孕期个体化体质量管理对肥胖孕妇妊娠结局的影响  

The effect of individualized weight management on pregnancy outcomes of obese pregnant women

作　　者：张蓉萍[1] 王方方[1] 冯娟[1] 卢丹[1] 

机构地区：[1]江苏省苏北人民医院产科,江苏扬州225001

出　　处：《实用临床医药杂志》2015年第18期85-87,共3页Journal of Clinical Medicine in Practice

摘　　要：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。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. Pregnant 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, postpartum 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 accounted for 66.1%, which was significantly higher than that in the control group （P〈 0.01）. The incidence of gestational diabetes, preeclampsia, overweight newborns and postpartum hemorrhage in observation group was significantly lower than that in the control group, the difference was significant （P 〈 0.05）. The cesarean rates because of overweight newborns, labor abnormalities, relatively cephalopelvic disproportion in observation group was significantly lower than that in the control group, the difference was significant（P 〈 0. 01）. Conclusion ment for obese pregnant women may improve pregnancy outcomes.

关 键 词：肥胖孕妇 孕期 体质量管理 妊娠结局 

分 类 号：R473.71[医药卫生—护理学]