中华妇产科杂志
中華婦產科雜誌
중화부산과잡지
CHINESE JOUNAL OF OBSTETRICS AND GYNECOLOGY
2013年
2期
98-101
,共4页
出生体重%婴儿,新生%剖宫产术%围生期医护
齣生體重%嬰兒,新生%剖宮產術%圍生期醫護
출생체중%영인,신생%부궁산술%위생기의호
Birth weight%Infant,newborn%Cesarean section%Perinatal care
目的 分析3家不同级别医院5年间足月单胎新生儿出生体质量情况及其与分娩方式的关系.方法 回顾性分析2005年1月至2009年12月在北京大学第一医院(北大医院组,n=13 963)、滨州医学院附属医院(滨医附院组,n=6519)、首都医科大学燕京医学院附属密云医院(密云医院组,n =8725)分娩的足月单胎活产新生儿出生体质量、巨大儿发生率等.并进一步比较北大医院和密云医院巨大儿(巨大儿组,n =2288)、非巨大儿(非巨大儿组,n=20 400)分娩方式.结果 (1)北大医院组、滨医附院组、密云医院组新生儿平均出生体质量分别为(3386±414)、(3389±446)、(3445±449)g,密云医院组新生儿平均出生体质量明显高于北大医院组、滨医附院组,分别比较,差异均有统计学意义(P均=0.000),滨医附院组新生儿平均出生体质量略高于北大医院组,两组比较,差异无统计学意义(P=0.638).(2)北大医院组、滨医附院组、密云医院组巨大儿发生率分别为7.935％(1108/13 963)、9.802％(639/6519)、13.524％(1180/8725),密云医院组巨大儿的发生率明显高于其他两组,滨医附院组高于北大医院,分别比较,差异均有统计学意义(P均=0.000).(3)巨大儿组和非巨大儿组剖宫产率分别为75.306％(1723/2288)、50.765％(10 356/20400),两组比较,差异有显著统计学意义(P=0.000).结论(1)我国不同级别医院新生儿出生体质量存在差异.(2)巨大儿剖宫产风险明显高于非巨大儿.(3)产科及相关领域的工作者应关注孕期营养指导,给胎儿提供一个良好的宫内环境,以减少巨大儿的发生率并降低剖宫产率.
目的 分析3傢不同級彆醫院5年間足月單胎新生兒齣生體質量情況及其與分娩方式的關繫.方法 迴顧性分析2005年1月至2009年12月在北京大學第一醫院(北大醫院組,n=13 963)、濱州醫學院附屬醫院(濱醫附院組,n=6519)、首都醫科大學燕京醫學院附屬密雲醫院(密雲醫院組,n =8725)分娩的足月單胎活產新生兒齣生體質量、巨大兒髮生率等.併進一步比較北大醫院和密雲醫院巨大兒(巨大兒組,n =2288)、非巨大兒(非巨大兒組,n=20 400)分娩方式.結果 (1)北大醫院組、濱醫附院組、密雲醫院組新生兒平均齣生體質量分彆為(3386±414)、(3389±446)、(3445±449)g,密雲醫院組新生兒平均齣生體質量明顯高于北大醫院組、濱醫附院組,分彆比較,差異均有統計學意義(P均=0.000),濱醫附院組新生兒平均齣生體質量略高于北大醫院組,兩組比較,差異無統計學意義(P=0.638).(2)北大醫院組、濱醫附院組、密雲醫院組巨大兒髮生率分彆為7.935％(1108/13 963)、9.802％(639/6519)、13.524％(1180/8725),密雲醫院組巨大兒的髮生率明顯高于其他兩組,濱醫附院組高于北大醫院,分彆比較,差異均有統計學意義(P均=0.000).(3)巨大兒組和非巨大兒組剖宮產率分彆為75.306％(1723/2288)、50.765％(10 356/20400),兩組比較,差異有顯著統計學意義(P=0.000).結論(1)我國不同級彆醫院新生兒齣生體質量存在差異.(2)巨大兒剖宮產風險明顯高于非巨大兒.(3)產科及相關領域的工作者應關註孕期營養指導,給胎兒提供一箇良好的宮內環境,以減少巨大兒的髮生率併降低剖宮產率.
