短肽型肠内营养指导在胎儿生长受限孕妇中的应用效果  

Effect of short peptide enteral nutrition guidance on pregnant women with fetal growth restriction

作　　者：范娟 沙红兰 丁燕燕[1] 胡阳 FAN Juan;SHA Honglan;DING Yanyan(Department of Obstetrics and Gynecology,Rugao People’s Hospital,Rugao 226500,China)

机构地区：[1]江苏省如皋市人民医院妇产科,226500 [2]江苏省海安市人民医院妇产科,226600

出　　处：《安徽医学》2020年第6期649-652,共4页Anhui Medical Journal

基　　金：南通市科技计划项目(项目编号:GJZ16121)。

摘　　要：目的探究短肽型肠内营养指导应用于胎儿生长受限孕妇中的效果。方法选取2017年9月至2019年5月如皋市人民医院收治的胎儿生长受限孕妇的116例,采用随机数字表法分为对照组和观察组,各58例。对照组给予常规营养指导,观察组给予短肽型肠内营养指导。对比干预1周后两组孕妇宫高、腹围与体质量情况,胎儿双顶径、头尾、腹围、股骨长、体质量及孕妇护理满意度。结果干预前,两组孕妇宫高、腹围与体质量差异无统计学意义(P>0.05);干预后,观察组宫高、腹围与体质量的差值均高于对照组,差异有统计学意义(P<0.05);干预前,两组胎儿双顶径、头尾、腹围、股骨长及体质量差异无统计学意义(P>0.05)。干预后,观察组胎儿双顶径、头尾、腹围、股骨长及体质量的差值均高于对照组(P<0.05)。观察组干预1周后孕妇满意度高于对照组,差异有统计学意义(P<0.05)。结论短肽型肠内营养指导应用于胎儿生长受限孕妇中,可提高孕妇宫高与腹围、胎儿双顶径与头尾,并提高孕妇护理满意度,值得推广。Objective To explore the effect of short peptide enteral nutrition guidance on pregnant women with fetal growth restriction.Methods A total of 116 pregnant women with fetal growth restriction who were treated in Rugao People’s Hospital from September 2017 to May 2019 were selected and divided into two groups by random number table,with 58 cases in each.The control group was given routine nutrition guidance,and the observation group was given short peptide enteral nutrition guidance.After one week of intervention,the increase of uterine height,abdominal circumference and body weight,the double parietal diameter,head and tail,abdominal circumference,femoral length and body weight of the two groups and the satisfaction of pregnant women were compared.Results Before intervention,there was no statistically significant difference in uterine height,abdominal circumference and D-value of body weight between the two groups(P>0.05);after intervention,the uterine height,abdominal circumference and body weight were higher inobservation group than that those in control group,and the difference was statistically significant(P<0.05).Before intervention,there was no statistically significant difference in fetal double top diameter,head and tail,abdominal circumference,femur length and body mass(P>0.05);after the intervention,thefetal double top diameter,head and tail,abdominal circumference,femur length,and D-value of body weight in observation group were higher than those in control group,and the difference was statistically significant(P<0.05).Conclusions The application of short peptide enteral nutrition guidance in pregnant women with fetal growth restrictioncan increase the growth value of pregnant women’s high and abdominal circumference,fetal biparietal diameter and head and tail,and effectively improve the satisfaction of pregnant women.Thus,it is worth promoting.

关 键 词：短肽型肠内营养指导 胎儿生长受限 生长发育 

分 类 号：R714.5[医药卫生—妇产科学]