探讨非糖尿病性巨大儿的可控制因素及控制措施.docVIP

精品论文 参考文献 探讨非糖尿病性巨大儿的可控制因素及控制措施 李琴1 冯凤英2 (1昆山市千灯医院 江苏昆山 215300) (2昆山市妇幼保健所 妇女保健科 江苏昆山 215300) 【摘要】 目的 分析非糖尿病性巨大儿的相关因素，寻找其可控制因素，探讨其控制措施，以降低非糖尿病性巨大儿的发生率。方法 选择2005年～2012年来我院围产保健门诊检查并分娩的非糖尿病性巨大儿的产妇157例作为观察组，随机选择同期新生儿体重为2500～3999g 的产妇157例作为对照组。比较两组产妇的年龄、身高、孕早期体重指数（BMI）、孕期增重、分娩孕周、剖宫产率和发生羊水过多、过期妊娠、胎儿宫内窘迫等因素，寻找可控制的非糖尿病性巨大儿的因素。结果 两组产妇的年龄、身高、孕早期BMI、孕期增重、分娩孕周、剖宫产率和发生羊水过多、过期妊娠、胎儿宫内窘迫等比较差异均有统计学意义（P＜0.05、P＜0.01）。其中产妇的早孕期BMI、孕期增重、分娩孕周等为非糖尿病性巨大儿的可控制因素。结论 若控制产妇孕前体重并适时怀孕、控制产妇孕期体重并适时终止妊娠，可降低非糖尿病性巨大儿的发生率。 【关键词】 巨大儿 孕早期BMI 孕期增重 分娩孕周 【中图分类号】R95 【文献标识码】A 【文章编号】2095-1752（2013）12-0063-02 A study on the controllable factors of non-diabetic fetal macrosomia and measures to reduce the incidence rate of fetal macrosomia LI Qin (Qiandeng Hospital of Kunshan City , Kunshan, Jiangsu 215300, China ) FENG Feng-ying ( Department of Health, Maternal and Child Health Hospital of Kunshan City, Kunshan, Jiangsu 215300, China 【Abstract】 Objective To investigate factors for occurrence of non-diabetic fetal macrosomia and find out some controllable factors and some measures to reduce the incidence rate of fetal macrosomia. Methods 157 cases of puerpera of non-diabetic fetal macrosomia who were registered in perinatal care clinic and gave birth from 2005 to 2012 were enrolled as observation group. Another randomly selected 157 cases of puerpera with their infants weighing between 2500 and 3999 gram born spontaneously in the same periods were enrolled as control group. Age, height, early pregnancy body mass index (BMI), pregnancy weight gain, gestational age at delivery, cesarean section rate, polyhydramnios, prolonged pregnancy, fetal distress and other factors in the two groups are compared and analyzed. Resutls There were significant differences(P＜0.05、P＜0.01) in the comparison of age, height, early pregnancy body mass index (BMI), pregnancy weight gain, gestational age at delivery, cesarean section rate, polyhydramnios, prol