妊娠早中期实施营养运动和体重控制指导对新生儿结局的影响分析  

Influence analysis of nutritional exercise and weight control guidance on neonatal outcomes during the early and middle stages of pregnancy

作　　者：周春兰 Zhou Chunlan(Department of Child Healthcare,Guang′an People′s Hospital,Sichuan Province,Guangran 638000,China)

机构地区：[1]广安市人民医院儿童保健科,四川广安638000

出　　处：《实用妇科内分泌电子杂志》2022年第36期55-57,共3页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的 分析妊娠早中期实施营养运动和体重控制指导对新生儿结局的影响。方法 选择86例妊娠早中期孕妇,依据随机抽签法分为对照组(n=43)与观察组(n=43)。对照组给予常规孕期,观察组给予营养运动和体重控制指导,比较两组的体重控制效果、血脂指标以及新生儿结局。结果 观察组孕早期、孕中期、孕晚期的增重低于对照组(P<0.05)。干预前两组的空腹血糖(FPG)、餐后2 h血糖(2 hPG)和干扰素(FINS)水平比较,差异无统计学意义(P>0.05);干预后观察组的FPG、2hPG、FINS水平均低于对照组(P<0.05)。干预前,两组的载脂蛋白A(ApoA)、低密度脂蛋白胆固醇(LDL-C)、高密度脂蛋白胆固醇(HDL-C)水平比较,差异无统计学意义(P>0.05);干预后观察组的ApoA、LDL-C水平均低于对照组,HDL-C水平高于对照组(P<0.05)。观察组的新生儿不良分娩结局发生率为4.65%,低于对照组的18.60%(P<0.05)。结论 妊娠早中期实施营养运动和体重控制指导能够对孕妇体重进行更加科学的控制。Objective To analyze the influence of nutritional exercise and weight control guidance in the early and middle stages of pregnancy on neonatal outcomes.Methods A total of 86 pregnant women in the first and second trimesters were selected,and they were divided into the control group(n=43) and the observation group(n=43) according to random drawing method.The control group was given routine pregnancy,and the observation group was given nutritional exercise and weight control guidance.The weight control effect,blood lipid index and neonatal outcome of the two groups were compared.Results The weight gain in the observation group during early,mid,and late pregnancy were lower than those in the control group(P<0.05).There were no statistically significant differences in the levels of fasting blood glucose(FPG),2-hour postprandial blood glucose(2-hour PG),and interferon(FINS) levels between the two groups before intervention(P>0.05).After intervention,the levels of FPG,2-hour PG,and FINS in the observation group were lower than those in the control group(P<0.05).Before intervention,there were no significant differences in the levels of ApoA,low-density lipoprotein cholesterol(LDL-C) and high-density lipoprotein cholesterol(HDL-C)between the two groups(P>0.05).After intervention,the levels of ApoA and LDL-C in the observation group were lower than those in the control group,while the levels of HDL-C in the observation group was higher than that in the control group(P<0.05).The incidence of adverse neonatal delivery outcomes in the observation group was 4.65%,which was lower than 18.60% in the control group(P<0.05).Conclusion Nutritional exercise and weight control guidance in the early and middle stages of pregnancy can control pregnant women's weight more scientifically.

关 键 词：妊娠早中期 营养运动 体重控制 新生儿结局 

分 类 号：R715.3[医药卫生—妇产科学]