摘要
目的探讨孕期系统化营养干预对改善母婴不良妊娠结局的影响,为孕妇提供更科学、可行的孕期个体化膳食指导。方法采用回顾性队列研究,分析2012年1月-2013年8月在该院定期产前检查(产检)并结束分娩的孕妇2 169例,比较营养干预组(干预组)1 079例与对照组1 090例孕妇母婴不良妊娠结局的差异。结果 (1)干预组与对照组在年龄、身高、孕前体质量、孕次及产次基线水平差异无统计学意义(均P>0.05)。(2)孕妇妊娠结局:干预组剖宫产率、妊娠期糖尿病(GDM)、妊娠期高血压疾病发生率低于对照组,分别为(37.53%vs.49.54%)、(12.88%vs.17.06%)、(10.75%vs.17.61%),差异有统计学意义(χ~2=31.79、7.44、20.97,均P<0.01)。(3)新生儿结局:新生儿体质量两组差异无统计学意义[(3 352.06±466.49)g vs.(3354.12±422.14)g,t=0.12,P>0.05],但干预组低出生体质量儿、巨大儿及早产发生率低于对照组(1.48%vs.4.40%,5.38%vs.8.44%),(8.80%vs.13.58%),差异有统计学意义(χ~2=26.01、12.42,均P<0.01)。结论孕期系统化营养干预,可以降低妊娠合并症发病率,降低剖宫产率,有效改善母婴不良妊娠结局,提高新生儿的出生质量。
Objective To explore the effect of systematic nutritional intervention during pregnancy on maternal and infant adverse out- comes, provide more scienfic and feasible individualized dietary guideline for pregnant women. Methods A total of 2 169 pregnant women receiving regular prenatal examination and giving birth to their babies in the hospital from January 2012 to August 2013 were selected, then a retrospective cohort study was performed, the pregnant women were divided into intervention group （ 1 079 pregnant women, receiving nu- tritional intervention） and control group （1 090 pregnant women） , the adverse pregnancy outcomes in the two groups were compared. Re- suits There was no statistically significant difference in age, height, prepregnancy weight, gravidity, and parity between the two groups （ all P〉0. 05 ） . The incidence rates of cesarean section, gestational diabetes mellitus （ GDM）, and hypertensive disorder complicating pregnancy （HDCP） in intervention group were 37. 53% , 12. 88%, and 10.75% , respectively, which were statistically significantly lower than those in control group （49. 54%, 17. 06%, and 17.61% ） （X^2 = 31.79, 7.44, 20. 97, all P〈0.01 ） . There was no statistically significant difference in neonatal weight between the two groups [ （3 352.06±466.49） gvs. （3 354.12±422. 14） g, t=0.12, P〉0.05] . The incidence rates of low birth weight infants, macrosomia, and premature birth in intervention group were 1.48% , 5.38% , and 8. 80% , respectively, which were statistically significantly lower than those in control group （4.40% , 8.44% , and 13.58% ） （X^2 =26.01, 12.42, all P〈0.01 ）. Conclusion Systematic nutritional intervention during pregnancy can reduce the incidence rates of pregnancy complications and the rate of cesarean section, effectively improve adverse pregnancy outcomes and birth quality.
出处
《中国妇幼保健》
CAS
2017年第18期4341-4345,共5页
Maternal and Child Health Care of China
基金
基金项目:乌鲁木齐市科技局(Y111310004)
关键词
营养干预
孕妇
新生儿
不良妊娠结局
Nutritional intervention
Pregnant woman
Neonate
Adverse pregnancy outcome
