孕期体质指数血清微量营养元素水平与妊娠结局的关系研究.docVIP

孕期血清元素水平与妊娠结局的关系研究 孕期血清元素水平与妊娠结局的关系孕期血清元素水平与妊娠结局不同BMI营养素水平比较差异无统计学意义P＞0.05孕中期和孕晚期营养素中、、B12含量下降（P0.05）血清营养素中水平上升（P0.05）BMI＞2分娩方式中剖腹产的比例，差异有统计学意义（P0.05）。BMI、营养素水平Logistic回归分析高BMI指数为新生儿出生的危险静脉血清营养素Pregnancy body mass index, serum micronutrient levels and pregnancy outcome Abstract: Objective: To analyze the relations of the Pregnancy body mass index, serum micronutrient levels and pregnancy outcome, in order to provide reference for the guide of maternity pregnancy nutrition. Methods: The pregnancy body mass index (BMI), serum micronutrient levels and pregnancy outcomes of 1020 cases pregnant women were investigated . Results: The nutrients levels of different BMI groups were with no significant difference (P 0.05). The nutritional elements levels of TP, SF, FA and B12 of the second trimester and third trimester were decreased, and there was statistically significant differences among different groups(P0.05). While the nutritional elements levels of TG and TC were increased, and there was statistically significant differences among different groups(P0.05).The caesarean section rate of the group whose BMI24.0 was higher than that of other groups (P0.05). The Logistic regression analysis showed that high BMI index was the risk factors for neonatal. Conclusion: The intravenous serum nutrients showed a wave phenomenon in different stages of gestation, and should be targeted to strengthen nutritional guidance. The high BMI has impact on the outcome of pregnancy and should be controlled within a reasonable range .Keywords: Body mass index; Nutrition; Pregnancy outcome; Relations 孕期营养状况与妊娠结局有着重要的关联，该领域的研究为当前的热点课题之一[1-2]。有学者研究表明孕期乃至哺乳期孕产妇血清微量元素水平应作为一个整体来进行系统的评估，妇产科应十分重视微量营养元素水平在母婴健康中的作用和研究价值[3-4]。有报道[5]显示，孕产妇血清微量元素如B族维生素、抗氧剂、碘的缺乏等都可能都与不良妊娠结局存在一定的关联。此外，孕产妇微量元素摄入量偏低将会直接导致出生产儿血清微量元素水平低于推荐值，并可能增加孕产妇围产期并发症发生的可能性[6]。本文着重对孕产妇孕期血清微量营养元素水平进行考察，研究血清微量营养元素水平与孕妇体质指数及妊娠结局的关系，旨在为妇产科孕期营养指导提供更加科学的依据。 1资料和方法 1.1一般资料 选取2010年月~2012年月孕期孕妇体质指数（BMI）孕早期（孕20周前、孕中期(孕26-27周)孕晚期（孕35-36周)三个阶段进行调查和研究。心