巨大儿

影响低出生体重的危险因素及巨大儿状况研究

Risk Factors Related to the Low Birth Weight and Fetal Macrosomia

方法对141例有出血高危因素（双胎、羊水过多、巨大儿、前置胎盘）的产妇行剖宫产术。

Methods One hundred and fourty-one women with high hemorrhagic risk factors including twin pregnancy , polyhydramnios , fetal macrosomia , placenta previa were planned cesarean section .

结果：A组中巨大儿发生率为394%，B组为26%（P<001）。

Results : The rates of macrosomia were 3 94 % in group A and 2 6 % in group B. ( P < 0 01 ) .

孕妇肥胖与巨大儿出生关系的Meta分析

Maternal obesity and risk of macrosomia : a meta-analysis

孕期增重过多、孕前体质指数（BMI）过高是孕妇分娩巨大儿的危险因素。

Effects on macrosomia were more pregnancy weight gain and higher BMI before pregnancy .

巨大儿；宫高；双顶径；股骨长ROC曲线；

Macrosomia Fundal height Biparietal diameter Femur length ROC curve ;

GDM组中，巨大儿的发生率为36.67%。

In the GDM group , 36.67 % women deliver macrosomia .

GDM的及早诊断和及时治疗可使巨大儿发生率降低。

Timely diagnosis and treatment of GDM will reduce the micromia incidence .

在多因素的分析中，巨大儿的发生与孕妇的BMI、OGTT-2小时血糖有关（P<0.05）。

In multifaceted analyzing , fetal macrosomia was related with maternal BMI and abnormal OGTT-2h-value ( P < 0.05 ) .

目的探讨妊娠期糖耐量减低（GestationalImpairedGlucoseTolerance，GIGT）并发巨大儿的危险因素与妊娠结局。

Objective To investigate the risk factors and pregnancy outcomes of gestational impaired glucose tolerance ( GIGT ) in women with macrosomia .

经条件Logistic回归分析确定巨大儿（出生体重4000g）、产钳辅助分娩、胎方位为枕横位或枕后位是分娩性臂丛神经损伤的危险因素。

The analysis of conditional logistic regression showed that macrosomia ( birth weight 4 000g ), forceps delivery and occipitoposterior or occipitotransverse in fetal position were risk factors .

与新生儿病率有关的因素是GDM的严重程度、血糖控制情况及巨大儿。

The factors correlated with the newborn 's disease incidence are severity of GDM , the control of blood sugar and microsomia .

对照组常规护理，不进行抚触。观察42d、3个月、6个月巨大儿睡眠状态。

Macrosomia 's sleeping pattern was observed for 42 days , 3 months , and 6 months respectively .

控制孕期血糖，减少巨大儿，可以提高GDM新生儿的甲状腺素水平，减少神经系统发育落后的危险。

Pregnancy blood sugar control , reduce large children , can improve the level of the newborn thyroxine GDM , reduce the risk of falling behind the development of nervous system .

结果发现，孕期增重≥15kg者巨大儿发生率明显增高；

The incidence of macrosomia was higher in pregnant women whose increased weight ≥ 15kg than those < 15kg .

A2型GDM孕妇巨大儿发生率为13.8%，显著高于A1型的6.0%（P<0.01）。

The macrosomia rate in women with GDM type A 2 ( 13.8 % ) was significantly higher than that of women with GDM type A 1 ( 6.0 % , P < 0.01 ) .

GIGT组妊娠高血压综合征（PIH）、巨大儿、剖宫术、产后病率及胎儿宫内窘迫的发生率低于GDM组，高于正常组，但差异无显著性（P>0.05）。

The incidences of PIH , macrosomia , cesarean section , puerperal morbidity and fetal distress in GIGT were lower than those of GDM but higher than normal ( P > 0.05 ) .

胎儿双顶径大于等于9.5cm，股骨长径≥7.5cm时，巨大儿的发生率明显增加；

Or when biparietal diameter ( BPD )≥ 9.5 cm , and the length of femur ≥ 7.5 cm ;

目的探讨孕妇血清成纤维细胞生长因子2（FGF-2）水平测定对糖代谢异常性巨大儿有无预测价值。

Objective : To investigate whether maternity serum fibroblast growth factor-2 ( FGF-2 ) can be as a predictor of gestational diabetes mellitus ( GDM ) and gestational impared glucose tolerance ( GIGT ) .

方法比较妊娠期糖尿病孕妇82例与正常对照组82例的妊娠结局，包括孕产妇并发症、剖宫产率、早产率、胎儿生长迟缓（FGR）、巨大儿发生率、围产儿死亡率及新生儿病率等。

Method The pregnancy outcomes of 82 pregnant women with GDM and 82 cases of normal pregnancy were compared , including pregnancy complications , caesarean section , premature delivery , FGR , incidence of macrosomia , perinatal mortality and morbidity of neonates .

在5～12个月年龄组中：出生体重正常的儿童活动水平和运动发育指数（PDI）呈正相关（P<0.01），巨大儿则表现为节律性和运动发育指数呈正相关（P<0.05）；

At the age of 5 to 12 months , there was significant positive correlation between activity and psychomotor developmental index ( PDI ) in normal birth weight children ( P < 0.01 ), so was the rhythmicity and PDI in high birth weight children ( P < 0.05 ) .

单用McRoberts手法处理非巨大儿及巨大儿肩难产的成功率分别为75%和25%，差异有统计学意义（P<0.01）。

Seventy-five per cent and 25 per cent of should dystocia with non-fetal macrosomia and fetal macrosomia were successful in vaginal delivery , respectively , by McRoberts maneuver alone ( P < 0.01 ) .

目的通过超声测量胎儿身体局部体积求出能适用于低体质量儿、正常儿及巨大儿且较为准确的估计胎儿体质量（EFBM）公式。

Objective To seek a more accurate equation via ultrasound measuring the local volumes for estimating the fetal body masses ( EFBM ) in under - , normal - and macrosomia masses .

结论超声测量胎儿腹围可鉴别巨大儿，了解胎儿腹围测量的两个界值（35CM，38CM）有助于临床医生避免或处理如肩难产等与巨大儿相关的产科问题。

Conclusion Fetal AC is of great benefit to identify potential macrosomic infants . Fetal AC measurements of 35 and 38 cm have useful predictive value in helping to avoid and manage shoulder dystocia of having a macrosomic infant .

近3年的巨大儿出生率在15%左右。

Fetal macrosomia birthrate is about 15 % in three years .

180例巨大儿临床特点及分娩结局

The Clinic Characteristic and the Parturition Ending in 180 Big Fetus

407例巨大儿影响因素分析与护理对策

Analysis of Effect Factors and Nursing Strategy of 407 Giant Infant

巨大儿临床预测方法的局限性探讨

Exploration of the limitations of clinical predictive methods for macrosomia

巨大儿的分娩方式及其对妊娠结局的影响

Effect of delivery modes on pregnant outcomes of giant infants

流动人口中发生巨大儿危险因素的成组病例对照研究

Risk factors for macrosomia in internal migrants : a grouped case-control study