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目的对孕妇肥胖与妊娠结局的相关因素进行调查研究。方法选取240例孕妇作为研究对象,将其中有高危因素的120例孕妇(合并肥胖、糖尿病、曾分娩巨大儿)随机分为A1组与A2组,每组60例;将无高危因素的120例孕妇随机分为B1组与B2组,每组60例。对所有孕妇进行营养评价,并对A2组、B2组孕妇进行营养干预。观察四组孕妇的妊娠结局。结果 A2组中巨大儿发生率、剖宫产率、死产率均明显低于A1组(P<0.05),B2组巨大儿发生率、剖宫产率、死产率均明显低于B1组(P<0.05),A1组妊娠不利结局总发生率明显高于B2组(P<0.05),A2组妊娠不利结局总发生率明显高于B2组(P<0.05)。结论孕妇肥胖与妊娠结局有着密切的联系,肥胖容易导致妊娠不利结局。对孕妇进行营养干预,能够有效降低妊娠不利结局的发生率,提高新生儿的顺产率,值得在临床上推广应用。
Objective To investigate the related factors of obesity and pregnancy outcome in pregnant women. Methods A total of 240 pregnant women were enrolled in this study. One hundred and twenty pregnant women (with obesity, diabetes mellitus and giant childbirth) with high risk factors were randomly divided into A1 group and A2 group, 60 cases in each group. 120 cases without risk factors Pregnant women were randomly divided into B1 group and B2 group, 60 cases in each group. Nutritional assessment of all pregnant women, and A2, B2 pregnant women with nutritional intervention. Observation of four groups of pregnant women’s pregnancy outcome. Results The incidence of macrosomia, cesarean section and stillbirth in group A2 were significantly lower than those in group A1 (P <0.05). The incidence of macrosomia, caesarean section and stillbirth in group B2 were significantly lower than those in group B1 (P <0.05). The overall incidence of adverse pregnancy outcomes in group A1 was significantly higher than that in group B2 (P <0.05). The overall incidence of adverse pregnancy outcomes in group A2 was significantly higher than that in group B2 (P <0.05). Conclusion The relationship between obesity and pregnancy outcome in pregnant women is closely related to obesity and easily lead to unfavorable outcomes in pregnancy. Nutritional interventions for pregnant women, can effectively reduce the incidence of adverse pregnancy outcomes and improve the birth rate of newborns, it is worth in the clinical application.