妊娠期运动对妊娠期代谢指标、母儿结局及盆底功能的影响  

Effects of exercise during pregnancy on metabolic indexes,maternal and infant outcomes and pelvic floor function

作　　者：陶贝贝[1] 赵莉莉 张瑞丽 杨筱青[1] 丁俊珊 TAO Bei-bei;ZHAO Li-li;ZHANG Rui-li;YANG Xiao-qing;DING Jun-shan(Department of Obstetrics and Gynecology,Women and Infants Hospital of Zhengzhou,Zhengzhou,450012,China)

机构地区：[1]郑州市妇幼保健院妇产科,郑州450012

出　　处：《医药论坛杂志》2024年第21期2251-2255,共5页Journal of Medical Forum

基　　金：河南省医学科技攻关计划联合共建项目(LHGJ20220882)。

摘　　要：目的 探讨妊娠期运动对孕早期、孕中期、孕晚期代谢指标、母儿结局及盆底功能的影响。方法 选择2022年9月至2022年12月在郑州市妇幼保健院建档并在本院分娩的孕妇,根据是否进行规律妊娠期运动分为运动组和对照组。运动组除了进行常规围产保健,每周进行规律妊娠期运动,对照组给予常规围产保健,最后收集两组一般临床资料、孕期增重、血脂水平、分娩结局、新生儿情况及产后42天盆底筛查结果。采用独立样本的t检验或卡方检验行统计分析。结果 运动组与对照组一般资料比较差异无统计学意义(P>0.05);运动组孕早期、孕中期、孕晚期增重均低于对照组,在孕早期和孕中期,运动组的体重增加与对照组相比存在显著统计学差异(P<0.05)。在运动组的孕早期,总胆固醇、甘油三酯和高密度脂蛋白水平均低于对照组,而低密度脂蛋白和血红蛋白水平则高于对照组,但差异不具有统计学意义(P>0.05)。到了孕晚期,运动组的总胆固醇、甘油三酯和高密度脂蛋白水平均低于对照组,其中,总胆固醇两组间比较差异有统计学意义(P<0.05)。在运动组,妊娠期糖尿病和胎膜早破的发病率均低于对照组,差异具有统计学意义(P<0.05)。对于妊娠期高血压、产后出血和产后切口愈合不良的发病率,虽然运动组的发病率也低于对照组,差异不具有统计学意义(P>0.05),运动组早产发病率高于对照组,差异无统计学意义(P>0.05)。运动组分娩孕周、阴道助产率、急诊剖宫产率、第二产程时长高于对照组,差异无统计学意义(P>0.05),运动组引产率、第一产程时长、新生儿平均体重、巨大儿发生率均低于对照组,差异有统计学意义(P<0.05),而在新生儿窒息、转新生儿科方面,两组差异无统计学意义(P>0.05)。运动组产后42天空腹体重、腹直肌宽度、Ⅱ类肌纤维疲劳度低于对照组,Ⅰ类肌纤维动态压力高于�Objective To investigate the effects of exercise during pregnancy on metabolic indexes of the first trimester second trimester third trimester and maternal and infant outcomes and pelvic floor function during pregnancy.Methods Pregnant women who had documentation in our hospital from September,2022 to December of 2022 and finally gave birth in our hospital,According to whether regular exercise during pregnancy they were divided into exercise group and control group,In addition to routine perinatal care,the exercise group performed regular weekly exercise.The control group was given routine perinatal care.Finally,analyzed general clinical data,GWG,blood lipid levels,labor outcomes,neonatal asphyxia and pelvic floor muscle screening results at 42 days after delivery.The independent sample t-test and chi-square test were used for statistical analysis.Results There was no statistically difference in general data between the exercise group and the control group(P>0.05).The GWG (in the first trimester,in the second trimester) of the exercise group exhibited significantly lower levels compared to that of the control group(P <0. 05),and the GWG (in the third trimester) of the exercise group was lower thanthose in the control group(P >0. 05). The total cholesterol, triglycerides and high - density lipoprotein in the first trimester of the two groups were lower than those in the control group, Compared to that of the control group,LDL and hemoglobin in the first trimester were higher,but there was not statistical significance(P >0. 05). The total cholesterol, triglycerides and high - density lipoprotein in the third trimester compared to that of the control group was lower(P <0. 05), and the exercise group of low - density lipoprotein and hemoglobin was greater in comparison to that of thecontrol group,however,there was no statistically significant difference(P >0. 05). The incidence of GDM and prematurerupture of membranes in the exercise group was statistically lower than that in the control group(P <0. 05). The incidenc

关 键 词：妊娠期运动 妊娠期代谢性疾病 妊娠期增重 不良妊娠结局 产后随访 

分 类 号：R715.3[医药卫生—妇产科学]