论文部分内容阅读
目的探讨非妊娠糖尿病巨大胎儿发生的高危因素。方法调查问卷45例非妊娠糖尿病巨大胎儿和906例非巨大胎儿产妇,调查内容包括孕妇及其配偶体重、身高、饮食情况、分娩孕周等。结果孕前体重、孕前体重指数(BMI)、孕期增重量、临产时体重、主食摄入量、分娩孕周、胎儿性别、配偶体重指数与巨大胎儿发生显著相关。结论巨大胎儿是遗传和环境多方面因素共同作用的结果,孕前肥胖、孕期体重增长幅度大、临产时高体重、丈夫高BMI、孕期食量增多、孕龄延长,男性胎儿是巨大胎儿的高危因素,遗传因素为不可控因素,预防巨大儿重点应放在非遗传性的可控因素上,根据个体情况制定干预计划。
Objective To investigate the risk factors for the occurrence of huge fetuses in non-gestational diabetes mellitus. Methods Questionnaire 45 cases of non-gestational diabetes mellitus and 906 cases of non-fetal fetus were investigated. The survey included weight, height, diet and gestational age of pregnant women and their spouses. Results Pre-pregnancy body weight, body mass index before pregnancy (BMI), weight gain during pregnancy, body weight at birth, staple food intake, gestational birth gestational age, fetal sex, and spleen mass index were significantly associated with macrosomia. Conclusion The huge fetus is the result of the combination of genetic and environmental factors. The pre-pregnancy obesity, weight gain during pregnancy, high body weight during labor, high BMI of husband, increased appetite during pregnancy and prolonged gestational age are the risk factors for fetuses with huge fetuses. Genetic factors for uncontrollable factors, prevent giant children should focus on non-genetic controllable factors, according to individual circumstances to develop intervention programs.