
33期
15-16
,共2页
巨大儿%影响因素%妊娠结局
巨大兒%影響因素%妊娠結跼
거대인%영향인소%임신결국
Macrosomia%Effect factors%Pregnancy outcome
目的：探讨巨大儿发生的危险因素，为临床孕期监控及营养干预提供依据。方法：选取足月单胎妊娠孕妇，巨大儿组(新生儿体重≥4000 g)218例，对照组(新生儿体重2500~4000 g)200例，对其孕期资料及妊娠结局进行分析。结果：巨大儿组孕妇的孕前BMI、孕期体重增长、分娩男性新生儿的比例及妊娠期糖尿病的发病率均高于对照组(P<0.05)；巨大儿组产妇剖宫产率明显高于对照组(P<0.05)，且产后出血量亦显著高于对照组(P<0.05)。结论：孕妇的孕前BMI、孕期体重增长、胎儿性别、妊娠期糖尿病与巨大儿发生有关。巨大儿增加手术产率，易发生产后出血，积极有效的孕期监控，预防巨大儿的发生对于提高产科质量具有重要意义。
目的：探討巨大兒髮生的危險因素，為臨床孕期鑑控及營養榦預提供依據。方法：選取足月單胎妊娠孕婦，巨大兒組(新生兒體重≥4000 g)218例，對照組(新生兒體重2500~4000 g)200例，對其孕期資料及妊娠結跼進行分析。結果：巨大兒組孕婦的孕前BMI、孕期體重增長、分娩男性新生兒的比例及妊娠期糖尿病的髮病率均高于對照組(P<0.05)；巨大兒組產婦剖宮產率明顯高于對照組(P<0.05)，且產後齣血量亦顯著高于對照組(P<0.05)。結論：孕婦的孕前BMI、孕期體重增長、胎兒性彆、妊娠期糖尿病與巨大兒髮生有關。巨大兒增加手術產率，易髮生產後齣血，積極有效的孕期鑑控，預防巨大兒的髮生對于提高產科質量具有重要意義。
목적：탐토거대인발생적위험인소，위림상잉기감공급영양간예제공의거。방법：선취족월단태임신잉부，거대인조(신생인체중≥4000 g)218례，대조조(신생인체중2500~4000 g)200례，대기잉기자료급임신결국진행분석。결과：거대인조잉부적잉전BMI、잉기체중증장、분면남성신생인적비례급임신기당뇨병적발병솔균고우대조조(P<0.05)；거대인조산부부궁산솔명현고우대조조(P<0.05)，차산후출혈량역현저고우대조조(P<0.05)。결론：잉부적잉전BMI、잉기체중증장、태인성별、임신기당뇨병여거대인발생유관。거대인증가수술산솔，역발생산후출혈，적겁유효적잉기감공，예방거대인적발생대우제고산과질량구유중요의의。
Objective:To find effect factors of macrosomia,then providing clinical basis for nutritional intervention in pregnancy.Method:218 cases who delivery macrosomia infant(body mass≥4000 g) in our hospital were selected,and 200 cases whose newborns had normal birth weight(2500-4000 g) were selected as control.Result:The maternal BMI before pregnancy,weight gain in pregnancy,male fetus and gestational diabetes mellitus rates were significant higher in macrosomia group than those in control group(P<0.05).The cesarean section rate was significant higher in macrosomia group than that in control group(P<0.05), and the volume of postpartum hemorrhage was significant increased in macrosomia group than that in control group(P<0.05).Conclusion:Maternal BMI before pregnancy,weight gain in pregnancy,fetal gender and gestational diabetes mellitus are relative factors of macrosomia.Macrosomia increases cesarean section and postpartum hemorrhage rates.Positive and effective nutritional intervention in pregnancy are important for prevent macrosomia occur and improve perinatal outcome.
