CAJ | 학술논문

目的：探讨孕妇孕期增重过多与巨大儿出生的关系。方法通过检索国内数据库，检索时间2000年1月～2014年12月，将符合标准的孕期增重过多与巨大儿发生关系文献进行Meta分析。观察效应量采用比值比（odds ratio，OR）评价孕期增重过多与巨大儿发生的关系。结果共纳入文献12篇，其中队列研究4篇，病例对照研究8篇。孕期增重组巨大儿发生与孕期增重适宜组巨大儿出生的OR值及95％CI为1．66（1．49，1．83）。结论孕妇孕期增重过多巨大儿发生率明显高于孕期增重适宜的孕妇。
목적：탐토잉부잉기증중과다여거대인출생적관계。방법통과검색국내수거고，검색시간2000년1월～2014년12월，장부합표준적잉기증중과다여거대인발생관계문헌진행Meta분석。관찰효응량채용비치비（odds ratio，OR）평개잉기증중과다여거대인발생적관계。결과공납입문헌12편，기중대렬연구4편，병례대조연구8편。잉기증중조거대인발생여잉기증중괄의조거대인출생적OR치급95％CI위1．66（1．49，1．83）。결론잉부잉기증중과다거대인발생솔명현고우잉기증중괄의적잉부。
Objective To explore the relationship between excessive gestational weight gain and the risk of macrosomia. Methods Three databases were systematically reviewed and reference lists of relevant articles from January 2001 to December 2014 were checked. Meta-analysis of published epidemiological studies (cohort and case-control studies) was done. The odds ratio (OR) was used to evaluate the relationship of excessive gestational weight gain and macrosomia delivery. Results Twelve relevant articles were included to analyze, including 4 cohort studies and 8 case-control ones. The values of OR and 95%CI of macrosomia in pregnant women with excessive and non-excessiveweight gain were 1.66 (1.49, 1.83). Conclusion The risk of macrosomia in pregnant women with excessive gestational weight gain is much higher than those with normal gestational weight gain.