孕期体重管理对控制足月新生儿体重及妊娠结局影响.doc

孕期体重管理对控制足月新生儿体重及妊娠结局影响 　　[摘要] 目的 探讨孕期体重管理对控制足月新生儿体重及妊娠结局的影响。方法 方便选取2014年1月―2015年12月于该院定期接受产前检查的10 000名孕妇为研究对象，依据孕期管理方式不同分为实验组（一般孕期指导+个性化体重管理，5 000名）和对照组（一般孕期指导，5 000名）。观察两组孕期增重情况，统计两组分娩方式，观察母婴结局。结果 实验组产妇孕期平均增重（13.2±1.7）kg，剖宫产率38.46%，妊娠糖尿病0.84%，妊娠高血压1.96%，产程异常1.72%，巨大儿1.92%，新生儿窒息1.20%，各项指标均低于对照组，比较差异有统计学意义（P0.05）。结论 孕期体重管理有利于科学控制母婴体重，对降低剖宫产率及母婴并发症、减少巨大儿、改善分娩结局具有积极作用，值得推广使用。 　　[关键词] 孕期；体重管理；足月新生儿；体重；妊娠结局 　　[中图分类号] R657 [文献标识码] A [文章编号] 1674-0742（2017）11（c）-0081-03 　　[Abstract] Objective This paper tries to explore the effect of weight management during pregnancy on term control of neonatal body weight and pregnancy outcome. Methods From January 2014 to December 2015， 10 000 pregnant women who were regularly tested for antenatal care were convenient selected as the subjects. According to the different management methods of pregnancy， they were divided into the experimental group （general pregnancy guidance plus personalized weight management， 5 000 cases） and the control group （general pregnancy guidance， 5 000 cases）. The weight gain during pregnancy， delivery， the maternal and child outcomes of the two groups were observed. Results The mean weight gain was （13.2±1.7） kg， the rate of cesarean section was 38.46%， the gestational diabetes mellitus was 0.84%， the pregnancy hypertension was 1.96%， the labor abnormalities were 1.72%， the giant children was 1.92%， the neonatal asphyxia was 1.20%， lower than the control group， the difference was statistically significant （P0.05）. Conclusion Pregnancy weight management is conducive to scientific control of maternal and child weight， to reduce cesarean section rate and maternal and child complications， to improve the outcome of the birth， which has a positive effect， so it is worth promoting and application. 　　[Key words] Pregnancy； Weight management； Term neonatal； Weight； Pregnancy outcome 　　孕期体重是衡量孕妇营养状况的有效指标，研究发现，妊娠期体重过高或过低均可加大不良妊娠结局的发生风险，增加剖宫产率[1]。加强体重管理是??孕期保健工作的一项主要内容，在减少妊娠期体重过高或过低所致不良妊娠结局方面具有重要作用。该文现以2014年1月―20