CAJ | 학술논문

目的：探讨孕妇孕期体质量增加对新生儿出生体质量及分娩结局的影响，以为临床围产期的保健研究提供依据。方法选取我院2014年1月至12月收治的420名健康孕妇为研究对象，分析孕妇孕前体质量指数（BM I）、孕期体质量增长等情况，并比较孕妇孕期体质量增加对分娩结局及新生儿出生体质量的影响。结果孕前超重组孕期体质量增加明显低于孕前低体质量组及正常体质量组（ P ＜0．05）；孕前超重组巨大儿的发生率高于其他2组；孕期体质量增加过多孕妇新生儿出生体质量、巨大儿出生率及剖宫产率明显高于体质量增加适宜组及过少组，体质量增加适宜孕妇明显高于体质量增加过少孕妇（ P ＜0．05）；孕期体质量增加过少孕妇低体质量新生儿出生率明显高于体质量增加适宜及过多孕妇（P ＜0．05），孕妇最佳体质量增长区间为16．0kg。结论适宜的孕期体质量增加对于孕妇改善分娩结局，控制新生儿状况具有积极的临床意义。
목적：탐토잉부잉기체질량증가대신생인출생체질량급분면결국적영향，이위림상위산기적보건연구제공의거。방법선취아원2014년1월지12월수치적420명건강잉부위연구대상，분석잉부잉전체질량지수（BM I）、잉기체질량증장등정황，병비교잉부잉기체질량증가대분면결국급신생인출생체질량적영향。결과잉전초중조잉기체질량증가명현저우잉전저체질량조급정상체질량조（ P ＜0．05）；잉전초중조거대인적발생솔고우기타2조；잉기체질량증가과다잉부신생인출생체질량、거대인출생솔급부궁산솔명현고우체질량증가괄의조급과소조，체질량증가괄의잉부명현고우체질량증가과소잉부（ P ＜0．05）；잉기체질량증가과소잉부저체질량신생인출생솔명현고우체질량증가괄의급과다잉부（P ＜0．05），잉부최가체질량증장구간위16．0kg。결론괄의적잉기체질량증가대우잉부개선분면결국，공제신생인상황구유적겁적림상의의。
Objective To investigate the effects of gestational weight gain on the birth weight of offspring and birth outcomes of pregnancy ,and to provide reference for studying clinical perinatal health care.Methods A total of 420 pregnant women who delivered were chosen .To analyze maternal pregestational body mass index (BMI) and body weight gain during pregnancy ;and to compare the impacts of gestational weight gain on pregnan‐cy outcomes and neonatal birth weight.Results Body weight gain during pregnancy in pregnant women with pre‐gestational overweight was statistically significantly lower than those in pregnant women with pregestational low and normal weight( P <0 .05) ,birth rate of macrosomia and pregestational body weight of pregnant women ,neo‐natal birth weight and birth rate of macrosomia in pregnant women with pregestational overweight were statistical‐ly significantly higher than those in the other two groups( P<0 .05) ,while neonatal birth weight and birth rate of macrosomia in pregnant women with normal weight were statistically significantly higher than those in pregnant women with low weight( P<0 .05) ,there was a positive correlation between neonatal birth weight ,birth rate of macrosomia ,rate of cesarean section and body weight gain during pregnancy ;neonatal birth weight ,birth rate of macrosomia and rate of cesarean section in pregnant women with excessive body weight gain during pregnancy were statistically significantly higher than those in pregnant women with appropriate and low body weight gain during pregnancy( P<0 .05) ,the birth rate of low weight neonates born by pregnant women with low body weight gain during pregnancy was statistically significantly higher than those in pregnant women with appropriate and ex‐cessive body weight gain during pregnancy( P <0 .05) ,the appropriate gestational weight gain was around 16 .0 kg .Conclusion Appropriate weight gain during pregnancy has positive clinical significance for improving the out‐come of childbirth and controlling neonate's birth status.