妊娠期体重个体化动态管理的重要性分析.docVIP

精品论文 参考文献 妊娠期体重个体化动态管理的重要性分析 杜晓琴李晓 　　绵阳市中心医院四川绵阳621000 　　【摘要】 　　目的：分析妊娠期体重个体化动态管理的可行性及重要性及其对妊娠结局的影响。方法：选取2011年1月~2013年1月在我院定期产检及住院分娩的单胎头位初产妇480例，按BMI指数对称随机分为研究组和对照组各240例，研究组接受妊娠期体重个体化动态管理，对照组接受常规产检。结果：研究组孕期平均增重（128plusmn;31）kg，对照组孕期平均增重（169plusmn;58）kg，研究组达体重管理目标者171 例，占7246 %；研究组的妊娠期高血压疾病、妊娠期糖耐量异常、妊娠期糖尿病发病率均明显低于对照组（P＜005）；妊娠结局方面，研究组早产率、剖宫产率、产后感染率、高危新生儿率显著低于对照组（P＜005）；两组孕妇相比，低体重儿率在低体重及正常体重孕妇间差异有统计意义（P＜005），巨大儿出生率在超重与肥胖孕妇间差异有统计意义（P＜005），研究组均明显低于对照组。结论：妊娠期体重个体化动态管理具有可行性和有效性，其对母婴健康均有重要作用。 　　【关键词】妊娠；体重管理；妊娠期并发症；妊娠结局 　　The importance analysis of individual dynamic management on pregnancy weight gain 　　DU XiaoqinLI Xiao 　　Mianyang central hospital sichuan mianyang 621000 　　【Abstract】 　　Objective: To analyze the feasibility and importance of dynamic management on individual pregnancy weight gain and the effect on pregnant outcomes. Methods: 480 singleton primiparous women with head presentation were enrolled and divided into 2 groups randomly. The study group received education on individual dynamic management of pregnancy weight gain，the control group received regular prenatal examination only. Results: The mean gestational weight gain was (128plusmn;31）kg in the study group in which about 7246% women (171 cases）gained weight during pregnancy in the predicated range，the mean gestational weight gain was (169plusmn;58）kg in the control group . The incidence of hypertensive disorder complicating pregnancy，gestational diabetes mellitus and gestational impaired glucose tolerance in study group were all obviously lower than those in control group (Plt;005). In the aspect of pregnant outcomes，the incidence of preterm birth，preterm birth rate，postpartum infection，highrisk neonates were all significantly lower than those in control group (Plt;005). When comparing the two groups，the low birthweight infants rate between lowweight gravida and normalweight gravida had statistical significance (Plt;005)，and the fetal macrosomia rate between overweight gravida and