饮食和运动干预对妊娠期肥胖患者妊娠结局的影响分析  

EFfect Analysis of Dietary and Exercise Interventions on Pregnancy Outcome of Obese Pregnancy Patients

作　　者：王小娟 顾小燕[3] WANG Xiaojuan;GU Xiaoyan(Yangzhou University Medical College,Yangzhou,Jiangsu 225003;Obstetrics and Gynecology Department,Jiangbei New Area Yanjiang Street Community Health Service Center,Nanjing,Jiangsu 211500;Obstetrics and Gynecology Department,Yangzhou Maternal and Child Health Hospital,Yangzhou,Jiangsu 225007)

机构地区：[1]扬州大学医学院,江苏扬州225003 [2]南京市江北新区沿江街道社区卫生服务中心妇产科,江苏南京211500 [3]扬州市妇幼保健院妇产科,江苏扬州225007

出　　处：《智慧健康》2023年第18期116-120,共5页Smart Healthcare

摘　　要：目的 分析针对妊娠期肥胖患者,饮食和运动干预对妊娠结局的改善价值。方法 抽取2020年1月-2022年2月于本院就诊的妊娠患者共计260例作为研究对象,根据患者体质水平进行分组。其中肥胖妊娠组(n=98),然后将肥胖妊娠组均分为两组,肥胖妊娠组A(常规护理干预,n=49),肥胖妊娠组B(饮食+运动护理干预,n=49)。正常体质妊娠组(饮食+运动护理干预,n=162)。比较三组妊娠结局。结果 在孕12周、孕16周、孕28周及孕36周时,正常体重妊娠组体重均显著低于肥胖妊娠组A,数据比较有意义(P<0.05);正常体重妊娠组不同时期体质量低于肥胖妊娠组B,但数据比较无意义(P>0.05);肥胖妊娠组组间比较,B组体重显著低于A组,数据比较有意义(P<0.05);肥胖妊娠A组不良妊娠结局发生患者例数(8例,占比16.33%)显著高于正常体质妊娠组(3例,占比1.85%),数据比较有意义(χ2=5.995;P=0.014);肥胖妊娠组组间比较A组不良妊娠结局发生例数显著高于B组(8例,占比2.04%),数据比较有意义(χ2=15.951;P=0.001);肥胖妊娠组B组不良妊娠结局发生患者例数与正常体质妊娠组数据比较无意义(χ2=0.007;P=0.932)。结论 饮食与运动联合干预妊娠期肥胖患者,能够稳控患者孕期体重增长水平,改善不良妊娠结局,值得于临床广泛应用。Objective To analyze value of dietary and exercise interventions on improving pregnancy outcomes of obese patients during pregnancy.Methods The paper chose pregnant women(12 weeks ago)during early pregnancy with regular obstetric examination enrolled in"Jiangsu Maternal and Child Health Manual"at Nanjing City Jinagbei New District Yanjiang Street Community Health Service Center from January 2020 to February 2022.24 weeks later,pregnant patients were filled in gynecology and obstetrics department of a class A tertiary hospital of the medical union hospital(with nutrition department)for regular obstetric examination and delivery in hospital.After delivery,"Jiangsu Maternal and Child Health Manual"was taken back to post natal visit group of Jiangbei New District Yanjiang Street community hospital,to form a cohort study from early pregnancy to delivery.A total of 260 pregnant patients were divided into groups according to their physical condition.Among them,obese pregnancy group(n=98)was divided equally into two groups:obese pregnancy group A(with routine nursing intervention,n=49)and obese pregnancy group B(with diet+exercise nursing intervention,n=49).Normal constitution pregnancy group was treated with diet+exercise nursing intervention(n=162).Pregnancy outcomes of three groups were compared.Results At 12 weeks,16 weeks,28 weeks and 36 weeks of pregnancy,weight of normal weight pregnancy group was significantly lower than obese pregnancy group A,data were statistically significant(P<0.05).Body mass of normal weight pregnancy group was lower than obese pregnancy group B at different stages, but data comparison was not significant (P>0.05). Weight of obese pregnancy group B was significantly lower than group A, data were statistically significant (P<0.05). Number of patients with adverse pregnancy outcomes in obese pregnancy group A (8 cases, accounting for 16.33%) was significantly higher than normal constitution pregnancy group (3 cases, accounting for 1.85%), data were relatively meaningful(χ2=5.995;P=0.014). Nu

关 键 词：饮食 运动 妊娠期肥胖 妊娠结局 效果 

分 类 号：R714.256[医药卫生—妇产科学]