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目的通过巨大儿与正常足月儿的对比观察,以期找到巨大儿有效产前诊断与分娩方法,尽量避免分娩并发症的发生。方法回顾分析我院2008年8月至2013年3月我院出生的巨大儿与正常足月儿的临床资料,从两组新生儿孕周、宫高、腹围、分娩方式、分娩并发症,以及B超检查相关数据等全面临床资料进行对比分析。结果经研究对比发现,巨大儿临床资料显示,其孕周、宫高、腹围以及B超检查等相关数据均比足月正常儿高,巨大儿产妇剖宫产率、分娩后并发症发生率也明显高于足月正常儿产妇,与初产妇相比,经产妇分娩巨大儿的几率明显较高,差异有统计学意义,P<0.05。结论孕妇产检事项中的孕周、宫高、腹围、孕妇及胎儿B超检查、孕产次数等是有效诊断巨大儿的重要数据,临床上应根据产检实际情况选择适合的分娩方式,有利于降低母婴并发症发生率,而临床上对巨大儿的产前诊断与分娩方法的进一步研究,对母婴安全及并发症发生率降低有积极意义。
Objective Through the comparison of macrosomia and normal full-term infants, in order to find an effective method of prenatal diagnosis and childbirth, try to avoid the occurrence of complications of childbirth. Methods The clinical data of giant and normal term children born in our hospital from August 2008 to March 2013 were retrospectively analyzed. The gestational age, gestational age, uterine height, abdominal circumference, mode of delivery, childbirth complications, As well as B-ultrasound-related data and other comprehensive clinical data for comparative analysis. Results The study found that giant macrosomia clinical data showed that the gestational age, uterine height, abdominal circumference and B-ultrasound and other related data were higher than normal children, macrosomia maternal cesarean section rate, postpartum complication rate Also significantly higher than normal term mothers, compared with primipara, maternal childbirth gigantic significantly higher odds, the difference was statistically significant, P <0.05. Conclusions The gestational age, the height of the uterus, abdominal circumference, pregnant women and fetus with B-ultrasound and the number of pregnant women are the important data for the effective diagnosis of macrosomia in the maternity and childbirth, and the suitable mode of delivery should be selected according to the actual conditions Reduce the incidence of maternal and child complications, and clinical research on macrosomia prenatal diagnosis and delivery methods for further study of maternal and child safety and reduce the incidence of complications have a positive meaning.