1989~2011年云南低出生体重流行病学研究

发布时间：2018-03-17 20:13

本文选题：低出生体重　切入点：早产　出处：《中国妇幼保健》2014年35期 　论文类型：期刊论文

【摘要】：目的:探讨低出生体重发生的有关危险因素,为降低LBW率及干预提供科学数据。方法:对云南1989~2011年10个州市22个县市中的14个县级妇幼保健院、3家省级医院的现场调查及住院分娩资料进行交互作用分析、Meta分析及Logistic逐步回归分析。结果:1流行病学特征:10个地区存在一定差异,LBW发生率最高为德宏州7.7%,最低为红河州2.6%,年龄越小LBW率越高;1989~2011年住院分娩儿LBW发生率呈逐年下降趋势,从1989年的12.3%下降至2011年的5.3%。2LBW的危险因素与父母年龄、身高、孕周有关,母亲年龄与孕周有相乘交互作用;Meta分析孕周37周、产妇年龄20岁或35岁、产次与孕次≥3次合并效应量OR95%CI的下限均"1",表明这些因素都是LBW儿的危险因素。结论:LBW率随时间的推移而降低,产妇年龄、母亲身高、孕周对LBW的影响关系密切。
[Abstract]:Objective: To investigate the risk factors related to low birth weight, in order to reduce the rate of LBW and provide scientific data for intervention. Methods: 14 county-level maternal and Child Health Hospital of 22 counties of Yunnan city in 10 years 1989~2011, 3 provincial hospitals and maternity hospital survey data interaction analysis, Meta analysis and Logistic the stepwise regression analysis. Results: 1 epidemiological characteristics: there are certain differences between the 10 regions, the incidence of LBW was highest in Dehong in 7.7%, the lowest in Honghe Prefecture 2.6%, the younger the LBW rate is high; perinatal LBW incidence decreased year by year in 1989~2011 years, from 1989 to 2011 12.3% decreased risk of 5.3%.2LBW factors associated with parental age, height, gestational age, maternal age and gestational weeks of multiplicative interaction; Meta analysis of 37 weeks of gestation, maternal age of 20 years or 35 years of age, parity and pregnancy is more than 3 times the combined effect of the amount of the lower bound of the OR95%CI were 1", The results showed that these factors were all risk factors for LBW. Conclusion: the rate of LBW decreased with the passage of time. The maternal age, mother's height, and pregnancy week had a close relationship with LBW.

【作者单位】：云南省妇幼保健院;昆明医学院第二附属医院;
【分类号】：R722.1;R181.3

【参考文献】