孕期保健操对产妇妊娠结局的影响分析  

Analysis on the effect of health exercises during pregnancy on pregnancy outcome

作　　者：吴燕燕 李秀红[2] 刘品佳 赵菁 卢锦华 WU Yan-Yan;LI Xiu-Hong;LIU Pin-Jia(Guangzhou Women and Children＇s Medical Center,Guangzhou,Guangdong 510623,China)

机构地区：[1]广州市妇女儿童医疗中心,广东广州510623 [2]中山大学公共卫生学院,广东广州510623

出　　处：《中国妇幼保健》2018年第18期4111-4114,共4页Maternal and Child Health Care of China

基　　金：广州市创新环境建设计划项目(201806020136;201806020057)

摘　　要：目的了解孕期保健操对产妇妊娠结局影响,为进一步在产科机构推广提供依据。方法选取2014年7月-2015年1月自愿参加广州市某医院母婴俱乐部的健康孕妇为研究对象。根据参与孕期保健操频率分为高孕期保健操组(2次/周)、中孕期保健操组(1次/周)及对照组,应用营养调查表及体力活动调查表进行基线调查,采用自编孕期保健操进行干预,追踪妊娠结局情况,采用方差分析、卡方检验及Logistic回归模型进行统计分析。结果共初筛500名孕妇,入组399名孕妇,追踪至分娩时327名孕妇,顺产率依次为高孕期保健操组72.9%、中孕期保健操组61.8%、对照组53.7%,3组差异均有统计学意义(P<0.05)。孕期体重增加、分娩孕周、早产率、新生儿出生体重及身长3组间差异无统计学意义(P>0.05)。结论孕期保健操可以提高顺产率,并且不增加早产风险,对新生儿体重和身长的影响不明显。Objective To investigate the effect of health exercises during pregnancy on pregnancy outcome,provide a basis for promotion in obstetric department. Methods The healthy pregnant women who voluntarily took part in a hospital maternal and infant club in Guangzhou from July 2014 to January 2015 were selected and divided into high-frequency prenatal exercise group（ twice per week）,moderate-frequency prenatal exercise group（ once per week）,and control group according to the frequency of health exercises during pregnancy.Nutrition questionnaire and physical activity questionnaire were used for baseline survey. A self-designed prenatal exercise was conducted in the two groups,the pregnancy outcomes were followed up. Analysis of variance,Chi-squared test,and logistic regression model were used for statistical analysis. Results A total of 500 pregnant women underwent primary screening,and 399 pregnant women were enrolled in this study,327 pregnant women were followed up till delivery finally. The natural labor rates in high-frequency prenatal exercise group,moderate-frequency prenatal exercise group,and control group were 72. 9%,61. 8%,and 53. 7%,respectively,there was statistically significant difference among the three groups（ P〈0. 05）. There was no statistically significant difference in weight gain during pregnancy,gestational week of childbirth, premature delivery rate, neonatal birth weight, and height among the three groups（ P〈0. 05）.Conclusion Health exercises during pregnancy can increase the rate of natural labor,and it can＇t increase of the risk of premature delivery,the effect on neonatal weight and height is not significant.

关 键 词：孕期保健操 妊娠期体力活动调查表 妊娠结局 

分 类 号：R173[医药卫生—妇幼卫生保健]