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目的分析围生期保健指标与低出生体重妊娠的相关性,以降低低出生体重儿的发生率。方法选取2013年1月-2015年10月在青田县船寮中心卫生院参加产前检查的孕妇200例,对患者的身高、体重、尿常规、血压等进行测量,记录孕妇产前检查次数,计算整个孕期体重增加值,测量新生儿出生体重。结果是否接受健康教育、妊娠天数、孕前体重指数、整个孕期体重增加值、产前检查次数对新生儿出生体重有明显影响,低出生体重儿的发生率随着孕妇产前检查次数增多而下降。产前检查0~6次组的新生儿出生体重和身长显著低于7~10次组和10次以上组(P<0.05)。此外,孕妇接受健康教育可显著降低新生儿的低出生体重发生率。孕前体重指数与新生儿的出生体重和身长有着显著的相关性(P<0.05)。消瘦组的新生儿体重与身长均值显著低于超重/肥胖组(P<0.05)。新生儿出生体重、身长与孕妇血清中的白蛋白、白蛋白/球蛋白呈正相关关系。结论孕妇是否接受健康教育、产前检查次数、血液中白蛋白对新生儿体重及身长有显著影响。体重指数与新生儿出生体重及身长有显著的正相关关系。影响妊娠的相关因素众多,各个因素之间可能存在相互影响,应加强对孕妇的围生期保健教育,以降低低出生体重儿的发生率。
Objective To analyze the correlation between perinatal health indicators and low birth weight pregnancy to reduce the incidence of low birth weight infants. Methods From January 2013 to October 2015, 200 pregnant women participated in the antenatal examination in the Central Hospital of Lao Liu, Qingtian County. The height, weight, urine routine and blood pressure of the patients were measured. The number of prenatal examination, Calculate the weight gain throughout the pregnancy and measure the birth weight of the newborn. The results of health education, the number of days of pregnancy, body mass index before pregnancy, weight gain throughout the pregnancy, the number of prenatal examination had significant impact on newborns birth weight, the incidence of low birth weight infants decreased with the increase in the number of pregnant women prenatal care. The birth weights and body weights of newborns in 0 ~ 6 groups during prenatal period were significantly lower than those in 7 ~ 10 groups and 10 times (P <0.05). In addition, pregnant women receiving health education can significantly reduce the incidence of low birth weight in newborns. Pre-pregnancy body mass index and newborn birth weight and length have a significant correlation (P <0.05). Weight-loss group of newborns weight and length mean significantly lower than overweight / obese group (P <0.05). Neonatal birth weight, body length and serum albumin, albumin / globulin was positively correlated. Conclusions Whether pregnant women receive health education, the number of prenatal examinations and serum albumin have significant effects on the weight and length of newborns. Body mass index and birth weight and length of newborns have a significant positive correlation. There are many related factors affecting pregnancy, and there may be mutual influence among various factors. Perinatal health education should be strengthened for pregnant women so as to reduce the incidence of low birth weight infants.