孕期营养干预及体重管理对妊娠结局的影响

发布时间：2018-04-20 22:18

本文选题：孕期 + 营养干预　；参考：《中国妇幼健康研究》2016年05期

【摘要】：目的通过对孕妇的孕期营养和体重状况进行有针对性的干预和管理,分析其对妊娠结局的影响。方法按照自愿原则,对2013至2014年在陕西省宝鸡市妇幼保健院进行定期产前检查的200例孕妇(干预组)进行有针对性的营养干预和体重管理,比较同期未进行营养干预和体重管理的200例孕妇(对照组)的产前检查结果以及妊娠结局。结果两组孕妇体重指数在孕早期、12周、20周均无显著性差异(t值分别为1.93、1.85、1.67,均P0.05);干预组孕28周、36周、分娩时的BMI均显著低于对照组(t值分别为6.95、10.95、10.63,均P0.05)。干预组妊娠期高血压、妊娠期糖尿病、剖宫产、产后出血和巨大儿发生率均显著低于对照组(χ2值分别为19.00、17.47、19.18、16.56、12.44,均P0.01)。结论有效的孕期营养干预及体重管理可以保证孕期营养摄入平衡、避免孕期体重过度增长,对妊娠结局有积极的帮助作用。
[Abstract]:Objective to analyze the effect of nutritional and weight status of pregnant women on pregnancy outcome. Methods according to the voluntary principle, 200 pregnant women (intervention group) who received regular prenatal examination from 2013 to 2014 in Baoji Maternal and Child Health Hospital, Shaanxi Province, were given targeted nutritional intervention and weight management. The results of prenatal examination and pregnancy outcome of 200 pregnant women (control group) without nutritional intervention and weight management in the same period were compared. Results there was no significant difference in body mass index (BMI) between 12 weeks and 20 weeks of pregnancy between the two groups (P < 0.05), and the BMI during delivery in the intervention group was significantly lower than that in the control group (6.95 卤10.9510.63, P 0.05). The incidence of hypertension complicating pregnancy, gestational diabetes mellitus, cesarean section, postpartum hemorrhage and macrosomia in the intervention group were significantly lower than those in the control group (蠂 ~ 2 = 19.00 ~ 17.47 ~ 19.18 ~ 16.56 ~ 12.44, P < 0.01). Conclusion effective nutrition intervention and weight management during pregnancy can ensure the balance of nutritional intake during pregnancy, avoid excessive weight gain during pregnancy, and play a positive role in the outcome of pregnancy.
【作者单位】：陕西省宝鸡市妇幼保健院;
【分类号】：R715.3

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