早孕期骨密度正常妇女产褥期骨密度分析

发布时间：2018-05-13 12:58

本文选题：产褥期 + 骨密度　；参考：《中国骨质疏松杂志》2017年01期

【摘要】：目的分析早孕期骨密度正常妇女产褥期骨密度情况,分析产前、产时、产后各种因素对产褥期骨密度的影响。方法对210名在海淀妇幼保健院建档并住院分娩的早孕期桡骨骨密度正常的妇女在产褥期进行超声骨密度测定,分析孕前体重指数、孕期体重增长、分娩方式、胎儿体重、产后出血、产后喂养方式、产后补钙情况、产后户外活动等对产褥期骨密度的影响。结果早孕期骨密度正常的妇女在产褥期骨密度正常者占90.5%,骨量减少占9.5%,骨质疏松0%。210名妇女产褥期骨密度较早孕期减少,差异有统计学意义(P0.05)。产后出血量多于500m L,孕期体重增加超过12.5kg,产后未补钙及产后户外活动少的产妇,产褥期骨密度较低,差异有统计学意义(P0.05)。而孕前体重指数、分娩方式、胎儿体重、产后喂养方式对产褥期骨密度无影响(P0.05)。结论产褥期骨密度较早孕期下降,孕期控制体重增长、产褥期补钙、适当户外活动,可减少骨量流失。
[Abstract]:Objective to analyze the BMD in puerperium of normal women during early pregnancy, and to analyze the influence of various factors on BMD in puerperium. Methods Ultrasonic bone density (BMD) was measured in 210 women in Haidian Maternal and Child Health Hospital who had normal radial bone mineral density during puerperium. The body mass index (BMI), weight gain during pregnancy, delivery mode and fetal weight were analyzed. Effects of postpartum hemorrhage, postpartum feeding mode, postpartum calcium supplementation and postpartum outdoor activities on postpartum bone mineral density. Results the normal BMD of women in early pregnancy was 90.5% in puerperium, the decrease of bone mass was 9.5%, and the BMD of 0.210 women with osteoporosis in puerperium was lower than that of early pregnancy, the difference was statistically significant (P 0.05). The volume of postpartum hemorrhage was more than 500 mL, the weight of pregnant women increased more than 12.5 kg, the postpartum women who did not supplement calcium and had less outdoor activities after delivery had lower BMD in puerperal period, the difference was statistically significant (P 0.05). However, body mass index (BMI), delivery mode, fetal weight and postpartum feeding mode had no effect on BMD in puerperium. Conclusion Bone mineral density in puerperium is lower than that in early pregnancy. Weight gain during pregnancy, calcium supplementation during puerperium and outdoor activities can reduce bone loss.
【作者单位】：北京市海淀区妇幼保健院产科;
【分类号】：R580;R714.6

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