台湾2008-2017年全国单子出生体重百分位与妊娠年龄的百分位
Jia-Ling Wu1, Chun-Heng Kuo2, Chi-Nien Chen3
1Department of Public Health, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
Pediatrics and neonatology
|July 1, 2025
概括
台湾最新的出生体重图表显示,低出生体重 (LBW) 新生儿的增加令人担忧. 在2008年至2017年期间观察到的这种趋势,需要进一步研究对孕产妇和环境因素的贡献.
科学领域:
- 新生儿健康 新生儿健康
- 围产期流行病学 围产期流行病学
- 生物统计学 生物统计学
背景情况:
- 准确地将新生儿分为妊娠年龄小 (SGA) 或妊娠年龄大 (LGA) 的准确分类依赖于最新的,基于人口的出生体重图表.
- 现有的台湾出生体重图表已经有20多年了,之前的报道表明出生体重低 (LBW) 和早产的趋势越来越大.
研究的目的:
- 为台湾制定更新的,基于人口的出生体重图表.
- 用2008年至2017年全国数据分析低出生体重 (LBW) 和早产的趋势.
主要方法:
- 分析了2008年至2017年期间在台湾出生通知中记录的1,913,124个单子活产.
- 每个完成的妊娠周和性别的出生体重百分比的计算.
- 应用一种非线性,抗性光滑技术来生成光滑的出生体重对妊娠年龄百分位曲线.
主要成果:
- 这项研究包括994,175名男性和918,949名女性.
- 观察到每年平均出生体重的显著下降 (3098.10g到3049.88g).
- 每年LBW的年率从2008年的5.59%显著增加到2017年的6.98%,伴随着妊娠年龄的下降和外国出生的母亲的下降.
结论:
- 台湾成功开发了一个更新的全国性出生体重图表.
- 在2008年至2017年期间,发现了低出生体重 (LBW) 新生儿比例的显著上升趋势.
- 建议对影响这些趋势的母体和环境因素进行进一步的研究.
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