CAJ | 학술논문

目的探讨预防孕妇缺钙的有效方法 ,减少孕妇缺钙引起的腓肠肌痉挛、腰腿痛、关节痛等症状及母婴并发症.方法将120例单胎妊娠20周的健康孕妇,随机分为观察组、对照组各60例.对照组接受常规的孕期健康指导;观察组在接受常规孕期健康指导的同时,进行预防孕期缺钙相关知识培训,指导合理膳食,每日补充元素钙500mg以上,连续服用至分娩.结果两组孕妇干预前后血清钙值比较,随妊娠期进展,对照组血钙水平明显下降,而观察组血钙水平上升,两组比较差异有统计学意义(P＜0.01).观察组孕妇缺钙发生率15%,对照组发生率66.66%,两组比较差异有统计学意义(P＜0.05).观察组孕妇妊娠期高血压病发生率为3.33%,对照组发生率为21.66%,观察组胎儿生长受限(FGR)发生率为1.66%,对照组FGR发生率为11.66%,两组比较差异有统计学意义(P＜0.05).结论孕期容易发生缺钙,缺钙不仅增加孕妇痛苦,降低生活质量,并可增加妊娠期高血压疾病的发生率,影响胎儿发育;孕期合理干预、有效补钙可明显提高孕期血清钙值,减轻孕妇缺钙症状,对提高孕妇妊娠期生活质量,降低母婴并发症有重要作用.
목적 탐토예방잉부결개적유효방법 ,감소잉부결개인기적비장기경련、요퇴통、관절통등증상급모영병발증.방법 장120례단태임신20주적건강잉부,수궤분위관찰조、대조조각60례.대조조접수상규적잉기건강지도;관찰조재접수상규잉기건강지도적동시,진행예방잉기결개상관지식배훈,지도합리선식,매일보충원소개500mg이상,련속복용지분면.결과 량조잉부간예전후혈청개치비교,수임신기진전,대조조혈개수평명현하강,이관찰조혈개수평상승,량조비교차이유통계학의의(P＜0.01).관찰조잉부결개발생솔15%,대조조발생솔66.66%,량조비교차이유통계학의의(P＜0.05).관찰조잉부임신기고혈압병발생솔위3.33%,대조조발생솔위21.66%,관찰조태인생장수한(FGR)발생솔위1.66%,대조조FGR발생솔위11.66%,량조비교차이유통계학의의(P＜0.05).결론 잉기용역발생결개,결개불부증가잉부통고,강저생활질량,병가증가임신기고혈압질병적발생솔,영향태인발육;잉기합리간예、유효보개가명현제고잉기혈청개치,감경잉부결개증상,대제고잉부임신기생활질량,강저모영병발증유중요작용.
Objective To explore an effective method for prevetion of calciprivia among pregnant women so as to reduce sural spasm．Back-leg pain．Arthralgia and mother-infant complication．Methods 120 cases with monocyesis for 20 weeks were randomly divided into the observation group(n=60) and the control group(n=60)．In the control group，the pregnant women received the routine pregnancy health guidance．In the observation group，the pregnant women received①not only the routine health guidance but also training on prevention of pregnancy calciprivia,②proper diet,intake of foods with rich protein and Vitamin D,fresh vegetable,fruits,soybean products,sea food,bone soup etc.250～500 ml milk daily,③proper exercise and sunshine,30 min outdoor activities every day avoiding insolatio and violent exercise,and④supplement of calcium,500mg a day.Results A comparison between the two groups was made before and after the intervention.The blood calcium decreased significantly in the control group while it increased in the observation group(P<0.01).Calciprivia occurred in 9 cases(15％)in the observation group against 40 cases (66.66％)in the control group(P<0.05).Pregnancy hypertension occurred in two cases(3.33％)in the observation group against 13 cases(21.66％)in the control group.There Was one case of FGR(1.66％)in the observation group and 7 eases(11.66％)in the control group,with a significant difference between the two groups(P<0.05).Conclusions It is easy to occur calciprivia during pregnancy,which increases suffers and decreases life quality,increases hypertension for pregnant women and affects development of the fetus.Proper intervention and effective supplement of calcium can increase blood serum calcium and reduce calciprivia,which plays an important role in improving the life quality and reducing the mother-infant complications.