CAJ | 학술논문

目的探讨孕期体质量干预的可行性及其对妊娠结局的影响.方法选取孕早期或孕前体质量指数正常的单活胎、头位初产妇300例,随机分为观察组(120例)和对照组(180例),两组均给于常规教育和定期检查,此外观察组还进行体质量干预,包括指导其进行围产期基础知识培训、均衡膳食、适量运动等,观察分娩前后的体质量指数变化并评价妊娠结局.结果观察组体质量指数变化≥6、妊高症、糖尿病、剖宫产、巨大儿、胎儿宫内窘迫、产后出血的发生率均小于对照组(x2=19.265,4.903,6.875,13.522,7.354,4.545,3.993,均P<0.05).结论孕期体质量干预可行性好,能显著改善妊娠结局.
목적 탐토잉기체질량간예적가행성급기대임신결국적영향.방법 선취잉조기혹잉전체질량지수정상적단활태、두위초산부300례,수궤분위관찰조(120례)화대조조(180례),량조균급우상규교육화정기검사,차외관찰조환진행체질량간예,포괄지도기진행위산기기출지식배훈、균형선식、괄량운동등,관찰분면전후적체질량지수변화병평개임신결국.결과 관찰조체질량지수변화≥6、임고증、당뇨병、부궁산、거대인、태인궁내군박、산후출혈적발생솔균소우대조조(x2=19.265,4.903,6.875,13.522,7.354,4.545,3.993,균P<0.05).결론 잉기체질량간예가행성호,능현저개선임신결국.
Objective To investigate the possibility of gestational body weight intervention and its influence on pregnancy outcomes.Methods 300 healthy primiparae with normal pregestational BMI and living monoeyesis and head presentation were randomly divided into the observation group (n = 120) and control group ( n = 180).Both groups were received general health education and regular obstetric examination, in addition, the observation group received body weight intervention.The data about changes in BMI and body weight from pregestation to ante partum were collected and pregnancy outcomes were assessed.Results The incidence of △ BMI≥6,gestensive hypertension, diabetes, cesarean section,large-for-date infant,intrauterine fetal distress,postparum hemorrhage in the observation group was significantly lower than those of the control group( x2 = 19.265,4.903,6.875,13.522,7.354,4.545,3.993, all P < 0.05).Conclusion Body weight intervention had a preferable feasibility and could improve pregnancy outcome.