목적 분석3가불동급별의원5년간족월단태신생인출생체질량정황급기여분면방식적관계.방법 회고성분석2005년1월지2009년12월재북경대학제일의원(북대의원조,n=13 963)、빈주의학원부속의원(빈의부원조,n=6519)、수도의과대학연경의학원부속밀운의원(밀운의원조,n =8725)분면적족월단태활산신생인출생체질량、거대인발생솔등.병진일보비교북대의원화밀운의원거대인(거대인조,n =2288)、비거대인(비거대인조,n=20 400)분면방식.결과 (1)북대의원조、빈의부원조、밀운의원조신생인평균출생체질량분별위(3386±414)、(3389±446)、(3445±449)g,밀운의원조신생인평균출생체질량명현고우북대의원조、빈의부원조,분별비교,차이균유통계학의의(P균=0.000),빈의부원조신생인평균출생체질량략고우북대의원조,량조비교,차이무통계학의의(P=0.638).(2)북대의원조、빈의부원조、밀운의원조거대인발생솔분별위7.935％(1108/13 963)、9.802％(639/6519)、13.524％(1180/8725),밀운의원조거대인적발생솔명현고우기타량조,빈의부원조고우북대의원,분별비교,차이균유통계학의의(P균=0.000).(3)거대인조화비거대인조부궁산솔분별위75.306％(1723/2288)、50.765％(10 356/20400),량조비교,차이유현저통계학의의(P=0.000).결론(1)아국불동급별의원신생인출생체질량존재차이.(2)거대인부궁산풍험명현고우비거대인.(3)산과급상관영역적공작자응관주잉기영양지도,급태인제공일개량호적궁내배경,이감소거대인적발생솔병강저부궁산솔.
Objective To study newborns weight in singleton term births and the associationbetween newborns birth weight and mode of delivery in 3 hospitals.Methods From Jan.2005 to Dec.2009,13 963 singleton term live neonates born in the Department of Obstetrics and Gynecology of Peking University First Hospital(PU group),6519 neonates in Affiliated Hospital of Binzhou Medical College (BMC group,)and 8725 neonates in Miyun Hospital Affiliated to Capital Medical University,Yanjing Medical College(MYC group)were enrolled in this retrospective study.The newborns weight and the rate of macrosomia was calculated and compared.Those newborns from PU group and MYC group were divided into 2288 neonates at macrosomia group and 20 400 neonates at non-macrosomia group,their mode of deliveries were analyzed.Results(1)The mean neonatal birth weight were(3386 ± 414)g at PU group,(3389 ± 446)g at BMC group and(3445 ± 449)g at MYC group.Neonates born weight in MYC was significantly higher than those from in PU group and BMC group(P =0.000).Neonates born weight in BMC showed higher than those in PU group,which did.not reached statistical difference(P =0.638).(2)The incidence of macrosomia were 7.935％(1108/13 963)in PU group,9.802％(639/6519)in BMU group and 13.524％(1180/8725)in MYU group.The incidence of macrosomia in MYC group was higher than those in PU and BMC group,the incidence of macrosomia in BMC group was higher than that in PU group,which reached statistically difference(P =0.000).(3)The proportion of cesarean delivery were 75.306％(1723/ 2288)at macrosomia group,50.765％(10 356/20 400)at non-macrosomia group,which showed statistical difference(P =0.000).Conclusions(1)The difference of newborns birth weight existed in different administrative level hospital.(2)The risk of cesarean delivery due to macrosomia is higher than that of nonmacrosomia.(3)Obstetricians should pay more attention to nutrition in gestation period to lessen the incidence of macrosomia and cesarean section.
