CAJ | 학술논문

目的：调查分析孕期个体化营养指导对妊娠结局的影响。方法选取2012年7月至2013年12月在海盐县妇幼保健院产科门诊常规行产前检查并在营养门诊行孕期个体化营养指导的孕妇120例作为研究组,选取同期在产科门诊行常规产前检查,但未行孕期个体化营养指导的孕妇120例作为对照组。比较两组孕妇孕期的体重变化及妊娠期糖尿病、剖宫产及巨大儿(出生体重≥4000g)的发生率。结果对照组在孕晚期的体质量指数及孕期增重均高于研究组,经比较均有显著性差异( t值分别为2.02、2.13,均P<0.05)；对照组的妊娠期糖尿病发生率、剖宫产率及巨大儿的发生率均明显高于研究组(χ2值分别为4.29、11.28、4.63,均P<0.05)。结论给予孕妇孕期个体化营养指导能有效降低妊娠合并症,改善妊娠结局。
목적：조사분석잉기개체화영양지도대임신결국적영향。방법선취2012년7월지2013년12월재해염현부유보건원산과문진상규행산전검사병재영양문진행잉기개체화영양지도적잉부120례작위연구조,선취동기재산과문진행상규산전검사,단미행잉기개체화영양지도적잉부120례작위대조조。비교량조잉부잉기적체중변화급임신기당뇨병、부궁산급거대인(출생체중≥4000g)적발생솔。결과대조조재잉만기적체질량지수급잉기증중균고우연구조,경비교균유현저성차이( t치분별위2.02、2.13,균P<0.05)；대조조적임신기당뇨병발생솔、부궁산솔급거대인적발생솔균명현고우연구조(χ2치분별위4.29、11.28、4.63,균P<0.05)。결론급여잉부잉기개체화영양지도능유효강저임신합병증,개선임신결국。
Objective To investigate the effect of individualized nutritional guidance during pregnancy on pregnancy outcomes. Methods In the study 120 pregnant women ( study group) undergoing routine prenatal examination in Haiyan Maternal and Child Health Care Center during July 2012 to December 2013 were selected, and they received individualized nutritional guidance during pregnancy. Another 120 pregnant women taking routine prenatal examination without individualized nutritional guidance during pregnancy were recruited in control group. Two groups were compared in aspects of weight change during pregnancy and the incidence of gestational diabetes mellitus, cesarean section and macrosomia (birth weight≥4 000g). Results Compared with the study group, BMI and weight gain during pregnancy of the control group were higher, and the differences were significant (t value was 2. 02 and 2. 13, respectively, both P<0. 05). The incidence of gestational diabetes mellitus, rate of cesarean section and incidence of macrosomia were higher in the control group (χ2 value was 4. 29, 11. 28 and 4. 63, respectively, both P<0. 05). Conclusion Individualized nutrition guidance during pregnancy can effectively reduce the incidence of pregnancy complications and improve pregnancy outcomes.