60例产妇分娩巨大儿的临床分析(1)
[摘要] 目的 对产妇分娩巨大儿的临床相关因素以及产妇妊娠结局进行分析探讨，为今后的临床工作，提供有价值的参考依据。 方法 方便选择2014年9月—2017年6月间足月单胎妊娠分娩巨大儿产妇60例为观察组，另取同期足月单胎妊娠分娩正常体重新生儿产妇60名作为对照组。对两组产妇孕期资料、妊娠结局进行回顾性分析。 结果 观察组与对照组产妇的孕龄比较差异无统计学意义(P>0.05)；观察组胎儿双顶径(97.43±3.24)mm、胎儿股骨长度(75.21±2.08)mm、胎儿腹围(362.34±9.28)mm均显著高于对照组(P<0.05)。结论 巨大儿的发生存在诸多影响因素，在今后的临床工作中，应做好积极的孕期监控和临床干预，对孕妇的孕期体重进行严格的控制，预防巨大儿的发生，改善妊娠结局，提高产科工作质量。
[关键词] 巨大儿；剖宫产；妊娠结局；临床分析
[中图分类号] R714 [文献标识码] A [文章编号] 1674-0742(2018)05(a)-0024-03
Clinical Analysis of Giant Baby Delivered by 60 Cases of Delivery Women
CHEN Xin-feng
Department of Obstetrics， Yixing Second People’s Hospital， Yixing， Jiangsu Province， 214221 China
[Abstract] Objective To study the clinical related factors of giant baby delivered by the delivery women and gestatinal outcome of delivery women thus providing reference for the future clinical work. Methods 60 cases of delivery women who gave birth to full-term single giant babies from September 2014 to June 2017 were convenient selected as the observation group， 60 cases of delivery women giving birth to the full-term single normal weight newborns were selected as the control group， and the pregnancy data and gestational outcome were reviewed. Results The difference in the gestational age between the two groups was not statistically significant(P>0.05)， and the biparietal diameter(97.43±3.24) mm， femur length of fetuses (75.21±2.08) mm and fetal abdominal circumference(362.34±9.28) mm were obviously higher than those in the control group(P<0.05). Conclusion There are most influencing factors of giant babies， and we should do well in the positive pregnancy monitoring and clinical intervention in the further clinical work， and strictly control the pregnancy weight， prevent the occurrence of giant babies， improve the gestational outcomes and improve the work quality in the department of obstetrics.
[Key words] Giant baby； Cesarean section； Gestational outcome； Clinical analysis
調查显示，尽管巨大儿多为健康新生儿，但是会有大部分巨大儿会出现不同程度的病理改变，可使母婴妊娠分娩并发症的发生率增加，影响妊娠结局，对母婴造成极大的危害[1-2]。现阶段的研究显示，巨大儿的发生与多因素有关，但是具体尚未阐明[3]。该次研究中，以对产妇分娩巨大儿的临床相关因素以及产妇妊娠结局进行分析探讨为目的，对该院2014年9月—2017年6月间收治的分娩巨大儿产妇与正常分娩产妇各60例的临床资料进行了对比分析，现报道如下。
1 资料与方法
1.1 一般资料
方便选取该院收治足月单胎妊娠分娩巨大儿产妇和足月单胎妊娠分娩正常体重新生儿产妇各60例，为观察组和对照组。观察组中产妇年龄在22～36岁之间，平均(28.8±11.20)岁，初产妇39例，经产妇21例；对照组中产妇年龄在21～35岁之间，平均(25.4±12.10)岁，初产妇43名，经产妇17名；观察组产妇分娩前BMI为(29.43±5.41)kg/m2，对照组产妇分娩前BMI为(26.51±4.37)kg/m2；观察组孕龄平均为(274.9±7.30)d，对照组孕龄平均为(269.2±6.90)d。由此可知，观察组产妇的年龄、产次、分娩前的体重指数较对照组发生明显升高(P<0.05)，两组产妇孕龄比较，差异无统计学意义(P>0.05)。所有均自愿接受检查，资料完整，符合伦理委员会要求。, 百拇医药(陈欣凤)
[关键词] 巨大儿；剖宫产；妊娠结局；临床分析
[中图分类号] R714 [文献标识码] A [文章编号] 1674-0742(2018)05(a)-0024-03
Clinical Analysis of Giant Baby Delivered by 60 Cases of Delivery Women
CHEN Xin-feng
Department of Obstetrics， Yixing Second People’s Hospital， Yixing， Jiangsu Province， 214221 China
[Abstract] Objective To study the clinical related factors of giant baby delivered by the delivery women and gestatinal outcome of delivery women thus providing reference for the future clinical work. Methods 60 cases of delivery women who gave birth to full-term single giant babies from September 2014 to June 2017 were convenient selected as the observation group， 60 cases of delivery women giving birth to the full-term single normal weight newborns were selected as the control group， and the pregnancy data and gestational outcome were reviewed. Results The difference in the gestational age between the two groups was not statistically significant(P>0.05)， and the biparietal diameter(97.43±3.24) mm， femur length of fetuses (75.21±2.08) mm and fetal abdominal circumference(362.34±9.28) mm were obviously higher than those in the control group(P<0.05). Conclusion There are most influencing factors of giant babies， and we should do well in the positive pregnancy monitoring and clinical intervention in the further clinical work， and strictly control the pregnancy weight， prevent the occurrence of giant babies， improve the gestational outcomes and improve the work quality in the department of obstetrics.
[Key words] Giant baby； Cesarean section； Gestational outcome； Clinical analysis
調查显示，尽管巨大儿多为健康新生儿，但是会有大部分巨大儿会出现不同程度的病理改变，可使母婴妊娠分娩并发症的发生率增加，影响妊娠结局，对母婴造成极大的危害[1-2]。现阶段的研究显示，巨大儿的发生与多因素有关，但是具体尚未阐明[3]。该次研究中，以对产妇分娩巨大儿的临床相关因素以及产妇妊娠结局进行分析探讨为目的，对该院2014年9月—2017年6月间收治的分娩巨大儿产妇与正常分娩产妇各60例的临床资料进行了对比分析，现报道如下。
1 资料与方法
1.1 一般资料
方便选取该院收治足月单胎妊娠分娩巨大儿产妇和足月单胎妊娠分娩正常体重新生儿产妇各60例，为观察组和对照组。观察组中产妇年龄在22～36岁之间，平均(28.8±11.20)岁，初产妇39例，经产妇21例；对照组中产妇年龄在21～35岁之间，平均(25.4±12.10)岁，初产妇43名，经产妇17名；观察组产妇分娩前BMI为(29.43±5.41)kg/m2，对照组产妇分娩前BMI为(26.51±4.37)kg/m2；观察组孕龄平均为(274.9±7.30)d，对照组孕龄平均为(269.2±6.90)d。由此可知，观察组产妇的年龄、产次、分娩前的体重指数较对照组发生明显升高(P<0.05)，两组产妇孕龄比较，差异无统计学意义(P>0.05)。所有均自愿接受检查，资料完整，符合伦理委员会要求。, 百拇医药(陈欣凤)