个体化的健康评估及营养管理在围生期的应用评价(1)
[摘要] 目的 探讨个体化的健康评估及营养管理对围产期结局的影响。 方法 选择2011年1月1日～12月31日在本院进行规范产前检查、孕前无基础疾病并在本院分娩的孕产妇1 203例，其中，进行孕期个体化健康评估及营养管理者485例(研究组)，未进行孕期营养咨询者718例(对照组)，比较两组围产期并发症发生情况。 结果 研究组妊娠期糖尿病(GDM)﹑妊娠高血压疾病﹑胎膜早破(PROM)﹑贫血等妊娠并发症及产后出血﹑胎儿窘迫﹑新生儿窒息等分娩期并发症明显低于对照组(P < 0.05)，且剖宫产率﹑巨大儿发生率较对照组明显降低，两组比较差异有统计学意义(P < 0.05)。 结论 个体化的健康评估及营养管理能明显降低围产期并发症，改善妊娠结局 。
[关键词] 个体化；健康评估；营养管理
[中图分类号] R714.25 [文献标识码] A [文章编号] 1673-7210(2012)07(a)-0051-03
, http://www.100md.com
Evaluation of application of individualized health assessment and nutritional management in perinatal stage
GONG Hui WU Shiyuan KANG Zhaohai YUAN Jingjin ZHENG Jie XIONG Jing
Department of Gynaecology and Obstetrics, Yueyang Maternal and Child Care Service Center, Hu'nan Province, Yueyang 414000, China
[Abstract] Objective To investigate the influence of individualized health assessment and nutrition management on perinatal outcomes. Methods 1 203 cases of puerperas without pre-pregnant underlying diseases who received standard prenatal examination and delivered in our hospital from January 1 to December 31, 2011 were selected. Among them, 485 patients (study group) had received pregnant individualized health assessment and nutrition management and 718 (control group) had not received pregnant nutrition counseling. The occurrences of complications of the two groups were compared. Results The study group were significantly lower than the control group in the gestational diabetes mellitus (GDM), gestational hypertensive disorders, premature rupture of membranes (PROM), anemia and other gestational complications, and postpartum hemorrhage, fetal distress, neonatal asphyxia and other intrapartum complications (P < 0.05); the cesarean section rate and macrosomia incidence of the study group were significantly lower than those of the control group, with statistically significant differences (P < 0.05). Conclusion Individualized health assessment and nutrition management can significantly reduce perinatal complications and improve gestational outcomes.
, 百拇医药
[Key words] Individualized; Health assessment; Nutrition management
合理适度的营养是保证孕产妇和胎婴儿健康﹑降低围生期并发症的前提，因此，如何能达到孕产妇和胎儿最佳营养状态一直是围产医学研究的重要课题。然而，由于妊娠期孕产妇和胎儿对营养物质的需求处于不断的变化中，孕产妇的体质因素和遗传因素以及对一些营养物质的需求处于不断的变化中，常需要对不同的孕产妇进行个体化的营养管理，使之达到最佳营养状态，改善围生期结局，以确保母婴安全。本研究通过对不同个体的孕期营养指导，探讨个体化的健康评估及营养管理对围生期结局的影响。
1 资料与方法
1.1 一般资料
选择2011年1月1日～12月31日在我院进行规范产前检查、孕前无基础疾病并在我院分娩、各项资料记录齐全的孕产妇1 203例，年龄19～40岁，平均 (26.4±4.35)岁；其中，初产妇874例，占72.65%，经产妇329例，占27.35%；孕前体重为(50.9±8.7) kg，结合身高计算平均体重指数(BMI)为(20.69±2.85)kg/m2；按中国成年BMI标准，BMI<18.5 kg/m2者占17.04%(205例)，BMI为18.5～23.9 kg/m2者占69.99%(842例)，BMI≥24.0kg/m2者这占12.97%(156例)；进行孕期个体化的健康评估及营养管理者485例(研究组)，未进行孕期营养管理者718例(对照组)。两组年龄、孕产次、孕前体重指数比较，差异无统计学意义(P > 0.05)，具有可比性。见表1。, 百拇医药(龚慧 吴仕元 康昭海 袁劲进 郑洁 熊静)
[关键词] 个体化；健康评估；营养管理
[中图分类号] R714.25 [文献标识码] A [文章编号] 1673-7210(2012)07(a)-0051-03
, http://www.100md.com
Evaluation of application of individualized health assessment and nutritional management in perinatal stage
GONG Hui WU Shiyuan KANG Zhaohai YUAN Jingjin ZHENG Jie XIONG Jing
Department of Gynaecology and Obstetrics, Yueyang Maternal and Child Care Service Center, Hu'nan Province, Yueyang 414000, China
[Abstract] Objective To investigate the influence of individualized health assessment and nutrition management on perinatal outcomes. Methods 1 203 cases of puerperas without pre-pregnant underlying diseases who received standard prenatal examination and delivered in our hospital from January 1 to December 31, 2011 were selected. Among them, 485 patients (study group) had received pregnant individualized health assessment and nutrition management and 718 (control group) had not received pregnant nutrition counseling. The occurrences of complications of the two groups were compared. Results The study group were significantly lower than the control group in the gestational diabetes mellitus (GDM), gestational hypertensive disorders, premature rupture of membranes (PROM), anemia and other gestational complications, and postpartum hemorrhage, fetal distress, neonatal asphyxia and other intrapartum complications (P < 0.05); the cesarean section rate and macrosomia incidence of the study group were significantly lower than those of the control group, with statistically significant differences (P < 0.05). Conclusion Individualized health assessment and nutrition management can significantly reduce perinatal complications and improve gestational outcomes.
, 百拇医药
[Key words] Individualized; Health assessment; Nutrition management
合理适度的营养是保证孕产妇和胎婴儿健康﹑降低围生期并发症的前提，因此，如何能达到孕产妇和胎儿最佳营养状态一直是围产医学研究的重要课题。然而，由于妊娠期孕产妇和胎儿对营养物质的需求处于不断的变化中，孕产妇的体质因素和遗传因素以及对一些营养物质的需求处于不断的变化中，常需要对不同的孕产妇进行个体化的营养管理，使之达到最佳营养状态，改善围生期结局，以确保母婴安全。本研究通过对不同个体的孕期营养指导，探讨个体化的健康评估及营养管理对围生期结局的影响。
1 资料与方法
1.1 一般资料
选择2011年1月1日～12月31日在我院进行规范产前检查、孕前无基础疾病并在我院分娩、各项资料记录齐全的孕产妇1 203例，年龄19～40岁，平均 (26.4±4.35)岁；其中，初产妇874例，占72.65%，经产妇329例，占27.35%；孕前体重为(50.9±8.7) kg，结合身高计算平均体重指数(BMI)为(20.69±2.85)kg/m2；按中国成年BMI标准，BMI<18.5 kg/m2者占17.04%(205例)，BMI为18.5～23.9 kg/m2者占69.99%(842例)，BMI≥24.0kg/m2者这占12.97%(156例)；进行孕期个体化的健康评估及营养管理者485例(研究组)，未进行孕期营养管理者718例(对照组)。两组年龄、孕产次、孕前体重指数比较，差异无统计学意义(P > 0.05)，具有可比性。见表1。, 百拇医药(龚慧 吴仕元 康昭海 袁劲进 郑洁 熊静)