Correlation analysis between functional constipation of infant and maternal factors during pregnancy
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摘要: 目的 探究婴儿功能性便秘发生情况、母亲孕期内因素及两者间的相关性。 方法 选取湖州市妇幼保健院2016年1—6月出生的新生儿263例,对其进行2年随访,根据是否发生功能性便秘分为便秘组与非便秘组,比较2组发生便秘时的一般资料,包括:便秘发生年龄、身长、体重、性别、体质量指数(body mass index,BMI)、出生时体重、出生胎龄及出生时Apgar新生儿评分,同时对比母亲孕期因素,包括:孕期血压、孕期血糖、孕前BMI、孕期增重、生产方式、孕期补充益生菌及使用抗菌药物情况,应用logistic回归分析分析功能性便秘发生的独立危险因素。 结果 发生功能性便秘51例(19.39%),便秘组女婴比例显著高于非便秘组(56.86% vs. 38.35%,χ2=5.751,P=0.016);2组母亲在孕期血压、孕期血糖、孕前BMI及孕期内补充益生菌方面差异有统计学意义(均P<0.05);单因素logistic回归分析显示孕期高血压、孕期高血糖、孕前超重BMI是便秘发生的危险因素(均P<0.05),孕期补充益生菌是便秘发生的保护因素(P<0.05);多因素logistic回归分析显示孕前超重BMI是便秘发生的独立危险因素(OR=1.405,P=0.019),孕期补充益生菌是便秘发生的独立保护因素(OR=0.325,P=0.025)。 结论 婴儿功能性便秘与母亲孕期因素存在一定相关性,控制怀孕体重及补充益生菌可有效减少婴儿功能性便秘的发生。Abstract: Objective To explore the incidence of functional constipation in infants, factors during pregnancy and the correlation between them. Methods From January 2016 to June 2016, 263 newborns born in our hospital were selected and were followed up for 2 years, they were divided into constipation group and non-constipation group according to whether functional constipation occurred. The general data of two groups when constipation occurred were compared, the maternal factors during pregnancy of two groups were also compared, logistic regression was used to analyze the independent risk factors of functional constipation. Results Fifty-one cases (19.39%) of functional constipation occurred in this study. The proportion of women in the constipation group was significantly higher than non-constipation group (56.86% vs. 38.35%; χ2=5.751, P=0.016), there were significant differences in maternal blood pressure, blood glucose, BMI before pregnancy and probiotics supplementation during pregnancy between the two groups (P<0.05). Multivariate logistic regression analysis showed prenatal blood pressure, prenatal blood glucose, prenatal BMI were risk factor for functional constipation(P<0.05), and prenatal probiotics supplementation was protective factors for functional constipation (P<0.05), multivariate logistic regression analysis showed that maternal obesity was independent risk factor for functional constipation(OR=1.405, P=0.019), probiotics supplementation was independent protective factors for functional constipation (OR=0.325, P=0.025). Conclusion Infant functional constipation has a certain correlation with maternal factors during pregnancy. Controlling pregnancy weight and supplementing probiotics can effectively reduce the occurrence of constipation.
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Key words:
- Functional constipation /
- Pregnancy /
- Correlation /
- Weight /
- Probiotics
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