摘要
目的通过对181例巨大儿的临床分析,寻找准确诊断巨大儿的相关因素。方法将181例巨大儿(出生体重≥4000g)纳入研究,选择相应时间分娩的181例出生体重<4000g的正常足月儿作为对照;比较孕妇年龄、身高、体重、孕周、孕产次、分娩方式、合并症及新生儿有关情况。结果巨大儿组母亲身高、孕期体重增长、分娩孕周、孕产次均高于对照组,并有统计学差异。巨大儿男婴多于女婴。巨大儿组分娩方式以剖宫产为主,剖宫产率为72%,高于对照组(33.0%)。结论产妇体重、身高、分娩孕周及宫高、腹围是产前诊断巨大儿的相关因素。超声检查对估计巨大胎儿有参考价值。巨大儿的分娩方式以剖宫产为相对安全。
Objective To investigate the relevant factors for macrosomia diagnosis by retrospective analysis of 181 macrosomia cases.Methods Medical records of all 181 normal newborn（birth weight ≥4000 g）delivered in our hospital during January 2007 to December 2009 were reviewed and 181 normal newborn（birth weight 4000 g）delivered in same time were selected as controls.Maternal age,maternal height and body weight,gestational weeks,delivery pattern,pregnancy complications and conditions of newborns were compared.Results In macrosomia,maternal height,weight gain during pregnancy,gestational weeks at delivery,number of gravidity and para were significantly higher than those in controls.Among macrosomic infants,males were more than females.The rate of cesarean section delivery was 72% in macrosomic cases vs.33% in control group（P0.001）.Conclusion Maternal weight and height,gestational weeks at delivery,maternal abdominal circle are predictive factors for macrosomia diagnosis.UItrasound may contribute to prenatal diagnosis of macrosomia.Cesarean section is a relatively safer choice for macrosomia delivery.
出处
《哈尔滨医药》
2012年第4期269-270,共2页
Harbin Medical Journal
关键词
巨大胎儿
出生体重
产前诊断
Macrosomia
Birth weight
Prenatal diagnosis
