乌鲁木齐市维吾尔族与汉族不同胎龄新生儿体格发育调查及影响因素分析

发布时间：2018-12-13 18:54

【摘要】：目的:通过绘制乌鲁木齐市维吾尔族与汉族不同胎龄新生儿出生体重、身长、头围、胸围标准曲线及通过克托莱指数及维尔维克指数的描述,分析影响新生儿生长发育的相关因素,来评估乌市维吾尔族与汉族新生儿生长发育状况及影响因素。方法:连续测量2014年10月-2016年10月新疆医科大学第一附属医院及妇幼保健院出生的单胎活产儿,统计分析应用spss19.0软件进行一元三次方的曲线拟合方法,绘制平滑曲线,并回顾性收集和整理该产妇及新生儿的基本资料,运用单因素分析及多重线性回归方法对新生儿生长发育的影响因素进行分析。结果:共收集胎龄28-42周单胎新生儿5027名,其中男2625名,女2402名,男体重平均值为3293.66±732.823g,女3151.38±733.275,男身长平均值为49.56±3.270cm,女为48.8±3.713cm;男头围平均值为33.31±2.455cm,女为32.86±2.840cm;男胸围平均值为32.65±2.935cm,女为32.19±3.090cm。通过各曲线及身体指数的调查结果提示乌鲁木齐市新生儿生长发育与国外和国内标准有差异,维吾尔族、汉族新生儿之间也存在显著的差异;新生儿出生体重与孕晚期体重、孕周、孕期疾病、新生儿窒息、产妇年龄、血总蛋白值、胎膜早破、新生儿性别有关;出生身长与孕晚期体重、孕周、孕期疾病、新生儿窒息、血总蛋白值、新生儿性别、父身高有关;出生头围与孕晚期体重、孕周、孕期疾病、新生儿窒息、新生儿性别有关;出生胸围与晚期体重、孕周、孕期疾病、民族、新生儿窒息、产前激素、血总蛋白值有关。结论:因新疆地域及民族特色,导致乌鲁木齐市新生儿生长发育与我国其他地区及国外的新生儿生长发育指标不同;因维吾尔族与汉族存在种族差异,导致维吾尔族与汉族新生儿生长发育不同;并发现多种因素共同作用于乌鲁木齐市新生儿出生体重、身长、头围、胸围。
[Abstract]:Objective: to draw the standard curve of birth weight, body length, head circumference and chest circumference of Uygur and Han newborns of different gestational ages in Urumqi, and to describe the Ketole index and Wilwick index. To evaluate the growth and development of Uygur and Han neonates in Wucheng city, the related factors affecting the growth and development of newborns were analyzed. Methods: the single born live infants born in the first affiliated Hospital of Xinjiang Medical University and the Maternal and Child Health Care Hospital from October 2014 to October 2016 were measured continuously. The curve fitting method of the first unit and the third power was analyzed by using spss19.0 software, and the smooth curve was drawn. The basic data of the puerpera and newborns were collected and sorted retrospectively, and the influencing factors of neonatal growth and development were analyzed by single factor analysis and multiple linear regression analysis. Results: a total of 5027 newborns of 28 to 42 weeks of gestational age were collected, including 2625 males and 2402 females. The average body weight of males was 3293.66 卤732.823g, female 3151.38 卤733.275, mean male length 49.56 卤3.270 cm and female 48.8 卤3.713 cm. The average head circumference of male was 33.31 卤2.455cm, that of female was 32.86 卤2.840cm, that of male chest circumference was 32.65 卤2.935cm, that of female was 32.19 卤3.090cm. The survey results of curves and body mass index indicated that the growth and development of newborns in Urumqi were different from those of foreign and domestic standards, and there were also significant differences between Uygur and Han newborns. The neonatal birth weight was related to the late pregnancy weight, gestational weeks, diseases during pregnancy, neonatal asphyxia, age of parturient, total blood protein value, premature rupture of membranes, sex of newborn. The length of birth was related to late pregnancy weight, gestational week, disease during pregnancy, asphyxia neonatorum, total protein value of blood, sex of newborn, height of father, and head circumference of birth was related to weight of third trimester, gestational week, disease during pregnancy, asphyxia neonatorum and sex of newborn. Birth chest circumference is associated with late weight, gestational age, disease during pregnancy, nationality, neonatal asphyxia, prenatal hormones, and serum total protein values. Conclusion: due to the regional and ethnic characteristics of Xinjiang, the growth and development of newborns in Urumqi is different from that in other regions of China and abroad. Because of the ethnic difference between Uygur and Han, the growth and development of Uygur and Han newborns are different, and it is found that many factors act on the birth weight, body length, head circumference and chest circumference of newborns in Urumqi.
【学位授予单位】：新疆医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R722.1

【相似文献】