广西南宁市低出生体重发生情况及高危因素分析

doi:10.12183/j.scjpm.2021.0154

摘要/Abstract

摘要： 目的分析广西南宁市新生儿低出生体重（LBW）发生现状,并对高危因素进行研究,为该地区制定针对性的妇幼保健措施提供依据。方法基于《广西桂妇儿健康管理信息系统》收集2018年在广西南宁市建档的孕产妇人口学特征、孕期情况、产检与分娩记录及新生儿资料,采用描述流行病学分析方法对LBW发生情况进行分析,并采用单、多因素分析方法对LBW发病高危因素进行分析。结果广西南宁市2018年共登记在册新生儿47 339名,其中LBW 3 229例,LBW发生率为6.82%。多因素分析结果显示孕产妇孕前体重过轻（OR=1.211）、孕期增重不足（OR=3.423）、高危妊娠（OR=1.920）、多胎妊娠（OR=9.533）、孕早期血红蛋白浓度<110 g/L（OR=1.251）、早产（OR=31.860）是新生儿LBW发生的危险因素。结论广西南宁市LBW发生率与全国平均水平相当,孕前体重、孕期增重、早产、高危妊娠、多胎妊娠、孕早期血红蛋白浓度是LBW发生的高危因素。

关键词: 新生儿, 低出生体重, 发生率, 高危因素

Abstract: Objective To analyze the status of low birth weight （LBW） of newborns in Nanning, Guangxi, and to study high-risk factors to provide a basis for formulating targeted maternal and child health care measures in this area. Methods Based on the “Guangxi Gui Women and Children's Health Management Information System”, the demographic characteristics, pregnancy conditions, obstetrics and delivery records and neonatal data of pregnant and lying-in women established in Nanning, Guangxi in 2018 were collected. The descriptive epidemiological analysis method was used to analyze the occurrence of LBW, and single and multiple factor analysis methods were used to analyze the high-risk factors of LBW. Results There were 47 339 registered newborns in Nanning, Guangxi in 2018, including 3 229 cases of LBW. The incidence of LBW was 6.82%. The results of multivariate analysis showed that the pre-pregnancy weight of pregnant women was too light （OR=1.211）, insufficient weight gain during pregnancy （OR=3.423）, high-risk pregnancy （OR=1.920）, multiple pregnancy （OR=9.533）, hemoglobin concentration in early pregnancy <110 g/L （OR=1.251）, and premature delivery （OR=31.860） were risk factors for neonatal LBW. Conclusion The incidence of LBW in Nanning, Guangxi is equivalent to the national average. Pre-pregnancy BMI, weight gain during pregnancy, preterm birth, high-risk pregnancy, multiple pregnancy, and hemoglobin concentration in early pregnancy are high-risk factors for LBW.

Key words: Newborn, Low birth weight, Incidence, High risk factor

中图分类号:

R173

李浩, 朱茂灵, 刘永新, 党莉. 广西南宁市低出生体重发生情况及高危因素分析[J]. 华南预防医学, 2021, 47(2): 154-157.

LI Hao, ZHU Mao-ling, LIU Yong-xin, DANG Li. Incidence and high-risk factors of low birth weight in Nanning, Guangxi[J]. South China Journal of Preventive Medicine, 2021, 47(2): 154-157.

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