中华临床医师杂志（电子版）
中華臨床醫師雜誌（電子版）
중화림상의사잡지（전자판）
CHINESE JOURNAL OF CLINICIANS(ELECTRONIC VERSION)
2014年
22期
3990-3993
,共4页
妊娠并发症%孕期有氧运动%分娩结局
妊娠併髮癥%孕期有氧運動%分娩結跼
임신병발증%잉기유양운동%분면결국
Pregnancy complications%Aerobic exercise during pregnancy%Delivery outcome
目的：分析孕期有氧运动与妊娠并发症（妊娠期高血压疾病、妊娠期糖尿病）及分娩结局的关系。方法对2013年6月至2014年4月在兰州市妇幼保健院产科门诊进行正规产检的初产妇进行前瞻性研究，其中150例自愿行孕期有氧运动训练者为试验组，其他150例未行有氧运动者为对照组，两组分别于孕16周（运动前）、孕37周（运动后）测量体重，并对两组孕妇的分娩方式、产程时间、分娩疼痛级别、产后出血以及妊娠并发症的发病率进行比较。结果（1）试验组体重及BMI增长低于对照组，差异有统计学意义（P＜0.05）；（2）试验组妊娠并发症（妊娠高血压疾病及妊娠期糖尿病）的发病率均低于对照组，差异有统计学意义（P＜0.05）；（3）试验组阴道分娩率明显高于对照组，剖宫产率明显低于对照组，差异有统计学意义（P＜0.01），产程时间、分娩疼痛级别、产后出血量均低于对照组，差异有统计学意义（P＜0.05）。结论孕期规律、适量的有氧运动更能合理控制体重增长；可提高自然分娩率，降低剖宫产率，缩短产程时间，降低产后出血发生率，得到较好的分娩结局，并可降低妊娠高血压疾病及妊娠期糖尿病发病率，有效缓解分娩疼痛，对产科的工作起到了积极的作用，此方法简单、方便、无创伤、易开展，值得的在推广使用。
目的：分析孕期有氧運動與妊娠併髮癥（妊娠期高血壓疾病、妊娠期糖尿病）及分娩結跼的關繫。方法對2013年6月至2014年4月在蘭州市婦幼保健院產科門診進行正規產檢的初產婦進行前瞻性研究，其中150例自願行孕期有氧運動訓練者為試驗組，其他150例未行有氧運動者為對照組，兩組分彆于孕16週（運動前）、孕37週（運動後）測量體重，併對兩組孕婦的分娩方式、產程時間、分娩疼痛級彆、產後齣血以及妊娠併髮癥的髮病率進行比較。結果（1）試驗組體重及BMI增長低于對照組，差異有統計學意義（P＜0.05）；（2）試驗組妊娠併髮癥（妊娠高血壓疾病及妊娠期糖尿病）的髮病率均低于對照組，差異有統計學意義（P＜0.05）；（3）試驗組陰道分娩率明顯高于對照組，剖宮產率明顯低于對照組，差異有統計學意義（P＜0.01），產程時間、分娩疼痛級彆、產後齣血量均低于對照組，差異有統計學意義（P＜0.05）。結論孕期規律、適量的有氧運動更能閤理控製體重增長；可提高自然分娩率，降低剖宮產率，縮短產程時間，降低產後齣血髮生率，得到較好的分娩結跼，併可降低妊娠高血壓疾病及妊娠期糖尿病髮病率，有效緩解分娩疼痛，對產科的工作起到瞭積極的作用，此方法簡單、方便、無創傷、易開展，值得的在推廣使用。
목적：분석잉기유양운동여임신병발증（임신기고혈압질병、임신기당뇨병）급분면결국적관계。방법대2013년6월지2014년4월재란주시부유보건원산과문진진행정규산검적초산부진행전첨성연구，기중150례자원행잉기유양운동훈련자위시험조，기타150례미행유양운동자위대조조，량조분별우잉16주（운동전）、잉37주（운동후）측량체중，병대량조잉부적분면방식、산정시간、분면동통급별、산후출혈이급임신병발증적발병솔진행비교。결과（1）시험조체중급BMI증장저우대조조，차이유통계학의의（P＜0.05）；（2）시험조임신병발증（임신고혈압질병급임신기당뇨병）적발병솔균저우대조조，차이유통계학의의（P＜0.05）；（3）시험조음도분면솔명현고우대조조，부궁산솔명현저우대조조，차이유통계학의의（P＜0.01），산정시간、분면동통급별、산후출혈량균저우대조조，차이유통계학의의（P＜0.05）。결론잉기규률、괄량적유양운동경능합리공제체중증장；가제고자연분면솔，강저부궁산솔，축단산정시간，강저산후출혈발생솔，득도교호적분면결국，병가강저임신고혈압질병급임신기당뇨병발병솔，유효완해분면동통，대산과적공작기도료적겁적작용，차방법간단、방편、무창상、역개전，치득적재추엄사용。
ObjectiveTo study the relationship among aerobic-exercise, pregnancy complications during pregnancy (gestational hypertension disease, gestational diabetes) and delivery outcomes.Methods Primiparas with regular physical examination in our hospital during June, 2013-April, 2014 were selected randomly. 150 primiparas who have voluntary aerobic-exercise training pointed were as research group. 150 primiparas without aerobic-exercise pointed were as control. Measured weight at 16 weeks and 37 weeks respectively. Researched the difference of the way of delivery, labor time and labor pain level, postpartum hemorrhage and incidence of pregnancy complications between two groups.Results The body weight and body mass index growth of experimental group were lower than that of control group (P<0.05). The incidence of pregnancy complications of research group were significant lower than that of control (P<0.05). Vaginal births were significant higher in research group than that of control. The cesarean delivery rate was significantly lower than that of control (P<0.01). The level of labor time and labor pain, postpartum haemorrhage was lower than that of control (P<0.05). Conclusion Regular, moderate aerobic-exercise can control weight gain reasonably during pregnancy, can improve the natural births, reduce cesarean section rate, shorten delivery time, reduce the incidence of postpartum hemorrhage, get better birth outcomes, and can decrease incidence of gestational hypertension and gestational diabetes, relieve labor pain effectively. The method is simple, convenient, non-invasive, easy to carry out, worth to promotion.
