CAJ | 학술논문

目的：比较孕妇在围生期进行体质量管理后的母婴结局是否优于未管理的母婴结局。方法选取2011年至2012年在我院建册、正规产检、住院分娩的孕妇270例，其孕前体质量指数均在正常范围（18.5≤BMI＜25）。随机选取其中100例作为观察组，进行围生期体质量管理；另外170例作为对照组，进行常规处理。比较2组的母婴结局是否存在差异。另外，将对照组的不同年龄及文化程度的孕妇进行母婴结局的比较，看是否存在差异。结果①对照组的孕期增重过多及过少的比率、剖宫产率、巨大儿发生率、低体质量儿发生率、妊娠期糖尿病及新生儿窒息的发生率均明显高于观察组（P<0.05）；且产后出血、妊娠期高血压疾病、胎儿窘迫及产褥病率的发生率也高于观察组（P＞0.05）。②随着年龄的增长，孕期体质量增重过多、剖宫产、巨大儿、产后出血、妊娠期糖尿病、妊娠期高血压疾病的产褥感染的发生率有上升的趋势；另外，随着文化程度的上升，孕期体质量增重过多、剖宫产、巨大儿的发生率有下降的趋势。结论经过围生期体质量管理孕妇的母婴结局明显优于未进行体质量管理的母婴结局，故围生期进行体质量管理可改善母婴结局，值得推广。多关注高龄及文化程度较低的孕产妇，反复加强她们对孕期体质量管理的重视。
목적：비교잉부재위생기진행체질량관리후적모영결국시부우우미관리적모영결국。방법선취2011년지2012년재아원건책、정규산검、주원분면적잉부270례，기잉전체질량지수균재정상범위（18.5≤BMI＜25）。수궤선취기중100례작위관찰조，진행위생기체질량관리；령외170례작위대조조，진행상규처리。비교2조적모영결국시부존재차이。령외，장대조조적불동년령급문화정도적잉부진행모영결국적비교，간시부존재차이。결과①대조조적잉기증중과다급과소적비솔、부궁산솔、거대인발생솔、저체질량인발생솔、임신기당뇨병급신생인질식적발생솔균명현고우관찰조（P<0.05）；차산후출혈、임신기고혈압질병、태인군박급산욕병솔적발생솔야고우관찰조（P＞0.05）。②수착년령적증장，잉기체질량증중과다、부궁산、거대인、산후출혈、임신기당뇨병、임신기고혈압질병적산욕감염적발생솔유상승적추세；령외，수착문화정도적상승，잉기체질량증중과다、부궁산、거대인적발생솔유하강적추세。결론경과위생기체질량관리잉부적모영결국명현우우미진행체질량관리적모영결국，고위생기진행체질량관리가개선모영결국，치득추엄。다관주고령급문화정도교저적잉산부，반복가강저문대잉기체질량관리적중시。
Objective?To?explore?whether?the?maternal?and?neonatal?outcomes?of?pregnant?women?that?have?done?weight?management?are?better?than?that?have?not?done?management?in?the?perinatal?period.?Methods?Select 270 pregnant women that had built ifle, had checked up regularly and will be in hospital delivery?in?our?hospital?from?2011?to?2012?in?our?hospital,?and?their?pregnant?body?mass?index?are?in?the?normal?range(18.5≤BMI?<25).?Randomly?select?100?cases?as?the?observation?group?that?do?perinatal?weight?management,?and?another?170?cases?as?control?group?that?do?routine?treatment,?then?compare?whether?there?are?maternal?and?neonatal?outcome?differences?between?the?two?groups.?In?addition,?compare?whether?there?are?the?maternal?and?neonatal?outcome?differences?among?women?with?different?age?and?degree.?Results?①The?ratio?of?weight?gain?too?much?and?too?little,?the?incidence?of?cesarean?section rate, macrosomia, low birth weight, gestational diabetes and neonatal asphyxia of control group were signiifcantly higher than that of the observation group?(P<0.05);?and?the?incidence?rate?of?postpartum?hemorrhage,?gestational?hypertension?disease,?fetal?distress?and?puerperal?disease?were?higher?than?that?of?the?observation?group(P>0.05).?②As?the?growth?of?the?age,?there?exists?a?increasing?trend?that?weight?gain?too?much?weight?during?pregnancy,?and?the?incidence?of?cesarean?section,?macrosomia,?postpartum?hemorrhage,?gestational?diabetes,?gestational?hypertension?disease?puerperal;?In?addition,?with?the?cultural?level?increased,?the?rate?of?weight?gain?too?much?weight,?cesarean?section,?the?incidence?of?macrosomia?exists?a?downward?trend.?Conclusion?The?maternal?and?neonatal?outcomes?of?pregnant?women?that?have?done?weight?management?are?better?than?that?have?not?done?management?in?the?perinatal?period.?Therefore,?it?is?worthy?to?popularize.?In?the?future,?we?should?pay?more?attention?to?maternal?women?with?high?age?and?low?culture?degree?level?and?strength?their?consciousness?of?pregnancy?weight?management.