摘要
目的研究深圳市低出生体重的影响因素，采取有效措施预防和减少低出生体重的发生率。方法采用1：1配对病例对照的研究方法，对2012年4—11月间在深圳市具有产科资质的6l家医院出生的1250名低体重出生及其对照组新生儿的母亲进行问卷调查，应用Stata12．0软件采用t检验、x^2检验及条件Logistic：回归分析。结果孕期增重、胎膜早破、妊娠其他并发症、妊娠胎数、孕检次数、妊高征、妊娠间隔、孕期情绪、前置胎盘9个因素与低出生体重发生相关（均有P〈0．05）。结论深圳市低出生体重的影响因素为多层面，包含了社会人口学特征、孕产期健康情况及生活环境与生活习惯等，应关注重点人群的健康教育，督促孕妇规律产检，及时处理产科合并症及并发症，提倡孕期科学营养，合理增重，注重孕期的心理保健，从而降低活产低出生体重的发生率，提高出生人口质量。
Objective To investigate the risk factors of low birth weight in Shenzhen, and to take effective meas- ures to prevent and reduce the incidence of low birth weight infants. Methods A 1 ： 1 matched case-control study was performed. 1 250 mothers who gave birth to low birth weight infants were paired with mothers who gave birth to normal weight infants in 61 maternity hospitals in Shenzhen during April 2012 and November 2012. Both groups were interviewed by medical staff using the same questionnaire. All statistical analysis was performed by Stata 12. 0 software. Statistical methods, such as T test, chi square test and conditional Logistic regression were applied. Results Nine risk factors were found to be clearly associated with low birth weight （ all P 〈 0. 05 ）, including weight gain during pregnancy, premature rupture of membranes, other pregnancy complications, plural births, prenatal care visits, pregnancy induced hypertension, pregnancy interval, mood during pregnancy, and placenta previa. Conclusions The risk factors of low birth weight were multifactorial, including socio-demographic characteristics, maternal health conditions, living environment and habits. Health education should be focused on key population. Pregnant women must be urged to have regular prenatal care. Obstetric complications must be treated timely. Scientific nourishing, reasonable weight gain, and psychological health care during pregnancy should also be advocated so as to reduce the low birth weight rate in live births, and to improve the quality of birth population.
出处
《中华疾病控制杂志》
CAS
CSCD
北大核心
2015年第11期1131-1134,1157,共5页
Chinese Journal of Disease Control & Prevention
基金
深圳市妇幼基金
