輻射曝露與新生兒出生體重不足

Radiation Exposure and Low Birth Weight

游和祥(Her-Shiang Yu) ； 謝豐吉(Feng-Chi Hsieh) ； 郭世瑋(Shih-Wei Kuo)

《南臺灣醫學雜誌》 12卷2期 (2016/12) Pp. 76-83

https://doi.org/10.6726/MJST.201612_12(2).0003

摘要

目的：主要在探討產婦在懷孕期間接受放射線檢查，對於新生兒出生體重不足是否有影響。方法：本研究採用回溯性研究(Retrospective Study) ，使用2008-2010年健保資料庫百萬歸人檔進行分析。研究樣本的特性將用百分比、平均值和標準差表示。將懷孕婦女分為兩個族群：一為懷孕過程有接受過放射線檢查之孕婦，另一為沒有接受過放射線檢查之孕婦。對於新生兒出生體重不足(小於2,500g)為研究變項， 使用卡方檢定與羅吉斯迴歸去分析，懷孕過程是否接受過放射線檢查的關聯性與勝算比。結果：剔除多胞胎及沒有產檢紀錄之產婦，取得總產婦共14,133人次。其中懷孕期間接受放射線檢查產婦為1,101人次;懷孕期間沒有接受放射線檢查產婦為13,032人次。研究結果顯示新生兒出生體重不足與接受放射線檢查不具顯著關聯性。結論：本研究推論，懷孕期間接受放射線檢查不會增加新生兒體重不足的風險，但不代表可以無上限的接受放射線檢查。在臨床上對於女性患者，不確定是否懷孕可能前，應將放射線檢查視為第三線工具，以超音波和磁振造影為主。

關鍵字

健保資料庫 ； 懷孕 ； 輻射傷害

並列摘要

Objective: Discussion pregnant women received radiation exposure during pregnancy, checks for whether it will affect low birth weight in newborns. Methods: Use 2008-2010 National Health Insurance Research Database owned by one million people file. The pregnant women are divided into two groups to accept radiography to low birth weight (less than 2,500g) to study the variables, using chi-square test and logistic regression to analyze the relevance and risk ratio. Results: Excluding multiple births and there is no record of puerperal, a total of 14,133 pregnant woman. During the inspection to compare pregnant women receiving radiation (1,101 people) and during pregnancy did not receive radiation 83 inspection maternal (13,032 people) in newborns abnormal performance indicator. The results showed that accepted radiography has non-significant relevance in low birth weight. Conclusions: This study inferred receiving radiographs does not increase the risk of premature birth during pregnancy, but it does not mean that you can accept unlimited radiographs. For female patients in the clinic, uncertain whether the possibility of pregnancy, radiography should be treated as third tools after ultrasound and MRI.

並列關鍵字

National Health Insurance Research Database ； pregnancy ； fetus ； radiation damage