营养干预结合健康教育对孕产妇母婴结局的影响分析  

Effects of Nutrition Intervention Combined with Health Education on Maternal and Infant Outcomes

作　　者：张玲[1] 卢爱华 汪小娟[1] 柴端 张秀丽 汪娟[1] ZHANG Ling;LUAihua;WANG Xiaojuan;CHAI Duan;ZHANG Xiuli;WANG Juan(Huanggang Maternal and Child Health Care Hospital,Huanggang 438000,China)

机构地区：[1]黄冈市妇幼保健院,湖北黄冈438000

出　　处：《中外医学研究》2022年第29期102-105,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

基　　金：2021年黄冈市级科技计划一般项目(XQYF2021000047)。

摘　　要：目的:探讨营养干预结合健康教育对孕产妇母婴结局的影响。方法:选取2021年1-7月在黄冈市妇幼保健院建档、分娩的1012例孕产妇,将孕产妇以随机数字表法分成两组,各506例。对照组予以常规健康教育,观察组予以营养干预结合健康教育。对比两组的营养状态、孕期并发症、分娩情况、产妇结局、新生儿结局。结果:入组时两组体重指数(BMI)、血红蛋白(Hb)比较,差异无统计学意义(P>0.05);临产前,观察组BMI低于对照组,Hb高于对照组,差异有统计学意义(P<0.05)。临产前,观察组骨密度正常占比高于对照组,骨密度降低占比低于对照组(P<0.05)。孕期观察组妊娠期高血压疾病、妊娠期糖尿病总发生率低于对照组,差异有统计学意义(P<0.05)。观察组顺利分娩、顺产占比高于对照组,差异有统计学意义(P<0.05)。观察组产后出血、产褥感染、胎膜早破等不良结局发生率低于对照组,差异有统计学意义(P<0.05)。观察组新生儿巨大儿、早产、胎儿窘迫发生率低于对照组,差异有统计学意义(P<0.05)。结论:开展营养干预与健康教育有助于孕产妇保持孕期的营养均衡,减少骨质流失,并且有利于顺利分娩,减少孕期并发症发生,使孕产妇、新生儿结局得到改善。Objective:To explore the impact of nutrition intervention combined with health education on maternal and infant outcomes.Method:A total of 1012 pregnant women who were registered and delivered in Huanggang Maternal and Child Health Care Hospital from January to July 2021 were selected for the study.The pregnant women were divided into two groups by random number table,with 506 cases in each group.The control group received routine health education,and the observation group received nutrition intervention combined with health education.The nutritional status,pregnancy complications,delivery,maternal outcomes and neonatal outcomes were compared between the two groups.Result:There were no significant differences in body mass index(BMI)and hemoglobin(Hb)between the two groups at the time of enrollment(P>0.05).Before delivery,BMI in the observation group was lower than that in the control group,Hb was higher than than that in the control group,the differences were statistically significant(P<0.05).Before delivery,the proportion of normal bone mineral density in the observation group was higher than that in the control group,and the proportion of decreased bone mineral density was lower than that in the control group(P<0.05).During pregnancy,the total incidence of hypertensive disorders of pregnancy and gestational diabetes in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).The proportion of smooth delivery and natural delivery in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The incidence rates of adverse outcomes such as postpartum hemorrhage,puerperal infection,and premature rupture of membranes in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The incidence of macrosomia,premature birth,fetal distress in the observation group were lower than those in the control group,and the differences were st

关 键 词：营养干预 健康教育 母婴结局 骨密度 体重指数 

分 类 号：R473.71[医药卫生—护理学]