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目的探讨巨大儿的发生率、诊断及处理的相关因素。方法对137例巨大儿的临床资料进行回顾性分析。结果巨大儿发生率7.9%,本文巨大儿组手术产、产后出血、新生儿窒息发生率分别为34.31%、31.39%、16.67%,明显高于单胎非巨大儿组(P<0.01),直接影响母儿预后。结论巨大儿的发生与母亲体重、孕周有关,更主要的是孕期营养吸收与消耗在妊娠基础上的失衡所致。所以定期产前检查,指导孕妇科学膳食,合理营养,适量活动,适时分娩是预防巨大儿发生的有效措施,提高巨大儿的产前诊断率,选择适宜的分娩方式,适当放宽剖宫产指征,是减少分娩并发证,保证母儿安全的重要环节。
Objective To investigate the incidence of macrosomia, diagnosis and treatment related factors. Methods The clinical data of 137 cases of giant children were analyzed retrospectively. Results The incidence of macrosomia was 7.9%. The incidences of surgery, postpartum hemorrhage and neonatal asphyxia in the huge pediatric group were 34.31%, 31.39% and 16.67%, respectively, significantly higher than those in single non-macrosomia group (P <0.01) Affect maternal and child prognosis. Conclusion The occurrence of giant children is related to the mother’s body weight and gestational age. More importantly, the imbalance between the absorption and consumption during pregnancy is based on the pregnancy. So regular prenatal care to guide the pregnant women scientific diet, reasonable nutrition, appropriate activities, timely delivery is an effective measure to prevent the occurrence of giant children to improve the prenatal diagnosis of giant children, choose the appropriate mode of delivery, appropriate relaxation of cesarean indications , Is to reduce the delivery and certification, to ensure the safety of mother and child an important part.