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1、厦门市巨大儿发生现状及影响因素研究张金华伍啸青牛建军周裕林王昊平陈国伟谢荣珍林艺兰刘玲飞宋然然华中科技大学同济医学院公共卫生学院厦门市疾病预防控制中心厦门大学附属中山医院福建厦门市妇幼保健院厦门莲花医院摘要:日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%o男婴(6.09%)高于
2、女婴(2.86%)o母亲孕前肥胖(0R二5.48,95%CI:3.329.05),孕期增重超过15kg(OR二1.54,95%CI:1.152.07),孕周>40周(0R二3.07,95%CI:2.264.17),有过流产史(0R二1.78,95%CI:1.352.35),怀孕期间饮食吃的非常甜(0R二6.8,95%CI:1.727.8),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(0R二0.62,95%CI:0.45°.84)。结论厦门市巨大儿的发生率低于全国水平,
3、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。关键词:巨大儿;影响因素;流行病学;横断面调查;作者简介:宋然然,副教授,博士生导师.作者简介:张金华(1979-),女(汉族),硕士在读,主管医师.研究方向:慢性病防治.收稿日期:2017-04-10基金:福建省科技厅自然科学基金资助项目(NO.2012D046)SurveyonoccurrenceandimpactfactorsofmacrosomiainXiamenZHANGJinhuaWUXiaoqingNI
4、UJianjunZHOUYulinWangHoopingCHENguoweiXIERongzhenLINY订anLIULinfeiSONGRanranSchoolofPublicHealth,TongJiMedicalCollege,HuazhongUniversityofScienceandTechnology;CenterforDiseaseCont:rolandPreventionofXiamen;ZhongshanHospitalAffiliatedtoXiamenUniversity;H
5、ospitalofMaternalandChildHealthcareofXiamen;LianhuaHospitalofXiamen;Abstract:ObjectiveToexploretheimpactfactorsofmacrosomia,soastoprovidethebasisforthepreventionandcontrolmeasures.MethodsUsingthequestionnairetocollecttheinformationrelatedtothepregnant
6、andpuerperalwomen.InfantborndatawerecollectedthroughMaternalandChildIlealthCareSystemandhospitalrecords・ThemultivariateunconditionalLogisticregressionmodelwasusedtoscreentheriskfactorsofmacrosomia.ResuItsTheincidenceofmacrosomiawas4.62%inXiamen,whichw
7、ashigherinmale(6.09%)thanthatinfemale(2.86%).Materswithobesityinprepregnancy(OR二5.4&95%CI:3.32-9.05),totalpregnancyweightgainmorethan15kg(OR二1.54,95%CT:1.15一2.07),gestationalweeksmorethan40weeks(0R=3.07,95%CI:2.26-4.17),thehistoryofabortion(0R=l.78,95
8、%CI:1.35-2.35)intakingtoomuchsweetfoodduringgestation(0R=6.8,95%CI:1.7-27.8)mayberiskfactorsformacrosomia.Participatinginsportsafter27weeksofgestation,theincidenceofmacrosomiawasreduced(OR二0.62,95%CI:0.45-0.84).ConclusionTheincidenceofmacrosom