首页 | 本学科首页   官方微博 | 高级检索  
     

659例巨大儿危险因素1∶1配比病例对照研究
引用本文:卞晓云,吴红荷,陈坚,陈小宁,张凌,钟建新. 659例巨大儿危险因素1∶1配比病例对照研究[J]. 中国妇幼保健, 2006, 0(22)
作者姓名:卞晓云  吴红荷  陈坚  陈小宁  张凌  钟建新
作者单位:江苏省南通市妇幼保健院,江苏省南通市妇幼保健院,江苏省南通市妇幼保健院,江苏省南通市妇幼保健院,江苏省南通市妇幼保健院,南通大学附属医院妇产科 226006,226006,226006,226006,226006
摘    要:
目的探讨当前社会巨大儿发生的危险因素。方法对659例出生体重>4kg的巨大儿,按病例组和对照组1∶1配比方法,对总计1318户家庭进行了相关因素的调查和分析,所选儿童母亲为非糖尿病妊娠和非妊娠合并糖尿病患者。结果单因素和多因素条件Logist回归分析表明,最后3个月的饮食(偏回归系数1.541偏回归系数标准误=0.105,OR值=4.669)、祖辈的肥胖度(偏回归系数=3.148标准误0.532,OR值=23.292)、孕妇的职业(偏回归系数=0.454标准误=0.127OR值=1.575)、父亲的身高(偏回归系数=0.078标准误=0.22,OR值=1.081)和父亲的年龄(偏回归系数0.174标准误=0.52,OR值=11.090)与巨大儿发生相关,其中以饮食因素最为显著。结论巨大儿是多种因素造成的,环境因素中的多食已成为目前最主要的危险因素巨大儿的发生还与遗传因素和生活习惯关系密切。

关 键 词:巨大儿  危险因素  病例对照研究  回归分析

A case-control study on risk factors of 659 fetal macrosomia
BIAN Xiao-Yun,WU Hong-He,CHEN Jian,et al.. A case-control study on risk factors of 659 fetal macrosomia[J]. Maternal and Child Health Care of China, 2006, 0(22)
Authors:BIAN Xiao-Yun  WU Hong-He  CHEN Jian  et al.
Affiliation:BIAN Xiao-Yun,WU Hong-He,CHEN Jian,et al.Mother and Child Health Care Institute of Nantong,Nantong,226006 Jiangsu,China ZHONG Jian-Xin.Department of Obstetrics,Affiliated Hospital of Nantong University
Abstract:
Objective:To find out the risk factors of fetal macrosomia nowadays.Methods:Family background was surveyed and analyzed in 659 fetal macrosomia (birth weight >4kg) and a normal control group under 1∶1 matching condition. Mothers with diabetes or pregnancy diabetes were not included in the assay.Results:Indicated by both simple and multiple conditional logouts regression, the cause of fetal macrosomia was mainly associated with the factors including caloric intake of mother within the last three months (β_k =1.541, Sxβ_k=0.105,β_k=4.669), obesity degree of parents (β_k=3.148,Sxβ_k=0.532,β_k =23.292), mother's occupation (β_k=0.454, Sxβ_k=0.127,β_k=1.575), body height of father (β_k=0.078, Sxβ_k =0.22,β_k=1.081) and age of father (β_k =0.174, Sxβ_k=0.52,β_k=1 1.090). Among them caloric intake was the most significant.Conclusion:Multiple risk factors contribute to the occurrence of fetal macrosomia, among which mother's caloric intake has become the most important at present. In addition, genetic factor and life habits are closely involved in.
Keywords:Fetal macrosomia  Risk factor  Case-control study  Regression analysis
本文献已被 CNKI 等数据库收录!
设为首页 | 免责声明 | 关于勤云 | 加入收藏

Copyright©北京勤云科技发展有限公司  京ICP备09084417号