蚌埠医学院学报
蚌埠醫學院學報
방부의학원학보
ACTA ACADEMIAE MEDICINAE BENGBU
2015年
8期
1060-1062
,共3页
黄永芳%崔芳%朱宇%严琦%徐珊
黃永芳%崔芳%硃宇%嚴琦%徐珊
황영방%최방%주우%엄기%서산
巨大胎儿%非糖尿病性%体质量指数
巨大胎兒%非糖尿病性%體質量指數
거대태인%비당뇨병성%체질량지수
fetal macrosomiay%non-diabetic%body mass index
目的::分析非糖尿病性巨大胎儿临床相关因素,探讨孕前体质量指数( BMI)、孕期增重与非糖尿病巨大胎儿的关系。方法:选择2005~2012年足月(孕周≥37周~42周)出生的非糖尿病性巨大胎儿322例,同时随机选择同期出生的足月正常体质量儿325名作为对照,分析比较2组新生儿母亲的年龄、产次、身高、孕周、孕期增重、孕前及产时BMI、宫高、腹围及胎儿的双顶径、股骨长等。结果:非糖尿病性巨大胎儿母亲的孕前BMI、孕期增重、产时BMI、宫高、腹围、宫高+腹围、孕龄和身高及胎儿双顶径、股骨长、双顶径+股骨长均高于对照组(P<0.01)。相关分析显示,胎儿双顶径、双顶径+股骨长、股骨长及胎儿母亲孕期增重与巨大胎儿体质量呈正相关关系(P<0.05~P<0.01)。结论:非糖尿病性巨大胎儿的发生与母亲孕期体质量增长过多密切相关。对于孕期增重过多的孕妇,通过胎儿双顶径+股骨长测定,能够提高非糖尿病性巨大胎儿的产前诊断率。
目的::分析非糖尿病性巨大胎兒臨床相關因素,探討孕前體質量指數( BMI)、孕期增重與非糖尿病巨大胎兒的關繫。方法:選擇2005~2012年足月(孕週≥37週~42週)齣生的非糖尿病性巨大胎兒322例,同時隨機選擇同期齣生的足月正常體質量兒325名作為對照,分析比較2組新生兒母親的年齡、產次、身高、孕週、孕期增重、孕前及產時BMI、宮高、腹圍及胎兒的雙頂徑、股骨長等。結果:非糖尿病性巨大胎兒母親的孕前BMI、孕期增重、產時BMI、宮高、腹圍、宮高+腹圍、孕齡和身高及胎兒雙頂徑、股骨長、雙頂徑+股骨長均高于對照組(P<0.01)。相關分析顯示,胎兒雙頂徑、雙頂徑+股骨長、股骨長及胎兒母親孕期增重與巨大胎兒體質量呈正相關關繫(P<0.05~P<0.01)。結論:非糖尿病性巨大胎兒的髮生與母親孕期體質量增長過多密切相關。對于孕期增重過多的孕婦,通過胎兒雙頂徑+股骨長測定,能夠提高非糖尿病性巨大胎兒的產前診斷率。
목적::분석비당뇨병성거대태인림상상관인소,탐토잉전체질량지수( BMI)、잉기증중여비당뇨병거대태인적관계。방법:선택2005~2012년족월(잉주≥37주~42주)출생적비당뇨병성거대태인322례,동시수궤선택동기출생적족월정상체질량인325명작위대조,분석비교2조신생인모친적년령、산차、신고、잉주、잉기증중、잉전급산시BMI、궁고、복위급태인적쌍정경、고골장등。결과:비당뇨병성거대태인모친적잉전BMI、잉기증중、산시BMI、궁고、복위、궁고+복위、잉령화신고급태인쌍정경、고골장、쌍정경+고골장균고우대조조(P<0.01)。상관분석현시,태인쌍정경、쌍정경+고골장、고골장급태인모친잉기증중여거대태인체질량정정상관관계(P<0.05~P<0.01)。결론:비당뇨병성거대태인적발생여모친잉기체질량증장과다밀절상관。대우잉기증중과다적잉부,통과태인쌍정경+고골장측정,능구제고비당뇨병성거대태인적산전진단솔。
Objective:To analyze the clinical related factors of non-diabetic fetal macrosomia, and explore its correlation with prepregnancy body mass index(BMI)and weight gain during pregnancy. Methods:Three hundred and twenty-two non-diabetic fetal macrosomia with gestational age from 37 weeks to 42 weeks and 325 normal fetus were divided into the experimental group and control group from 2005 to 2012,respectively. The age,calving parity,height,gestational week,weight gain during pregnancy,prepregnancy and intrapartum BMI,fundal height and abdominal circumference of new mother,and fetal biparietal diameter and femur length between two groups were compared. Results:The weight gain during pregnancy, prepregnancy and intrapartum BMI, fundal height, abdominal circumference,fundal height plus abdominal perimeter and gestational week of new mother, and the fetal biparietal diameter, femur length,fetal biparietal diameter plus femur length and height in experimental group were more than those in control group(P<0. 01). The correlation analysis showed that the fetal biparietal diameter, fetal biparietal diameter plus femur length and weight gain during pregnancy were positive correlation with macrosomia(P <0. 05 to P <0. 01). Conclusions:The incidence of non-diabetic fetal macrosomia is closely related to the excessively gestational weight gain. The measure of fetal biparietal diameter plus femur length in excessive maternal weight gain during pregnancy can improve the prenatal diagnosis of non-diabetic fetal macrosomia.