摘要
目的探讨低出生体质量儿发生情况和影响因素,为采取有效干预措施和提高人口素质提供理论参考。方法收集吉林市5家医院产科2018年1-12月出生的新生儿。采用自行设计的调查表,收集低出生体质量新生儿及其母亲的一般情况。采用Epidata 3.1软件建立数据库,SPSS 23.0软件进行数据分析处理,通过t检验、χ^(2)检验和多元Logistic回归分析判断可能导致低出生体质量儿的相关危险因素。结果吉林市低出生体质量儿的发生率为3.16%。低出生体质量儿在出生胎龄、Apgar评分及先天缺陷方面与非低出生体质量儿比较差异有统计学意义(P<0.05);低出生体质量儿与非低出生体质量儿母亲比较,母亲生育年龄、既往孕产史、妊娠胎数、妊娠高血压疾病、胎盘早剥等因素差异有统计学意义(P<0.05)。多元Logistic回归分析提示,早产、胎儿性别、胎儿出生缺陷、母亲妊娠年龄、妊娠胎数、妊娠高血压疾病及胎盘早剥可能是导致低出生体质量儿的危险因素。结论吉林市低出生体质量儿的发生率为3.16%,低于全国平均水平。早产、胎儿性别、胎儿出生缺陷、母亲妊娠年龄、妊娠胎数、妊娠高血压疾病及胎盘早剥可能是导致低出生体质量儿的危险因素。
Objective Objective to explore the incidence and influencing factors of low birth weight infants,and to provide reference for effective intervention measures and improvement of population quality.Methods Mobile phones for newborns born in obstetrics department of five hospitals in Jilin City from January to December 2018.A self-designed questionnaire was used to collect the general information of low birth weight infants and their mothers.Epidata software was used to establish the database,and SPSS23.0 software was used for data analysis.The risk factors for low birth weight children were determined by t test,χ^(2) test and multiple Logistic regression analysis.Results The incidence of low birth weight children in Jilin was 3.16%.There were significant differences in gestational age,Apgar score and birth defects between low birth weight children and non-low birth weight children(P<0.05).There were statistically significant differences between mothers with low birth weight and mothers with non-low birth weight(P<0.05).Multiple logistic regression analysis suggested that preterm birth,fetal sex,fetal birth defects,maternal gestational age,number of pregnancies,gestational hypertension,and placental abruption may be risk factors for low birth weight.Conclusion The incidence of low birth weight children in Jilin is 3.16%,lower than the national average.Preterm birth,fetal sex,fetal birth defects,maternal gestational age,number of pregnancies,gestational hypertension,and placental abruption may be risk factors for low birth weight.
作者
李志君
李忠起
赵大力
齐亚莉
LI Zhi-Jun;LI Zhong-Qi;ZHAO Da-Li(Department of epidemiology,School of public health Beihiia University,Jilin,Jilin 132013,China)
出处
《中国妇幼保健》
CAS
2021年第10期2328-2331,共4页
Maternal and Child Health Care of China
基金
吉林省教育厅“十三五”科学研究规划项目(JJKH20190660KJ)
吉林市科技创新发展计划项目(201830833)
吉林医药学院博士科研启动基金项目(JYBS2021024LK)。
