中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2014年
15期
57-59
,共3页
孕期体重管理%Apgar评分%妊娠并发症
孕期體重管理%Apgar評分%妊娠併髮癥
잉기체중관리%Apgar평분%임신병발증
Pregnancy weight management%Apgar score%Pregnancy complications
目的：了解孕期体重管理对妊娠的影响。方法：选取2012年1月-2013年12月在本院门诊接受产检的孕周<13周的700例初产单胎孕妇作为研究对象，按照随机数字表法将其分为对照组346例和观察组354例。两组分别给予常规干预、孕期体重规划干预及健康教育，观察比较两组产妇的孕期BMI值、妊娠期及分娩期并发症、新生儿出生情况等的差异。结果：观察组在孕周期中24周、32周、38周的BMI值分别为（20.64±1.41）kg/m2、（22.25±2.14）kg/m2、（25.49±2.76）kg/m2，均明显低于对照组（t=26.030、20.581、17.097，P<0.05）。观察组的妊娠期糖尿病、妊娠期高血压疾病、产后出血、产褥感染等并发症发生率均明显低于对照组（字2=7.556、7.525、8.496、6.808，P<0.05）。观察组新生儿的Apgar评分（7.84±1.26）分明显高于对照组（P<0.05），且新生儿窒息、足月低体重儿发生率均明显低于对照组（P<0.05）。结论：孕期体重规划干预及健康教育可以有效控制孕妇的BMI值，降低妊娠期并发症及新生儿并发症的发生率，具有积极的临床意义和广阔前景。
目的：瞭解孕期體重管理對妊娠的影響。方法：選取2012年1月-2013年12月在本院門診接受產檢的孕週<13週的700例初產單胎孕婦作為研究對象，按照隨機數字錶法將其分為對照組346例和觀察組354例。兩組分彆給予常規榦預、孕期體重規劃榦預及健康教育，觀察比較兩組產婦的孕期BMI值、妊娠期及分娩期併髮癥、新生兒齣生情況等的差異。結果：觀察組在孕週期中24週、32週、38週的BMI值分彆為（20.64±1.41）kg/m2、（22.25±2.14）kg/m2、（25.49±2.76）kg/m2，均明顯低于對照組（t=26.030、20.581、17.097，P<0.05）。觀察組的妊娠期糖尿病、妊娠期高血壓疾病、產後齣血、產褥感染等併髮癥髮生率均明顯低于對照組（字2=7.556、7.525、8.496、6.808，P<0.05）。觀察組新生兒的Apgar評分（7.84±1.26）分明顯高于對照組（P<0.05），且新生兒窒息、足月低體重兒髮生率均明顯低于對照組（P<0.05）。結論：孕期體重規劃榦預及健康教育可以有效控製孕婦的BMI值，降低妊娠期併髮癥及新生兒併髮癥的髮生率，具有積極的臨床意義和廣闊前景。
목적：료해잉기체중관리대임신적영향。방법：선취2012년1월-2013년12월재본원문진접수산검적잉주<13주적700례초산단태잉부작위연구대상，안조수궤수자표법장기분위대조조346례화관찰조354례。량조분별급여상규간예、잉기체중규화간예급건강교육，관찰비교량조산부적잉기BMI치、임신기급분면기병발증、신생인출생정황등적차이。결과：관찰조재잉주기중24주、32주、38주적BMI치분별위（20.64±1.41）kg/m2、（22.25±2.14）kg/m2、（25.49±2.76）kg/m2，균명현저우대조조（t=26.030、20.581、17.097，P<0.05）。관찰조적임신기당뇨병、임신기고혈압질병、산후출혈、산욕감염등병발증발생솔균명현저우대조조（자2=7.556、7.525、8.496、6.808，P<0.05）。관찰조신생인적Apgar평분（7.84±1.26）분명현고우대조조（P<0.05），차신생인질식、족월저체중인발생솔균명현저우대조조（P<0.05）。결론：잉기체중규화간예급건강교육가이유효공제잉부적BMI치，강저임신기병발증급신생인병발증적발생솔，구유적겁적림상의의화엄활전경。
Objective:To investigate the influence of gestational weight management on pregnancy.Method:700 primiparous singleton pregnant woman who accepted prenatal check and gestational age<13 weeks in our hospital outpatient were as the research subjects from January 2012 to December 2013,they were randomly divided into the control group for 346 cases and the observation group for 354 cases according to the random number table method.The two groups were given conventional intervention,weight planning intervention during pregnancy and health education.The differences of maternal BMI,pregnancy and childbirth complications,the situations of neonates between the two groups were observed and compared.Result:The BMI of 24 weeks,32 weeks and 38 weeks in gestational period of the observation group respectively were(20.64±1.41)kg/m2,(22.25±2.14)kg/m2,(25.49±2.76)kg/m2,they were significantly lower than the control group(t=26.030,20.581,17.097,P<0.05).The gestational diabetes mellitus,hypertension during pregnancy,postpartum hemorrhage,puerperal infection in the observation group were significantly lower than those in the control group(x2=7.556,7.525,8.496,6.808,P<0.05).Apgar score of newborns in the observation group was(7.84±1.26), it was significantly higher than the control group(P<0.05).The incidence of neonatal asphyxia,low birth weight infant in the observation group were significantly lower than those in the control group(P<0.05).Conclusion:The weight planning intervention and health education during pregnancy can effectively control maternal BMI,reduce the incidence of pregnancy complications and neonatal complications,which has a positive clinical significance and broad prospect.
