中国儿童保健杂志 ›› 2016, Vol. 24 ›› Issue (8): 867-869.DOI: 10.11852/zgetbjzz2016-24-08-24

• 临床研究与分析 • 上一篇    下一篇

642例新生儿出生体重的影响因素分析

党群,赵智   

  1. 陕西省人民医院产科,陕西 西安 710068
  • 收稿日期:2016-01-01 发布日期:2016-08-10 出版日期:2016-08-10
  • 通讯作者: 赵智,E-mail:zhiz2005@163.com
  • 作者简介:党群(1975-),女,陕西人,主治医师,本科学历,学士学位,主要研究方向为产前诊断,孕期营养,产后出血。

Effect factors of birth weight of 642 neonates.

DANG Qun,ZHAO Zhi.   

  1. Department of Obstetrical,Shaanxi Provincial People's Hospital,Xi'an,Shaanxi 710068,China
  • Received:2016-01-01 Online:2016-08-10 Published:2016-08-10
  • Contact: ZHAO Zhi,E-mail:zhiz2005@163.com

摘要: 目的 探讨陕西省642例新生儿出生体重的影响因素,为降低低体重儿和巨大儿的发生率提供科学依据。方法 选择2015年1-5月在陕西省人民医院住院分娩的642例进行回顾性调查。收集产妇一般情况、既往生育史、孕期生活状况及患病等资料,使用单因素方差分析、多因素广义线性回归进行统计分析。结果 单因素分析显示,母亲是文化程度低、有自然流产史、有人工流产史、孕期有被动吸烟史、孕期患病的新生儿体重较低,孕期补充足量叶酸和性别为男性的新生儿体重较高,差异有统计学意义(P<0.05)。多因素分析显示,母亲孕期接触二手烟、母亲有自然流产史和母亲孕期患病均等导致新生儿体重降低(β=-205.555;β=-210.675;β=-102.709,P均<0.05)。母亲是本科及以上学历和新生儿性别是男性的新生儿出生体重均较重(β=147.772,β=100.733,P均<0.05)。结论 新生儿出生体重受多种因素影响。孕妇应提高自我孕期保健意识,采取健康的生活方式,加强孕期营养,定期进行产检,减少疾病的发生。

关键词: 出生体重, 影响因素, 现况研究

Abstract: Objective To explore the risk factors of birth weight,and to provide a proof for reducing the incidence of low birth weight infants and fetal macrosomia. Methods 642 cases born in Shaanxi Provincial People's Hospital were investigated retrospectively from January to May in 2015.Maternal general,previous reproductive history,living conditions during pregnancy and illness etc were collected.The risk factors of birth weight were analyzed by univariate analysis of variance and multivariate generalized linear regression analysis. Results Univariate analysis showed that the birth weight of low education,a history of spontaneous abortion and induced abortion,exposure to secondhand smoke during pregnancy,pregnancy sickness were lower (P<0.05),while the birth weight of infant whose mother supplement sufficient folic acid in pregnancy was higher (P<0.05).And the birth weight of boy was higher (P<0.05).Multivariate generalized linear regression analysis showed that the birth weight of exposure to secondhand smoke during pregnancy,a history of spontaneous abortion,pregnancy sickness were lower (β=-205.555,β=-210.675,β=-102.709,all P<0.05). Conclusions Birth weight is affected by many factors.Pregnant women should increase awareness of self-care during pregnancy,adopt a healthy lifestyle,strengthen nutrition,regular check-ups,and reduce the incidence of the disease during pregnancy.

Key words: birth weight, influencing factors, cross-sectional study

中图分类号: