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目的为探讨新生儿低体重的相关因素、围产儿情况与围产期的保健意义。方法选取了2001-01-2006-12在唐山市人民医院分娩的200例低体重新生儿,进行了相关因素及围产儿情况分析。结果采用病例对照研究方法,对200例低出生体重儿和223例非低出生体重儿的母亲进行分析,在排除孕妇患慢性疾病,生殖器官畸形,严重妊娠反应,文化程度和巨细胞病毒感染、被动吸烟,自然流产、人工流产史,家族低出生体重史等混杂因素后,产妇的分娩情况受孕周、胎数、孕晚期贫血、产检次数影响。结论孕周、胎数、晚孕期贫血、均是低出生体重的影响因素。加强围生保健,预防及时纠正妊娠期贫血、宫内生长受限等情况,对降低新生儿低出生体重的发生率有着十分重要的意义。
Objective To explore the low birth weight related factors, perinatal situation and perinatal health significance. Methods A total of 200 low birth weight infants born in Tangshan People ’s Hospital from January 2001 to December 2006 were selected for the analysis of related factors and the status of perinatal children. Results A case-control study was conducted on 200 mothers with low birth weight and 223 non-low birth weight babies. In excluding pregnant women suffering from chronic diseases, genital malformation, severe pregnancy reaction, education level and cytomegalovirus infection, Passive smoking, spontaneous abortion, abortion history, family history of low birth weight and other confounding factors, maternal childbirth by the gestational age, the number of fetuses, the third trimester of anemia, the number of times the impact of childbirth. Conclusion The gestational age, the number of fetuses and the anemia in the first trimester of pregnancy are the influencing factors of low birth weight. Strengthening perinatal care, prevention of timely correction of anemia during pregnancy, intrauterine growth restriction, etc., to reduce the incidence of neonatal low birth weight is of great significance.