孕期营养教育模式对孕前超重肥胖孕妇体质量变化及妊娠并发症的影响分析  

Analysis on the influence of nutrition education mode during pregnancy on the changes of body mass and pregnancy complications of overweight and obese pregnant women before pregnancy

作　　者：李艳[1] Li Yan(Department of Nutrition,Huaian Maternal and Child Health Care Hospital,Huaian 223002,China)

机构地区：[1]江苏省淮安市妇幼保健院营养科,江苏淮安223002

出　　处：《实用妇科内分泌电子杂志》2022年第19期75-77,共3页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的探讨孕期营养教育模式对孕前超重肥胖孕妇体质量变化及妊娠并发症的影响。方法选取150例孕前超重肥胖孕妇,根据随机数字表法分为A组、B组、C组,每组30例。A组采用常规孕妇学校模式,在常规孕妇学校教学的基础上,B组采用集中群组孕期保健模式,C组采用个体化医学营养指导模式。比较三组孕妇的体质量指数(BMI)增加情况、并发症发生情况。结果B组、C组孕妇BMI增加明显低于A组,差异有统计学意义(P<0.05)。A组并发症发生率为74.00%(37/50),B组并发症发生率为46.00%(23/50),C组并发症发生率为18.00%(9/50),三组比较差异有统计学意义(P<0.05)。结论针对孕前超重肥胖孕妇,采用集中群组孕期保健模式或者个体化医学营养指导模式,均可有效控制体质量的增加,减少并发症发生率。在临床使用过程中需根据孕妇的具体情况,科学选择两种模式,使之更符合孕妇的需求。Objective To explore the influenc of nutrition education mode during pregnancy on the changes of body mass and pregnancy complications of overweight and obese pregnant women before pregnancy. Methods 150 pregnant women who were overweight and obese before pregnancy were selected and divided into group A, group B and group C according to random number table method, with 30 cases in each group. Group A adopted the traditional pregnant women’s school model, based on the routine pregnant women’s school teaching, group B adopted the centralized group pregnancy health care model, group C adopted the individualized medical nutrition guidance model. The increase of BMI and the occurrence of complications among the three groups were compared.Results The increase of BMI in groups B and C was significantly lower than that in group A, and the difference was statistically significant(P<0.05). The incidence of complications was 74.00%(37/50) in group A, 46.00%(23/50) in group B and 18.00%(9/50) in group C, and the difference between the three groups was statistically significant(P<0.05). Conclusion For overweight and obese pregnant women before pregnancy,it can effectively control the increase of body mass and reduce the incidence of complications by adopting the centralized group pregnancy health care mode or the individualized medical nutrition guidance mode. In the process of clinical use, it is necessary to scientifically select these two modes according to the specific conditions of the pregnant women, so that they can be more consistent with the needs of the pregnant women.

关 键 词：孕期营养教育模式 孕前超重肥胖 体质量 妊娠并发症 

分 类 号：R714.256[医药卫生—妇产科学]