医学综述
醫學綜述
의학종술
MEDICAL RECAPITULATE
2015年
7期
1302-1304
,共3页
孕期%合理膳食%巨大胎儿率
孕期%閤理膳食%巨大胎兒率
잉기%합리선식%거대태인솔
Pregnancy%Rational diet%Natality of macrosomia
目的：探究孕期合理膳食对降低巨大胎儿出生率的影响。方法选取2012年6月至2014年5月在湖北省妇幼保健院门诊进行定期产检的516例孕妇作为研究对象，采用随机数表法将其分为两组，其中进行合理膳食指导的孕妇208例作为观察组，同等条件下接受常规膳食指导的208例孕妇作为对照组。对比两组孕妇剖宫产率、体质量增长情况及新生儿出生体质量。结果观察组孕妇剖宫产率以及巨大胎儿出生率显著低于对照组[46.2％比67.8％，2.4％比7.2％，P ＜0.01或P＜0.05]；观察组自然分娩总产程，孕妇分娩前 BMI增加值，胎儿出生体质量显著低于对照组[（6.8±2.3） h 比（7.9±3.1） h，（5.6±1.3） kg／m2比（6.4±1.4） kg／m2，（3128±798） g 比（3301±813） g，P＜0.05或P＜0.01]。结论孕期合理膳食可有效地控制孕妇体质量增长过快、降低剖宫产率以及巨大胎儿出生率，建议产妇应该注意孕期合理膳食。
目的：探究孕期閤理膳食對降低巨大胎兒齣生率的影響。方法選取2012年6月至2014年5月在湖北省婦幼保健院門診進行定期產檢的516例孕婦作為研究對象，採用隨機數錶法將其分為兩組，其中進行閤理膳食指導的孕婦208例作為觀察組，同等條件下接受常規膳食指導的208例孕婦作為對照組。對比兩組孕婦剖宮產率、體質量增長情況及新生兒齣生體質量。結果觀察組孕婦剖宮產率以及巨大胎兒齣生率顯著低于對照組[46.2％比67.8％，2.4％比7.2％，P ＜0.01或P＜0.05]；觀察組自然分娩總產程，孕婦分娩前 BMI增加值，胎兒齣生體質量顯著低于對照組[（6.8±2.3） h 比（7.9±3.1） h，（5.6±1.3） kg／m2比（6.4±1.4） kg／m2，（3128±798） g 比（3301±813） g，P＜0.05或P＜0.01]。結論孕期閤理膳食可有效地控製孕婦體質量增長過快、降低剖宮產率以及巨大胎兒齣生率，建議產婦應該註意孕期閤理膳食。
목적：탐구잉기합리선식대강저거대태인출생솔적영향。방법선취2012년6월지2014년5월재호북성부유보건원문진진행정기산검적516례잉부작위연구대상，채용수궤수표법장기분위량조，기중진행합리선식지도적잉부208례작위관찰조，동등조건하접수상규선식지도적208례잉부작위대조조。대비량조잉부부궁산솔、체질량증장정황급신생인출생체질량。결과관찰조잉부부궁산솔이급거대태인출생솔현저저우대조조[46.2％비67.8％，2.4％비7.2％，P ＜0.01혹P＜0.05]；관찰조자연분면총산정，잉부분면전 BMI증가치，태인출생체질량현저저우대조조[（6.8±2.3） h 비（7.9±3.1） h，（5.6±1.3） kg／m2비（6.4±1.4） kg／m2，（3128±798） g 비（3301±813） g，P＜0.05혹P＜0.01]。결론잉기합리선식가유효지공제잉부체질량증장과쾌、강저부궁산솔이급거대태인출생솔，건의산부응해주의잉기합리선식。
Objective To study the influence of rational diet during pregnancy on reducing the natality of macrosomia.Methods A total of 516 pregnant women underwent regular prenatal examination in Wuhan Provincial Maternal and Child Health Care Center from Jun .2012 to May 2014 were selected as research objects,and were divided into two groups by random number table method:208 pregnant women who received rational diet guidance as the observation group, meanwhile, the other 208 cases of pregnant women who received conventional diet guidance as the control group.Cesarean section rate,weight gain and neonatal birth weight of the two groups were compared.Results The cesarean section rate and the natality rate of macroso-mia of the observation group were significantly lower than the control group [46.2% vs 67.8%,2.8% vs 4.6%,P<0.01 or P<0.05];the whole spontaneous delivery time,the added value of maternal BMI before delivery,the neonatal birth weight of the observation group were significantly lower than the control group [(6.8 ±2.3) h vs (7.9 ±3.1) h,(5.6 ±1.3) kg/m2 vs (6.4 ±1.4) kg/m2,(3128 ±798) g vs (3301 ± 813) g,P <0.05 or P <0.01].Conclusion Rational diet during pregnancy can effectively control the weight growth of pregnant woman,and reduce the rate of cesarean section and natality of macrosomia ,there-fore,it is suggested that the pregnant women should pay attention to the rational diet during pregnancy .
