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目的探讨巨大儿山生情况及变化趋势,为降低巨大儿出生率提供科学依据。方法对我院1997-2006年10年间分娩的16077例新生儿中巨大儿的出生情况进行回顾性统计分析。结果10年间共分娩巨大儿3120例,巨大儿出生率为19.40%,1997年至2006年巨大儿出生率分别为17.8%、17.6%、20.5%、21.42%、20.19%、19.83%、19.76%、19.09%、19.51%、19.76%,平均体重(4229±275)g,超重儿533例,出生率为3.32%,占巨大儿17.08%,超过5000g的85例,出生率为0.53%,占巨大儿的2.7%;男性1784例,占57.18%,女性1336例,占42.82%,男女之比为1.335∶1;10年间总剖宫产率34.52%,而巨大儿剖宫产率为54.90%。结论10年间巨大儿及超重儿出生率处于高比例相对稳定状态,且明显高于其他地区,男性多于女性。巨大儿出生率近8年无明显升高和下降趋势,但与前两年(1997年和1998年)相比呈上升趋势(P<0.025)。
Objective To explore the situation and change trend of giant mountain mountainous area and provide a scientific basis for reducing the birth rate of giant mountainous area. Methods A retrospective statistical analysis was conducted on the birth of macrosomia in 16077 newborns in our hospital from 1997 to 2006 during the 10 years. Results A total of 3120 giant children were born during the past 10 years. The birth rate of giant children was 19.4%. The birth rates of giant children from 1997 to 2006 were 17.8%, 17.6%, 20.5%, 21.42%, 20.19%, 19.83%, 19.76% and 19.09% , 19.51%, 19.76%, average body weight 4229 ± 275 g, 533 cases of overweight children, the birth rate was 3.32%, accounted for 17.08% of the giant children, more than 5000g of 85 cases, the birth rate was 0.53%, accounting for 2.7% of the giant children; There were 1784 males, accounting for 57.18%, 1336 females, accounting for 42.82%, and the ratio of males to females was 1.353: 1. The total cesarean section rate was 34.52% in 10 years and 54.90% in giant males. Conclusion The birth rates of giant children and overweight children in 10 years are in a relatively high proportion and relatively higher than those in other regions, with more males than females. The birth rate of macrosomia has no obvious increase and decrease trend in recent 8 years, but it has an upward trend compared with the previous two years (1997 and 1998) (P <0.025).