【摘要】 目的探讨厦门市巨大儿发生的影响因素,为制定相应防控对策提供依据。方法采用问卷调查方法收集孕产妇在孕前和怀孕期间的相关资料,通过妇幼保健系统及住院病历资料收集婴儿出生时数据。用多因素非条件Logistic回归模型筛选巨大儿发生的影响因素。结果厦门市巨大儿发生率为4.62%。男婴(6.09%)高于女婴(2.86%)。母亲孕前肥胖(OR=5.48,95%CI:3.32~9.05),孕期增重超过15kg(OR=1.54,95%CI:1.15~2.07),孕周>40周(OR=3.07,95%CI:2.26~4.17),有过流产史(OR=1.78,95%CI:1.35~2.35),怀孕期间饮食吃的非常甜(OR=6.8,95%CI:1.7~27.8),可能是巨大儿发生的影响因素;孕27周后参加体育运动,可使巨大儿发生率降低(OR=0.62,95%CI:0.45~0.84)。结论厦门市巨大儿的发生率低于全国水平,孕妇孕前肥胖或曾流产、孕期吃的太甜或缺少运动可能引发巨大儿的发生,应加强宣传教育。更多还原

【Abstract】 Objective To explore the impact factors of macrosomia,so as to provide the basis for the prevention and control measures.Methods Using the questionnaire to collect the information related to the pregnant and puerperal women.Infant born data were collected through Maternal and Child Health Care System and hospital records.The multivariate unconditional Logistic regression model was used to screen the risk factors of macrosomia.Results The incidence of macrosomia was 4.62% in Xiamen,which was higher in male(6.09%)than that in female(2.86%).Maters with obesity in pre pregnancy(OR =5.48,95%CI:3.32-9.05),total pregnancy weight gain more than 15 kg(OR=1.54,95%CI:1.15-2.07),gestational weeks more than 40 weeks(OR=3.07,95%CI:2.26-4.17),the history of abortion(OR=1.78,95%CI:1.35-2.35)intaking too much sweet food during gestation(OR=6.8,95% CI:1.7-27.8)may be risk factors for macrosomia.Participating in sports after 27 weeks of gestation,the incidence of macrosomia was reduced(OR=0.62,95%CI:0.45-0.84).Conclusion The incidence of macrosomia in Xiamen is lower than the national level.Pre pregnancy obesity or the history of abortion,intaking too much sweet food during gestationor lack of exercise may lead to the occurrence of macrosomia,so we should strengthen the propaganda and education.更多还原