摘要
目的:探讨孕期体重管理对母婴结局的影响。方法:选取315名孕妇,分为研究组167名和对照组148名,分别进行体重管理和常规管理,统计两组△BMI≥6.0kg/m2的发生率,比较两组母婴结局以及对照组△BMI≥6.0kg/m2和△BMI<6.0kg/m2的人群的母婴结局差异。结果:研究组的孕期△BMI和孕期体重过度增加的百分率都明显低于对照组,差异均有统计学意义(P<0.05)。研究组的剖宫产、产后出血、妊娠期高血压、GDM、子痫前期、胎儿窘迫、巨大儿和新生儿窒息的发生率都明显低于对照组,差异均具有统计学意义(P<0.05)。对照组孕期△BMI≥6.0kg/m2人群的剖宫产、产后出血、妊娠期高血压、GDM、子痫前期、胎儿窘迫、巨大儿和新生儿窒息的发生率明显高于△BMI<6.0kg/m2人群,差异均具有统计学意义(P<0.05)。结论:孕期体重过度增加现象较为常见,并且能明显增加母婴结局的风险。孕期体重管理可以控制体重增加,改善母婴结局。
Objective To investigate the correlation between the pregnancy weight management and maternal and in- fant outcomes. Methods A total of 315 pregnant women were selected in this study. They were assigned into study group （167 cases） and control group （148 cases） according to the weight management and routine management. The in cidence of ΔBMI≥6.0 kg/m2 was evaluated. And the maternal and infant outcomes were compared between study group and control group,as well as ΔBMI≥6.0 kg/m2 group and ΔBMI〈6.0 kg/m2 group. Results The average values of ABMI and the incidences of ΔBMI ≥6.0 kg/m2 both showed significant differences between the two groups（P 〈0.05）. Compared with control group, there were lower incidences of cesarean section,postpartum hemorrhage, gesta- tional hypertension, GDM, preeclampsia, fetal distress, macrosomia and neonatal asphyxia in study group. And those outcomes also produced differences between groups of ΔBMI≥6.0 kg/m2 and ΔBMI〈6.0 kg/m2. Conclusions The phenomenon of excessive weight gain during pregnancy is common, which can significantly increase the risk of maternal and in- fant outcomes. Therefore, weight management can control weight gain during pregnancy and improve the outcomes.
出处
《中国农村卫生事业管理》
2015年第8期1054-1056,共3页
Chinese Rural Health Service Administration
基金
2011年省医药卫生一般研究计划(编号:2011KYA162)
关键词
体重管理
体质量指数
母婴结局
孕期管理
weight management
body mass index（BMI）
maternal and infant outcomes
作者简介
陈叶敏（1978-），女，浙江缙云县人，主治医生，研究方向：妇幼保健。
