CAJ | 학술논문

目的：探讨巨大儿发病的危险因素。方法2267名住院分娩的孕妇中，136名（5.99%）产下巨大儿（M组），又从全部产妇中随机选出136例未产下巨大儿者作为对照（NM组）。对比分析两组的孕产指标，判定巨大儿发病的危险因素。结果两组的年龄、身高、妊娠期糖尿病发病率等差异无统计学意义（均P>0.05）。M组的经产妇比例、孕前体重指数、孕期体重增长、剖宫产率、产后出血率等均显著高于NM组（均P<0.05）。多因素Logistic回归分析表明：经产妇（OR=8.82，95%CI：4.09~19.03），孕前体重指数（OR=1.27，95%CI：1.11~1.45）、孕期体重增长（OR=1.26，95%CI：1.14~1.38）为巨大儿的危险因素。结论经产妇、孕前体重指数、和孕期体重增长为巨大儿的危险因素。围产期体重管理非常重要。
목적：탐토거대인발병적위험인소。방법2267명주원분면적잉부중，136명（5.99%）산하거대인（M조），우종전부산부중수궤선출136례미산하거대인자작위대조（NM조）。대비분석량조적잉산지표，판정거대인발병적위험인소。결과량조적년령、신고、임신기당뇨병발병솔등차이무통계학의의（균P>0.05）。M조적경산부비례、잉전체중지수、잉기체중증장、부궁산솔、산후출혈솔등균현저고우NM조（균P<0.05）。다인소Logistic회귀분석표명：경산부（OR=8.82，95%CI：4.09~19.03），잉전체중지수（OR=1.27，95%CI：1.11~1.45）、잉기체중증장（OR=1.26，95%CI：1.14~1.38）위거대인적위험인소。결론경산부、잉전체중지수、화잉기체중증장위거대인적위험인소。위산기체중관리비상중요。
Objective To explore the risk factors of macrosomia. Methods 2267 pregnant women underwent hospital delivary out of which 136 (5.99%) gave birth to macrosomia (Group M) and from which another 136 maternal women were selected randomly as non-macrosomia group (Group NM). The obstetric indicis of these 2 groups were comparatively analyzed so as to determine the risk factors for macrosomia. Results There were no significant differences in age, body height, and incidence of gestational diabetes between these 2 groups (all P>0.05). The proportion of multiparae, pre-pregnancy body mass index (BMI), weight gain during pregnancy, Cesarean section rate, and postpartum hemorrhage rate of Group M were all significantly higher than those of Group NM (all P<0.05). Multivariate Logistic regression analysis showed that being multipara (OR=8.82, 95%CI:4.09~19.03), pre-pregnancy BMI(OR=1.27, 95%CI:1.11~1.45 ), and weight gain during pregnancy (OR=1.26, 95%CI:1.14~1.38) were the risk factors for macrosomia. Conclusion Being multipara (OR=8.82, 95%CI:4.09~19.03), pre-pregnancy BMI(OR=1.27, 95% CI: 1.11~1.45 ), and weight gain during pregnancy (OR=1.26, 95% CI: 1.14~1.38) are the risk factors for macrosomia. Perinatal body weight management is very important.