文章摘要
章琦,柏如海,王玲玲,党少农,米白冰,颜虹.西安市2010-2013年活产单胎巨大儿现况及其影响因素分析[J].中华流行病学杂志,2016,37(8):1095-1098
西安市2010-2013年活产单胎巨大儿现况及其影响因素分析
Incidence of fetal macrosomia among single live birth neonates and influencing factors in Xi'an, 2010-2013
收稿日期:2016-01-26  出版日期:2016-08-10
DOI:10.3760/cma.j.issn.0254-6450.2016.08.008
中文关键词: 新生儿  巨大儿  影响因素
英文关键词: Neonate  Fetal macrosomia  Risk factors
基金项目:国家自然科学基金(81230016)
作者单位E-mail
章琦 710061 西安交通大学医学部公共卫生学院流行病与卫生统计教研室  
柏如海 710061 西安交通大学医学部公共卫生学院流行病与卫生统计教研室  
王玲玲 710061 西安交通大学医学部公共卫生学院流行病与卫生统计教研室  
党少农 710061 西安交通大学医学部公共卫生学院流行病与卫生统计教研室  
米白冰 710061 西安交通大学医学部公共卫生学院流行病与卫生统计教研室  
颜虹 710061 西安交通大学医学部公共卫生学院流行病与卫生统计教研室 xjtu_yh.paper@aliyun.com 
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中文摘要:
      目的 分析西安市活产单胎巨大儿发生率及其影响因素。方法 采用分层多阶段随机抽样方法,以问卷调查方式收集2010-2013年西安市怀孕结局明确的育龄妇女及其子女的相关信息,运用logistic回归分析巨大儿的影响因素。结果 共调查4 970名育龄妇女及其子女,活产单胎巨大儿总发生率为9.7%。2010-2013年各年度巨大儿发生率分别为8.9%、8.1%、10.0%和10.1%,主城区和城乡结合区巨大儿发生率分别为10.5%和8.6%,差异有统计学意义(P<0.05)。logistic回归分析显示,男婴(OR=1.717,95% CI:1.402~2.102)、孕期饮酒(OR=2.174,95% CI:1.042~4.533)、妊娠期糖尿病(OR=1.680,95% CI:1.100~2.568)、孕周≥42周(与孕周37~41周比较,OR=2.565,95% CI:1.306~5.039)、经产妇(OR=1.874,95% CI:1.492~2.354)是发生巨大儿的危险因素。结论 2010-2013年西安市活产单胎巨大儿发生率高于全国平均水平,且主城区的发生率高于城乡结合区;男婴、胎儿过期产、孕期饮酒、妊娠期糖尿病、经产妇等因素有可能增加巨大儿的罹患风险。
英文摘要:
      Objective To analyze the incidence and influencing factors on fetal macrosomia among single live birth neonates in Xi'an. Methods A questionnaire survey was conducted among women at the childbearing age who were selected through multi stage stratified random sampling in Xi'an during 2010-2013. All the childbearing aged women involved, were in pregnancy or having definite pregnancy outcomes. Results A total of 4 970 women at childbearing age and their infants were investigated. The overall incidence of fetal macrosomia weight among the single live birth neonates under study, was 9.7% during 2010-2013 (8.9% in 2010, 8.1% in 2011, 10.0% in 2012 and 10.1% in 2013, respectively). The incidence rates of fetal macrosomia appeared 10.5% in the central district and, 8.6% in the rural-urban area of Xi'an. There were statistically significant differences (P<0.05) seen between the two areas. Results of logistic regression analysis suggested that factors as:having male newborn (OR=1.717, 95%CI:1.402-2.102), drinking during pregnancy (OR=2.174, 95%CI:1.042-4.533), gestational diabetes (OR=1.680, 95%CI:1.100-2.568) gestational age≥42 (compared with 37-41, OR=2.565, 95%CI:1.306-5.039), being multipara (OR=1.874, 95%CI:1.492-2.354) were risk factors for the fetal macrosomia. Conclusion The incidence of fetal macrosomia in Xi'an was higher than the national figures. The incidence of fetal macrosomia was higher in the central district than in rural-urban area. Having male neonate, postmature birth, gestational diabetes, being multipara, drinking during pregnancy were the risk factors related to fetal macrosomia.
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