不同妊娠阶段体重管理联合心理干预对妊娠相关并发症及结局影响.docVIP

不同妊娠阶段体重管理联合心理干预对妊娠相关并发症及结局的影响 　　【摘要】 目的 探?不同妊娠阶段体重管理联合心理干预对妊娠相关并发症及结局的影响。 　　方法 120例产前门诊建立孕期档案孕妇， 根据计算机抽取编号法分为研究组和对照组， 各60例。研究组给予不同妊娠阶段体重管理和心理干预， 对照组给予常规产检和体重管理。比较两组孕妇体质量指数（BMI）增加百分比、压力妊娠及分娩相关并发症情况。结果 研究组第二阶段BMI增加百分比为（6.8±1.1）%、第三阶段BMI增加百分比为（7.8±1.8）%， 均低于对照组的（9.8±1.3）、（10.3±1.9）%， 差异具有统计学意义（Plt;0.05）。研究组孕妇压力低于对照组， 差异具有统计学意义（Plt;0.05）。研究组孕妇妊娠期高血压、妊娠期糖尿病、羊水异常、剖宫产、产褥感染发生率低于对照组， 差异具有统计学意义（Plt;0.05）。研究组胎儿胎儿窘迫、新生儿窒息、巨大儿、低血糖、宫内生长受限发生率低于对照组， 差异具有统计学意义（Plt;0.05）。结论 不同妊娠阶段体重管理联合心理干预能有效控制孕妇体重， 减少妊娠相关并发症， 改善妊娠结局。 　　【关键词】 妊娠;体重管理;心理干预;妊娠并发症 　　DOI：10.14163/j.cnki.11-5547/r.2018.03.099 　　【Abstract】 Objective To discuss the effect of weight management combined with psychological intervention on pregnancy-related complications and outcomes in different gestation periods. Methods A total of 120 pregnant women with pregnancy files in prenatal clinic were divided by computer extraction method into research group and control group， with 60 cases in each group. The research group received weight management combined with psychological intervention in different gestation periods， and the control group received conventional examination and weight management. Comparison were made on percentage increase in body mass index （BMI）， stress pregnancy and pregnancy-related complications between two groups. Results The research group had second phase BMI increase percentage as （6.8±1.1）% and third phase BMI increase percentage as （7.8±1.8）%， which were all lower than （9.8±1.3）% and （10.3±1.9）% in the control group， and their difference was statistically significant （Plt;0.05）. The research group had lower pressure than the control group， and the difference was statistically significant （Plt;0.05）. The research group had lower incidence of gestational hypertension， gestational diabetes， amniotic fluid abnormalities， cesarean section and puerperal infection than the control group， and their difference was statistically significant （Plt;0.05）. The research group had lower incidence of fetal dist