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目的:根据乌鲁木齐市某三甲医院4年的住院分娩记录,分析新生儿出生体重变化趋势及Apgar评分的影响因素,并探讨Apgar评分和新生儿出生体重之间的关系。方法:对2003年7月～2006年3月在乌鲁木齐市某三甲医院住院分娩的1 727例新生儿的出生体重进行回顾性调查,分析孕母民族、年龄、孕周等因素与新生儿出生体重和Apgar评分的关系。结果:①1 727例新生儿平均出生体重为(3 399.43±498.92)g,4年间新生儿平均出生体重呈上升趋势。低出生体重儿的发生率呈下降趋势,巨大儿的发生率呈上升趋势。②新生儿出生体重与新生儿性别、孕周及孕母族别有关。③Apgar评分与孕周、孕母年龄及孕母族别有关。④Apgar评分和新生儿出生体重有关。结论:新生儿出生体重及Apgar评分与新生儿性别、孕周、孕母年龄及孕母族别有关,及早的病因预防有利于提高新生儿的出生体重,为妇幼保健工作提供依据。
OBJECTIVE: To analyze the changes of newborns’ birth weight and the influencing factors of Apgar score according to the 4-year hospitalization and birth records of a top three hospital in Urumqi and to explore the relationship between Apgar score and newborn birth weight. Methods: A retrospective survey was conducted on the birth weights of 1 727 newborns hospitalized in a tertiary care hospital in Urumqi from July 2003 to March 2006. The factors affecting the birth weight of newborns, such as the age, gestational age and other factors, were analyzed retrospectively. Relationship with Apgar score. Results ① ① The average birth weight of 1 727 newborns was (3 399.43 ± 498.92) g, and the average birth weight of neonates showed an upward trend in 4 years. The incidence of low birth weight children is decreasing, the incidence of huge children is on the rise. ② neonatal birth weight and neonatal gender, gestational age and pregnant mothers do not. ③Apgar score and gestational age, maternal age and pregnant mothers do not. ④Apgar score and birth weight related to newborns. Conclusion: Neonatal birth weight and Apgar score are related to neonatal sex, gestational age, age of pregnant women and pregnant women, and early prevention of etiology is helpful to improve the birth weight of newborns and provide basis for maternal and child health care.