CAJ | 학술논문

目的：探讨孕期个体化体质量管理对肥胖孕妇妊娠结局的影响。方法选取在本院建卡进行正规产检并住院分娩的单胎、无内科合并症的肥胖孕妇130例，随机分为观察组和对照组各65例。对照组孕妇按常规方法进行产检及健康教育，观察组孕妇在对照组的基础上进行个体化体质量管理。比较2组孕妇孕期体质量增长情况及妊娠并发症、巨大儿、产后出血以及剖宫产的差异。结果观察组有66．1％孕妇孕期体质量增长控制在标准范围，显著高于对照组，差异有统计学意义（P ＜0．01）；观察组孕妇妊娠期糖尿病、子痫前期、巨大儿、产后出血的发生率均显著低于对照组，差异有统计学意义（P ＜0．05）；观察组孕妇因巨大儿、产程异常、相对头盆不称为指征的剖宫产率显著低于对照组，差异有统计学意义（P ＜0．01）。结论孕期对肥胖孕妇进行个体化体质量管理可改善妊娠结局。
목적：탐토잉기개체화체질량관리대비반잉부임신결국적영향。방법선취재본원건잡진행정규산검병주원분면적단태、무내과합병증적비반잉부130례，수궤분위관찰조화대조조각65례。대조조잉부안상규방법진행산검급건강교육，관찰조잉부재대조조적기출상진행개체화체질량관리。비교2조잉부잉기체질량증장정황급임신병발증、거대인、산후출혈이급부궁산적차이。결과관찰조유66．1％잉부잉기체질량증장공제재표준범위，현저고우대조조，차이유통계학의의（P ＜0．01）；관찰조잉부임신기당뇨병、자간전기、거대인、산후출혈적발생솔균현저저우대조조，차이유통계학의의（P ＜0．05）；관찰조잉부인거대인、산정이상、상대두분불칭위지정적부궁산솔현저저우대조조，차이유통계학의의（P ＜0．01）。결론잉기대비반잉부진행개체화체질량관리가개선임신결국。
Objective To investigate the effect of individualized weight management on pregnancy outcomes of obese pregnant women.Methods A total of 130 obese pregnant women with regular check-ups and hospital delivery of single fetus and without medical complications were randomly divided into observation group and control group with 65 cases in each group.Preg-nant women in control group were given antenatal examination and health education by convention-al methods,while those in observation group were given individualized weight management based on methods of control group.Weight gain,pregnancy complications,overweight newborns,post-partum hemorrhage and cesarean section of two groups were compared.Results The weight gain of pregnant women controlled in the standard range during pregnancy in observation group account-ed for 66.1%,which was significantly higher than that in the control group (P <0.01).The in-cidence of gestational diabetes,preeclampsia,overweight newborns and postpartum hemorrhage in observation group was significantly lower than that in the control group,the difference was signifi-cant (P <0.05).The cesarean rates because of overweight newborns,labor abnormalities,rela-tively cephalopelvic disproportion in observation group was significantly lower than that in the con-trol group,the difference was significant(P <0.01).Conclusion Individualized weight manage-ment for obese pregnant women may improve pregnancy outcomes.