孕期个体化营养指导对妊娠结局的影响
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摘要
目的:探析对孕妇采用孕期个体化营养指导对妊娠结局的影响。方法:选取2015年11月-2018年1月在笔者所在医院建立孕产妇保健手册的350例孕妇,将其随机分为对照组与观察组,各175例。观察组为自愿接受孕期个体化营养指导的产妇,对照组则在妊娠期间仅接受常规妊娠知识宣教与产科门诊的常规孕检等。对两组孕妇妊娠期间的体重增长情况、妊娠合并症、分娩方式(自然分娩、剖宫产)进行详细记录,同时对比两组孕妇的妊娠结局。结果:观察组妊娠期间体质量平均增长(12.89±2.13)kg,对照组则为(16.17±2.03)kg,观察组增重正常的孕妇比例显著高于对照组,而增重过少与过多的孕妇比例则显著低于对照组(P<0.05);观察组妊娠期间糖尿病发生率为6.28%,贫血发生率为5.14%,对照组分别为24.00%、22.29%(P<0.05);观察组自然分娩率显著高于对照组,剖宫产率显著低于对照组,两组相比差异有统计学意义(P<0.05)。结论:孕妇妊娠期间采用孕期个体化营养指导,可显著提升孕妇孕期体重的合理增长率,降低妊娠合并症的发生率,提高自然分娩,具有极高的指导价值,值得临床借鉴实施。
Objective:To explore the effect of individualized nutrition instruction on pregnancy outcome.Method:350 pregnant women who established maternal health manual in our hospital from November 2015 to January 2018,Randomly divided into the control group and the observation group,175 cases in each group.The observation group received individualized nutrition instruction during pregnancy,the control group received only routine pregnancy knowledge education and routine pregnancy examination at obstetrical outpatient.The weight gain during pregnancy,the incidence of pregnancy complications,the mode of delivery(natural delivery,cesarean section) were recorded of the two groups.At the same time,pregnancy outcomes were compared of the two groups.Result:The percentage of normal weight gain in the observation group of(12.89±2.13)kg was significantly higher than(16.17±2.03)kg of the control group,the normal weight gain proportion of pregnant women was significantly higher than that of the control group,the too little or too much weight gain proportion of pregnant women was significantly lower than the control group,there was significant difference between the two groups(P<0.05).The incidence of diabetes during pregnancy in the observation group was 6.28%,and the incidence of anemia was 5.14%,the control group was 24.00% and 22.29%,there were significant differences between the two groups(P<0.05).The rate of natural delivery in the observation group was significantly higher than the control group,and the incidence of caesarean section was significantly lower than the control group,there was significant difference between the two groups(P<0.05).Conclusion:Individualized nutrition instruction during pregnancy can significantly increase the reasonable growth rate of pregnancy weight,reduce the incidence of pregnancy complications and adverse pregnancy outcome,and improve the incidence of natural delivery,it has high guiding value,it is worth clinical reference and implementation.
Objective:To explore the effect of individualized nutrition instruction on pregnancy outcome.Method:350 pregnant women who established maternal health manual in our hospital from November 2015 to January 2018,Randomly divided into the control group and the observation group,175 cases in each group.The observation group received individualized nutrition instruction during pregnancy,the control group received only routine pregnancy knowledge education and routine pregnancy examination at obstetrical outpatient.The weight gain during pregnancy,the incidence of pregnancy complications,the mode of delivery(natural delivery,cesarean section) were recorded of the two groups.At the same time,pregnancy outcomes were compared of the two groups.Result:The percentage of normal weight gain in the observation group of(12.89±2.13)kg was significantly higher than(16.17±2.03)kg of the control group,the normal weight gain proportion of pregnant women was significantly higher than that of the control group,the too little or too much weight gain proportion of pregnant women was significantly lower than the control group,there was significant difference between the two groups(P<0.05).The incidence of diabetes during pregnancy in the observation group was 6.28%,and the incidence of anemia was 5.14%,the control group was 24.00% and 22.29%,there were significant differences between the two groups(P<0.05).The rate of natural delivery in the observation group was significantly higher than the control group,and the incidence of caesarean section was significantly lower than the control group,there was significant difference between the two groups(P<0.05).Conclusion:Individualized nutrition instruction during pregnancy can significantly increase the reasonable growth rate of pregnancy weight,reduce the incidence of pregnancy complications and adverse pregnancy outcome,and improve the incidence of natural delivery,it has high guiding value,it is worth clinical reference and implementation.
引文
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[12]林静,靳军.风险预警评估管理模式在高危妊娠产妇管理中的应用体会[J].中医药管理杂志,2017,25(5):118-120.
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[14]陈兰芳.个性化营养指导在妊娠糖尿病患者产前护理中的效果研究[J].临床医学工程,2014,21(12):1642-1643.
[15]王青,陈凤娣,郝加虎.优质护理服务模式指导下护理干预措施对腹腔镜治疗异位妊娠孕妇疼痛的影响[J].中国现代医生,2013,51(1):79-81.
[2]和云丽.初产妇孕期体重管理及助产士连续护理模式对妊娠结局和护理质量影响分析[J/OL].实用妇科内分泌杂志:电子版,2018,5(22):63,65.
[3]方海燕.健康教育护理营养指导对产妇妊娠结局的影响分析[J/OL].实用临床护理学电子杂志,2018,3(29):186.
[4]金微微,张佳佳.优质护理模式在妊娠高血压综合征产妇产后出血护理中的影响[J].中国医学创新,2018,15(19):89-92.
[5]霍淑萍.连续性护理对妊娠糖尿病患者血糖控制及妊娠结局的影响[J].河南医学研究,2018,27(2):367-368.
[6]向华居,王琳云.妊娠高血压治疗中Peplau人际关系理论指导下情绪护理干预效果[J].中国继续医学教育,2018,10(6):150-153.
[7]宋洋.应用休克指数预测异位妊娠破裂患者失血量及指导急救与护理的临床价值分析[J].中国现代药物应用,2018,12(4):51-52.
[8]石莹,董芳芳,王雪竹,等.优质护理服务模式指导下护理干预措施对腹腔镜治疗异位妊娠孕妇疼痛的影响[J/OL].实用妇科内分泌杂志:电子版,2017,4(23):161,163.
[9]张晶,康春梅.细致化护理对妊娠高血压综合征病人产前焦虑和产后生活质量的影响[J].护理研究,2017,31(21):2664-2665.
[10]黄彩云.试析连续护理对妊娠期糖尿病(GDM)患者妊娠结局的干预效果[J].糖尿病新世界,2017,20(12):97-98.
[11]郑燕飞.医学指导下的护理干预对妊娠晚期肝功能异常患者妊娠结局的影响[J].世界华人消化杂志,2017,25(8):732-737.
[12]林静,靳军.风险预警评估管理模式在高危妊娠产妇管理中的应用体会[J].中医药管理杂志,2017,25(5):118-120.
[13]曾超超.跨理论模型的心理护理对妊娠期糖尿病患者妊娠压力的干预研究[D].承德:承德医学院,2017.
[14]陈兰芳.个性化营养指导在妊娠糖尿病患者产前护理中的效果研究[J].临床医学工程,2014,21(12):1642-1643.
[15]王青,陈凤娣,郝加虎.优质护理服务模式指导下护理干预措施对腹腔镜治疗异位妊娠孕妇疼痛的影响[J].中国现代医生,2013,51(1):79-81.