孕期个体化营养指导对妊娠结局及新生儿出生体质量的影响分析(1)
[摘要] 目的 探究孕期個体化营养指导对妊娠结局及新生儿出生体质量的影响，为临床提供指导。 方法 以来我院进行产检的120例孕妇(2014年1月～2014年12月)作为本次研究的观察对象，结合建卡时是否接受孕期个体化营养指导将其分为两组，68例孕妇(实验组)接受孕期个体化营养指导，52例孕妇(对照组)未接受孕期个体化营养指导，研究对比两组孕妇的妊娠结局及新生儿出生体质量。 结果 实验组孕妇的妊娠糖尿病发生率、巨大儿发生率分别为2.94%、2.94%，相比对照组明显更低，P<0.05，顺产率为70.59%，相比对照组明显更高，P<0.05，但实验组和对照组之间的妊娠高血压发生率无显著区别，P>0.05；实验组孕妇孕期体质量增长(12.30±2.58)kg，相比对照组(17.45±3.26)kg明显更少，P<0.05，实验组新生儿出生体质量为(3065.27±259.61)g，相比对照组(3699.24±263.48)g明显更低，P<0.05。 结论 对孕妇实施孕期个体化营养指导有助于改善妊娠结局，可使新生儿出生体质量处于正常范围。
[关键词] 孕期个体化营养指导；妊娠结局；新生儿出生体质量；影响
[中图分类号] R715.3 [文献标识码] A [文章编号] 2095-0616(2017)14-56-03
Influence of individualized nutrition guidance during pregnancy on pregnancy outcome and birth weight of neonates
CHEN Xiaowei
Department of Obstetrics，Zhuhai Maternal and Child Health Care Hospital，Zhuhai 519000，China
[Abstract] Objective To explore the influence of individualized nutrition guidance during pregnancy on pregnancy outcome and birth weight of neonates， and to provide guidance for clinical practice. Methods 120 pregnant women examined in our hospital from January 2014 to December 2014 were selected as the study object.According to Whether or not to accept the individualized nutritional guidance during pregnancy，they were divided into two groups.68 pregnant women (experimental group) received individualized nutrition guidance during pregnancy，and 52 pregnant women (control group) did not receive individualized nutrition instruction during conception period.Pregnancy outcome and neonatal birth weight of the two groups were compared. Results The gestational diabetes incidence，the incidence of macrosomia of pregnant women in experimental group were 2.94% and 2.94%，which were significantly lower than those in control group，P<0.05.The birth rate of experimental group was 70.59%，which was significantly higher than that of control group，P<0.05.But the incidence of pregnancy induced hypertension between the experimental group and the control group had no significant difference，P>0.05.The maternal body mass growth during pregnancy quality of the experimental group was(12.30±2.58)kg，which was significantly less than that of control group with (17.45±3.26)kg，P<0.05.The neonatal birth weight of experimental group was (3065.27±259.61)g，which was significantly lower than that of control group with(3699.24±263.48)g，P<0.05. Conclusion The implementation of individualized nutrition guidance for pregnant women can help improve pregnancy outcomes，and make birth weight in normal range.(陈晓薇)