北京某医院2013年单胎活产儿出生体重分布

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摘要目的了解北京市某医院新生儿出生体重分布及影响因素。方法利用电子病案中《新生婴儿记录》资料,观察新生儿出生体重分布,并分析孕母分娩孕周、胎儿性别、孕母年龄、产次、出生月份、民族及生活地区对新生儿出生体重的影响。结果 1 857名单胎活产儿平均出生体重为(3 360.8±435.6)g,低出生体重发生率为1.9%,巨大儿发生率为7.5%。对低出生体重、早产的调整OR(95% CI)为121.75(54.62～271.39);对巨大儿、男婴的调整OR(95% CI)为1.74(1.21～2.50);早产和性别是影响出生体重的因素。结论该医院的新生儿平均出生体重高,巨大儿发生率高,低出生体重发生率低。电子扫描病案的合理利用可为其他相关研究提供方法和理论的依据。

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	侯佳
	赵凯平
	张丹

关键词 ：婴儿, 新生, 出生体重, 巨大儿

Abstract：Objective To investigate the distribution of birth weight and selected prenatal risk factors associated with the risk of low birth weight and macrosomia. Methods Birth weight data were drawn from electric medical records of Jishuitan Hospital. Prenatal factors including gestational age, baby sex, maternal age, gravidity, the month of birth, maternal ethnicity and residence region were analyzed for the association with the risk of low birth weight and macrosomia. Results A total of 1 857 singleton live births born from April 2013 to March 2014 were included. The mean birth weight was (3 360.8±435.6)g. The proportion of low birth weight was 1.9%, while macrosomia was 7.5%. Preterm birth was the main risk factor for low birth weight (odds ratio 121.75, 95% CI 54.62-271.39), and male newborns were more likely to be macrosomia (odds ratio 1.74, 95% CI 1.21-2.50). Conclusion This investigation suggests that macrosomia is a common medical problem.

Key words： Infant, newborn Birth weight Macrosomia

收稿日期: 2014-08-29

通讯作者: 赵凯平(zhaokaiping1986@163.com)

引用本文:

侯佳, 赵凯平, 张丹. 北京某医院2013年单胎活产儿出生体重分布[J]. 中国生育健康杂志, 2015, 26(3): 216-218.
HOU Jia, ZHAO Kaiping, ZHANG Dan. Birth weight and selected factors among 1 857 singleton live births in a tertiary hospital of Beijing. Chinese Journal of Reproductive Health, 2015, 26(3): 216-218.

链接本文:

http://cjrh.bjmu.edu.cn/CN/ 或 http://cjrh.bjmu.edu.cn/CN/Y2015/V26/I3/216

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