摘要
采用体检与问卷相结合的方式，对４２５名妇女从婚姻期到围生期进行追踪调查，用 ＳＴＡＴＡ ３．１软件分析处理，筛查危险因素，以探讨低体重儿的危险因素及巨大儿状况。结果表明：影响低体重儿的危险因素为双胎、孕期营养不良；婚姻家庭支持程度差（丈夫外出家人关心少）、家庭协调差（男方亲属干预家庭经济）及家庭暴力（丈夫殴打妻子）；家庭经济计划差及人均收入低、业余爱好跳舞、逛商店、个人有不良嗜好（打麻将）均可促进低体重儿的发生。巨大儿易引起相对头盆不称、宫缩乏力、分娩困难及母儿双方的损伤，可因颅内出血引起后遗症及围生期死亡率增高。结果提示：为降低低体重儿的发生率，孕期应进行生理、心理、婚姻家庭及社会因素全方位保健。胎儿体重不是愈大愈好，对巨大儿应适当进行干预，控制孕妇体重在适当范围内才对胎儿有利。
By applying the combination of physical examination and questionnaire, 425 women were fol- lowed up from marrying to perinatal period in order to elucidate the risk factors related to low birth weight and fetal macrosomia. The data was analyzed by using statistical soft pack, STATA 3.1. The results indicated that the factors, such as twins, malnutrition during pregnancy, bad support by family and marriage (husband being away, little attention by family), bad family coordination (intervention by husband's relatives), family violence (being beaten by husband), liking dancing, shopping, and playing Majiang frequently during pregnancy etc. were related to low birth weight. Fetal macrosomia could result in relative bad matched between pelvic and fetal head, weak contracting and difficult delivery, which led to injury of both mother and newborn, and according- ly, brain hemorrhage would result in sequela and an increase of perinatal death rate. It was concluded that the physiological and psychological health care should be implemented comprehensively in the perinatal period in or- der to decrease the incidence of low birth weight. Fetus would get benefit from controlling its mother's weight in suitable extent.
出处
《同济医科大学学报》
CSCD
2000年第6期572-574,共3页
Acta Universitatis Medicinae Tongji
