摘要
目的:探讨巨大儿对母婴的影响。方法:选择1 530例产妇分娩,共娩出婴儿1 552例(双胎22例),其中巨大儿66例,均为单胎,选择同期正常分娩的新生儿66例,作为对照组进行孕期和产程对母婴两方面的对照。结果:巨大儿组B超双顶径(9.16±0.55)cm,体重增加(18.02±1.22)kg,宫高(36.16±0.56)cm,腹围(100.01±0.24)cm;对照组B超双顶径(8.16±56)cm,体重增加(15.16±1.02)kg,宫高(32.17±0.66)cm,腹围(92.09±0.29)cm;两组比较差异有统计学意义(P<0.05),巨大儿组产后出血15例,占22.7%,产后感染3例,占4.5%;对照组产后出血2例,占3.0%,无产后感染,两组比较差异有统计学意义(P<0.05);巨大儿组新生儿窒息7例,占10.6%,发生血肿9例,占13.6%;对照组新生儿窒息2例,占3.0%,发生血肿1例,占1.5%,两组比较差异有统计学意义(P<0.05)。结论:巨大儿可增加母婴并发症,应积极进行早期预防,正确产前诊断并采用恰当的分娩方式。
Objective To investigate the influence of fetal macrtosomia on maternal and itself.Method From January 2011 to March 2012,a total of 1 530 cases of maternity delivered a total of 1 552 cases of children(22 cases of twin),with 66 cases of huge children,all were single fetus.Selected 66 cases of neuborn who were delivered in the same period in normal childbirth as a control group,to contrast the pregnancy and birth process to two aspects of maternal and child.Results In the fetal macrosomia group,B ultrasonic biparietal diameter(9.16±0.55) cm,weight gain(18.02±1.22) kg,and Palace(36.16±0.56) cm,abdominal circumference(100.01 ± 0.24) cm;In the control group,B super double top diameter(8.16±56) cm,weight gain(15.16±1.02) kg,and Palace(32.17±0.66) cm,abdominal circumference(92.09±0.29) cm;two groups had significant difference(P<0.05),The fetal macrosomia group had 15 cases of postpartum hemorrhage,accounting for 22.7%,postpartum infection,3 cases(4.5%);The control group had 2 cases of postpartum hemorrhage,accounting for 3.0%,no post-natal infection respectively,there were significant differences(P<0.05).In fetal mactosomia group,neonatal asphyxia was 7 cases,accounted for 10.6%,the occurrence of hematoma in 9 cases,13.6%;control group,2 cases of neonatal asphyxia,accounting for 3.0%,the occurrence of hematoma and 1.5% respectively,there were significant differences(P<0.05).Conclusion Fetal macrosomia can increase maternal and fetal complications should be actively pursued early prevention,correct prenatal diagnosis and appropriate mode of delivery.
出处
《吉林医学》
CAS
2013年第13期2459-2460,共2页
Jilin Medical Journal
关键词
巨大胎儿
产前诊断
预防
Fetal Macrosomia
Prenatal diagnosis
Prevention
