巨大儿发生状况及其影响因素分析

发布时间：2018-01-14 01:03

本文关键词：巨大儿发生状况及其影响因素分析　出处：《西安交通大学学报(医学版)》2017年06期 　论文类型：期刊论文

【摘要】：目的通过对咸阳地区巨大儿发生情况及影响因素进行分析,为巨大儿的预防提供理论依据。方法本次研究数据来源于"陕西省出生缺陷现况及其危险因素调查"资料,选取咸阳地区巨大儿及其影响因素数据进行统计分析。率的比较采用χ2检验,影响因素分析采用单因素和多因素Logistic回归。结果咸阳地区末次怀孕活产单胎巨大儿发生率为5.2%,其中男、女巨大儿发生率分别为6.5%、4.2%,差异有统计学意义(P0.001);2010-2013年各年巨大儿发生率分别为5.4%、6.2%、5.9%和4.4%,差异无统计学意义(P=0.151);城乡巨大儿发生率分别为6.3%和5.5%,差异无统计学意义(P=0.556);各县巨大儿发生率分别为彬县3.2%、长武5.6%、礼泉6.7%、乾县5.4%、武功8.0%、旬邑4.2%,差异有统计学意义(P0.001)。Logistic回归显示婴儿性别、母亲年龄、孕次、产检次数、妇女孕期饮酒、父亲职业等因素是巨大儿发生率的影响因素。结论咸阳地区2010-2013年巨大儿发生率接近全国平均水平。婴儿性别、母亲年龄、孕次、产检次数、妇女孕期饮酒、父亲职业有可能影响巨大儿的发生。
[Abstract]:Objective to analyze the incidence and influencing factors of macrosomia in Xianyang area. Methods the data of this study were derived from the data of "investigation of the status of birth defects and their risk factors in Shaanxi Province". The data of macrosomia and its influencing factors in Xianyang area were selected for statistical analysis. 蠂 2 test was used to compare the rates. Univariate and multivariate Logistic regression were used to analyze the influencing factors. Results the incidence of macrosomia was 5.2 in Xianyang area. The incidence of female macrosomia was 6.5% and 4.2% respectively, the difference being statistically significant (P 0.001). The incidence of macrosomia in each year from 2010 to 2013 was 5. 4% and 4. 4%, respectively. The difference was not statistically significant (P < 0. 151). The incidence of macrosomia in urban and rural areas was 6.3% and 5.5, respectively. The incidence of macrosomia in each county was 3.2 in Binxian, 5.6 in Changwu, 6.7 in Liquan, 5.4 in dry county, 8.0 in kungfu and 4.2% in Xunyi. The difference was statistically significant (P 0.001). Logistic regression showed that the sex of the infant, the age of the mother, the number of pregnancy, the times of birth examination, and the drinking during pregnancy. Conclusion the incidence of macrosomia in Xianyang from 2010 to 2013 is close to the national average. Women drinking alcohol during pregnancy, the father's career may affect the occurrence of macrosomia.
【作者单位】：西安交通大学医学部流行病与卫生统计学教研室;
【基金】：陕西省卫计委出生缺陷防治课题研究(SXWSJSWZFCGHT2016-013) 国家自然科学基金资助(No.81230016)~~
【分类号】：R174
【正文快照】： 国内巨大儿定义为体质量达到或超过4 000g的新生儿,欧美国家则定义为体质量达到或超过4 500g的新生儿[1]。国内、外发生率分别为7%和15.1%[1],国内部分地区达到10%[2],美国约为10%,芬兰可达18%[3]。国内外研究表明巨大儿的发生原因包括基因因素、胎儿激素、母体和环境危险因素

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