摘要
目的探讨预防孕妇缺钙的有效方法，减少孕妇缺钙引起的腓肠肌痉挛、腰腿痛、关节痛等症状及母婴并发症。方法将120例单胎妊娠20周的健康孕妇，随机分为观察组、对照组各60例。对照组接受常规的孕期健康指导；观察组在接受常规孕期健康指导的同时，进行预防孕期缺钙相关知识培训，指导合理膳食，每日补充元素钙500mg以上，连续服用至分娩。结果两组孕妇干预前后血清钙值比较，随妊娠期进展，对照组血钙水平明显下降，而观察组血钙水平上升，两组比较差异有统计学意义（P〈0．01）。观察组孕妇缺钙发生率15％，对照组发生率66．66％，两组比较差异有统计学意义（P〈0．05）。观察组孕妇妊娠期高血压病发生率为3．33％，对照组发生率为21．66％，观察组胎儿生长受限（FGR）发生率为1．66％，对照组FGR发生率为11．66％，两组比较差异有统计学意义（P〈0．05）。结论孕期容易发生缺钙，缺钙不仅增加孕妇痛苦，降低生活质量，并可增加妊娠期高血压疾病的发生率，影响胎儿发育；孕期合理干预、有效补钙可明显提高孕期血清钙值，减轻孕妇缺钙症状，对提高孕妇妊娠期生活质量，降低母婴并发症有重要作用。
Objective To explore an effective method for prevetiou of calciprivia among pregnant women so as to reduce sural spasm, back-leg pain, arthralgia and mother-infant complication. Methods 120 cases with monocyesis for 20 weeks were randomly divided into the observation group （ n = 60 ） and the control group （ n = 60）. In the control group, the pregnant women received the routine pregnancy health guidance. In the observation group, the pregnant women received （1）not only the routine health guidance but also training on prevention of pregnancy ealciprivia, （2）proper diet, intake of foods with rich protein and Vitamin D, fresh vegetable, fruits, soybean products, sea food, bone soup etc. 250 - 500 ml milk daily, （3） proper exercise and sunshine, 30 min outdoor activities every day avoiding insolatio and violent exercise, and （4） supplement of calcium, 500mg a day. Results A comparison between the two groups was made before and after the intervention. The blood calcium decreased significantly in the control group while it increased in the observation group （ P 〈 0. 01 ）. Caleiprivia occurred in 9 cases （ 15% ） in the observation group against 40 cases （66.66%） in the control group （P 〈0. 05）. Pregnancy hypertension occurred in two cases （3.33%） in the observation group against 13 cases （21.66%） in the control group. There was one case of FGR （1.66%） in the observation group and 7 cases （ 11.66% ） in the control group, with a significant difference between the two groups （ P 〈 0. 05 ）. Conclusions It is easy to occur calciprivia during pregnancy, which increases suffers and decreases life quality, increases hypertension for pregnant women and affects development of the fetus. Proper intervention and effective supplement of calcium can increase blood serum calcium and reduce calciprivia, which plays an important role in improving the life quality and reducing the mother-infant complications.
出处
《中华现代护理杂志》
2008年第32期3365-3367,共3页
Chinese Journal of Modern Nursing
基金
广西壮族自治区柳州市科研立项项目
关键词
孕妇缺钙
母婴并发症
干预
Pregnant caleiprivia
Mother-infant complication
Intervention
