CAJ | 학술논문

目的：探讨孕期体重控制对分娩结局的影响。方法：2010年7月-2014年7月收治单胎妊娠孕妇200例，随机分成观察组与对照组各100例，观察组在妊娠第12周给予合理孕期运动与个体饮食指导，控制孕期体重增长；对照组给予合理孕期指导与饮食控制，将两组妊娠结局进行对比。结果：对比体重指数正常孕妇，体重指数过高孕妇发生妊娠合并症几率明显较高(P＜0.05)。两组孕期体重指数随着孕周增长而增长，两组差异有统计学意义(P＜0.05)。在阴道分娩几率、剖宫产概率、正常儿以及巨大儿方面，体重指数正常者明显优于体重指数过高者(P＜0.05)。结论：在孕期合理运动，并给予个体饮食指导，能降低剖宫产概率与妊娠合并症，提升阴道分娩几率。
목적：탐토잉기체중공제대분면결국적영향。방법：2010년7월-2014년7월수치단태임신잉부200례，수궤분성관찰조여대조조각100례，관찰조재임신제12주급여합리잉기운동여개체음식지도，공제잉기체중증장；대조조급여합리잉기지도여음식공제，장량조임신결국진행대비。결과：대비체중지수정상잉부，체중지수과고잉부발생임신합병증궤솔명현교고(P＜0.05)。량조잉기체중지수수착잉주증장이증장，량조차이유통계학의의(P＜0.05)。재음도분면궤솔、부궁산개솔、정상인이급거대인방면，체중지수정상자명현우우체중지수과고자(P＜0.05)。결론：재잉기합리운동，병급여개체음식지도，능강저부궁산개솔여임신합병증，제승음도분면궤솔。
Objective:To investigate the effect of gestational weight control on delivery outcome.Methods:200 singleton pregnancy pregnant women were selected from July 2010 to July 2014.They were randomly divided into the observation group and the control group with 100 cases in each.The observation group were given reasonable exercises during pregnancy and individual diet guidance at the time of twelfth weeks of pregnancy,and controled the weight gain during pregnancy;the control group were given proper guidance and control diet during pregnancy.We compared the pregnancy outcome of the two groups.Results:Compared with the normal BMI pregnant women,the probability of pregnancy complications in too high BMI pregnant women was significantly higher(P<0.05).The maternal BMI of two groups increased with the gestational age,and the difference between the two groups was significant(P<0.05).The probability of vaginal delivery,cesarean section rate,normal children and macrosomia of the normal BMI pregnant women was superior high than those of the too high BMI pregnant women(P<0.05).Conclusion:The reasonable movement during pregnancy and the individual diet guidance can reduce the cesarean section and the probability of pregnancy complications,and improve the vagina vaginal delivery probability.