浅谈孕期体重管理对妊娠结局的影响.docVIP

精品论文 参考文献 浅谈孕期体重管理对妊娠结局的影响 （四川省德阳市人民医院产科 四川 德阳 618000） 　　【摘要】 目的：了解孕妇体重管理对妊娠结局的影响。方法：将2012年10月至2014年03月在产科门诊进行常规建卡和进行营养门诊咨询的孕妇386例作为调查对象，将入选的386例分成实验组和对照组各193例，实验组给予营养门诊膳食指导，体重管理，采用三日膳食回顾法，详细记录最近三天被调查者的饮食情况，用多哈营养食谱分析软件对膳食情况进行分析，根据结果进行个性化膳食干预，对照组给予常规产前检查和孕期健康教育。结果：实验组孕38周后的体重指数、妊高症发生情况、体重增长、巨大儿发生情况、手术产率各指标均明显优于对照组，组间差异具有统计学意义（P＜0.05）。结论：孕期体重增长过多会增加孕期并发症及巨大儿、手术产的发生，应加强孕期营养健康教育，使孕妇获得良好的妊娠结局。 　　【关键词】 孕妇；体重；妊娠结局 　　【中图分类号】R714 【文献标识码】A 【文章编号】2095-1752（2016）26-0037-02 　　The influence of weight management during pregnancy on pregnancy outcome Zhong Yan, Liu Xiaoyan, Zhao Hui. The Peoples Hospital of Deyang City, Sichuan Province, Deyang 618000, China 　　【Abstract】Objective Understanding weight management of pregnant women on pregnancy outcome. Method From October 2012to March 2014in an obstetric patient underwent conventional cards and nutrition outpatient consultation with 386 pregnant women as research object. In 386 cases were selected and divided into experimental group and control group with 193 cases in each group. The experimental group was given nutrition outpatient dietary guidance, weight management, uses three days of dietary recall method, A detailed record of the last three days of respondents diet, With the pregnancy nutrition surveillance system on dietary condition were analyzed, according to the result of individual dietary intervention, the control group was given routine prenatal examination and pregnancy health education. Result The experimental group of pregnant 38 weeks of body mass index, and pregnancy induced hypertension syndrome occurred, the increasing of body weight and macrosomia occurred, surgical yield indexes were significantly better than the control group, the difference between the two groups with statistical significance (P lt; 0.05).Conclusion Weight gain during pregnancy may lead to increase pregnancy complications and fetal macrodome, operation produces occurrence. We should strengthen health