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目的了解厦门市巨大儿的发生情况,为巨大儿防控策略制定提供基础依据。方法 2010年4月至2013年12月在厦门市4家综合性医院内住院分娩的4 983例孕妇为研究对象,通过住院病历和妇幼保健系统收集产妇产检和婴儿出生资料进行分析。结果 2010~2013年厦门市巨大儿发生率为4.62%,男婴6.09%高于女婴2.86%(P<0.05)。孕妇分娩年龄≥35岁者巨大儿发生率(7.79%)高于分娩年龄<35岁者(4.40%)(P<0.05)。孕妇有过流产者巨大儿发生率(6.47%)高于未有过流产者(3.36%)(P<0.05)。结论厦门市巨大儿的发生率尚处于全国较低水平。
Objective To understand the occurrence of giant children in Xiamen and provide the basis for the prevention and control strategy of giant children. Methods From April 2010 to December 2013, 4 983 pregnant women who were hospitalized in four general hospitals in Xiamen were enrolled in this study. Maternal birth examination and infant birth data were collected through hospital records and maternal and child health care system. Results The incidence of giant macrosomia in Xiamen from 2010 to 2013 was 4.62%, and that of male babies 6.09% was higher than that of female babies (2.86%, P <0.05). The incidence of macrosomia in pregnant women ≥35 years of age (7.79%) was higher than that of childbirth (4.40%) (P <0.05). The incidence of macrosomia in pregnant women who had had an abortion (6.47%) was higher than that in those who did not have an abortion (3.36%) (P <0.05). Conclusion The incidence of macrosomia in Xiamen is still at a low level in China.