论文部分内容阅读
目的分析壮族人群低出生体重发生情况,探讨低出生体重儿的影响因素。方法选取在广西平果县人民医院、妇幼保健院及德保县妇幼保健院2012年1月1日~2015年6月1日出生的4 915例壮族活产新生儿为研究对象,收集一般人口学资料及低出生体重相关的影响因素,采用多因素Logistic回归方法分析低出生体重儿的影响因素。结果低出生体重儿358例,低出生体重率为7.28%。母亲孕龄≥35岁(OR=1.72)、身高150 cm以下(OR=2.75)、孕早期体质指数(body mass index,BMI)<18.5 kg/m~2(OR=1.68)、血红蛋白浓度<110 g/L(OR=1.50)、孕中期增重少(OR=1.57)、流产史(OR=1.76)、妊娠期高压(OR=5.32)、多产次(OR=1.51)、孕期产前检查少于8次(OR=2.10)等为低出生体重儿发生的危险因素;母亲孕早期BMI≥24.0 kg/m2(OR=0.26)、分娩孕周37周及以上(OR=0.06)、单胎(OR=0.04)等为保护因素。结论母亲孕龄、身高、孕早期BMI、血红蛋白浓度、流产史、妊娠期高血压、孕期产前检查次数等是壮族人群低出生体重的影响因素,应采取综合措施预防和减少低出生体重儿的发生。
Objective To analyze the incidence of low birth weight in Zhuang nationality and to explore the influencing factors of low birth weight infants. Methods A total of 4 915 newborn live born Zhuang women born in Pingguo County People’s Hospital, MCH and Dabao MCH from January 1, 2012 to June 1, 2015 were enrolled in this study. General demography Data and low birth weight related factors, using multivariate Logistic regression analysis of low birth weight infants influencing factors. Results Low birth weight children 358 cases, low birth weight was 7.28%. Maternal gestational age ≥35 years (OR = 1.72), height less than 150 cm (OR = 2.75), body mass index (BMI) <18.5 kg / m ~ 2 (OR = 1.68), hemoglobin concentration <110 (OR = 1.52), multiple births (OR = 1.51), prenatal examination during pregnancy (OR = 1.50) Less than 8 times (OR = 2.10) were the risk factors for low birth weight infants. The mothers’ BMI≥24.0 kg / m2 (OR = 0.26), gestational age 37 weeks and over (OR = (OR = 0.04) as a protective factor. CONCLUSIONS: The gestational age, height, BMI, hemoglobin concentration, miscarriage history, gestational hypertension and the number of prenatal examinations during pregnancy are the influencing factors of low birth weight among mothers in Zhuhai. Comprehensive measures should be taken to prevent and reduce the incidence of low birth weight children occur.