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目的探讨准确诊断巨大儿的相关因素。方法回顾性分析258例巨大胎儿诊断的相关因素、分娩方式、并发症及新生儿情况,并与同期分娩的单胎正常体质量儿进行比较。结果巨大儿组母亲身高、孕期增长体质量、孕产次、孕龄、年龄均高于对照组,差异有统计学意义(P<0.05)。巨大儿组分娩方式以剖宫产为主,剖宫产率为72.09%,高于对照组(31.01%)。结论根据B超检查胎儿各径线数值,综合产妇孕期增重、孕产次、身高、孕龄及宫高、腹围有关因素可提高巨大胎儿的诊断率,巨大胎儿的分娩方式以剖宫产相对安全。
Objective To explore the relevant factors for accurately diagnosing giant children. Methods Retrospective analysis of 258 cases of fetal macrosomia diagnosis related factors, mode of delivery, complications and neonatal conditions, and with the same period of delivery of singleton normal body weight children were compared. Results There was significant difference in the height, weight of pregnant women during pregnancy, gestational age, gestational age and age between the two groups. The difference was statistically significant (P <0.05). Giant children delivery method to cesarean section, cesarean section rate was 72.09%, higher than the control group (31.01%). Conclusions According to the B-ultrasound examination of fetal diameter values, the comprehensive maternal weight gain during pregnancy, maternal parity, height, gestational age and uterine height, abdominal circumference related factors can improve the diagnosis rate of huge fetus, macrosomia delivery mode to cesarean section Relatively safe.