胎儿宫内生长受限发生率调查及其对胎儿-新生儿健康危害的研究

中国儿童保健杂志 ›› 2013, Vol. 21 ›› Issue (10): 1020-1023.

胎儿宫内生长受限发生率调查及其对胎儿-新生儿健康危害的研究

王晓凤¹,曾军安²,刘敬¹,李占魁²,唐成和³,孙学梅⁴,吴静⁵,王杨⁶,于亚滨⁷

1 北京军区总医院附属八一儿童医院新生儿科,北京 100700; 2 陕西省妇幼保健院新生儿科,陕西西安 710003; 3 新乡医学院第一附属医院儿科,河南新乡 453003; 4 山东省临沂市人民医院新生儿科,山东临沂 276000; 5 南方医科大学何贤纪念医院新生儿科,广东广州 510280; 6 安徽医科大学第一附属医院新生儿科,安徽合肥 230022; 7 首都医科大学附属北京妇产医院,北京 100026

收稿日期:2013-07-04 发布日期:2013-10-06 出版日期:2013-10-06
通讯作者: 刘敬,E-mail:Liujingbj@sina.com
作者简介:王晓凤(1987-),女,山东人,硕士研究生,研究方向为新生儿疾病。
基金资助:
国家自然科学基金资助项目(81170577)

Study on incidence rate of intrauterine growth restriction and its influence on fetal-neonatal health

WANG Xiao-feng¹,ZENG Jun-an²,LIU Jing¹,LI Zhan-kui²,TANG Cheng-he³,SUN Xue-mei⁴,WU Jing⁵,WANG Yang⁶,YU Ya-bin⁷

1 Department of Neonatology & NICU of Bayi Children's Hospital,General Hospital of Beijing Military Command,Beijing 100700,China; 2 Department of Neonatology,Maternal and Child Health Care Hospital of Shaanxi Province,Xian,Shaanxi 710003,China; 3 Department of Neonatology,the First Hospital Affiliated to Xinxiang Medical College,Xinxiang,Henan 453003,China; 4 Department of Pediatrics,Linyi People's Hospital of Shandong Province,Linyi,Shandong 276000,China; 5 Department of Neonatology,Hexian Memorial Hospital Affiliated to Southern Medical University,Guangzhou,Guangdong 510280,China; 6 Department of Neonatology,the First Hospital Affiliated to Anhui Medical University,Hefei,Anhui 230022,China; 7 Beijing Obstetrics and Gynecology Hospital,Capital Medical University,Beijing 100026,China

Received:2013-07-04 Online:2013-10-06 Published:2013-10-06
Contact: LIU Jing,E-mail:liujingbj@sina.com

摘要/Abstract

摘要： 目的调查我国部分省市胎儿宫内生长受限(intrauterine growth restriction,IUGR)的发生率、高危因素及其对胎儿-新生儿健康的危害。方法 1)IUGR发生率及高危因素调查:对2011年1月1日-12月31日期间,来自国内六家三级甲等医院产科出生的新生儿及孕妇资料进行分析;2)宫内生长受限对胎儿-新生儿健康危害的调查:对同期于北京军区总医院附属八一儿童医院新生儿重症监护中心住院患儿的资料进行分析。结果 1)IUGR发生率为8.77%;其中女婴9.80%,男婴为7.84%(χ²=6.285,P＜0.05);早产儿中IUGR的发生率(16.43%)显著高于足月儿IUGR发生率(7.87%)(χ²=235.5,P＜0.01)。2)Logistic 回归分析显示妊高征、脐带异常、羊水量异常为IUGR的独立危险因素。3)IUGR患儿低血糖、窒息、缺氧缺血性脑病、消化道出血、先天畸形、红细胞增多症、肺出血、呼吸暂停、先天性心脏病、弥漫性血管内凝血等疾病的发生率明显增高,住院时间长、住院费用高(P＜0.01)。结论我国IUGR发生率较高,对胎儿-新生儿健康危害大。本调查结果对我国新生儿孕产妇及围生期保健具有一定参考价值。

关键词: 宫内生长受限, 发生率, 高危因素, 胎儿-新生儿健康危害

Abstract: Objective To investigate the incidence rate and high-risk factors of intrauterine growth restriction (IUGR) and its influence on fetal-neonatal healty. Methods 1)The incidence and high-risk factors of IUGR:From Jan.1,2011 to Dec.31,2011,the clinic data of maternal and newborn infants from six hospitals in China were retrospectively analysed.2)The influence of IUGR on fetal-neonatal health:the data from the NICU of Bayi Children's Hospital were analysed. Results 1) The incidence rate of IUGR was 8.77%.The IUGR incidence in females was 9.80% and it was 7.84% in males(P＜0.05),and the incidence of IUGR in preterm infants (16.43%) was higher than that of term infants (7.87%)(P＜0.01).2)Logistic analysis showed that hypertensive,abnormal amniotic fluid,and abnormality of umbilical cord were independent factors of IUGR.3)There were significantly higher incidence of complications in IUGR infants including hypoglycemia,asphyxia,hypoxic ischemic encephalopathy,gastrointestinal bleeding,congenital malformation,polycythemia,pneumorrhagia,apnea,congenital heart disease,and disseminated intravascular coagulation.Besides,IUGR prolonged their duration of hospital stayed and increased their hospitalization expenses markedly (P<0.05). Conclusion The overall incidence of IUGR is as high as 8.77% in China.IUGR has significantly adverse influence on fetal-neonatal health.These data provide some reference for maternal and perinatal health care.

Key words: intrauterine growth restriction, incidence, high-risk factors, fetal-neonatal health

中图分类号:

R722.1

王晓凤,曾军安,刘敬,李占魁,唐成和,孙学梅,吴静,王杨,于亚滨. 胎儿宫内生长受限发生率调查及其对胎儿-新生儿健康危害的研究[J]. 中国儿童保健杂志, 2013, 21(10): 1020-1023.

WANG Xiao-feng,ZENG Jun-an,LIU Jing,LI Zhan-kui,TANG Cheng-he,SUN Xue-mei,WU Jing,WANG Yang,YU Ya-bin. Study on incidence rate of intrauterine growth restriction and its influence on fetal-neonatal health[J]. journal1, 2013, 21(10): 1020-1023.

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