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Position: Home > Articles > 营养干预体重管理对孕前超重孕产妇脂、糖代谢及妊娠结局的影响 Food and Nutrition in China 2019 (5)

营养干预体重管理对孕前超重孕产妇脂、糖代谢及妊娠结局的影响

作  者：
王贺红;廖金兰;卢家凯
单  位：
首都医科大学燕京医学院附属大兴医院
关键词：
营养干预;体重管理;孕前超重;脂;糖代谢;妊娠结局
摘  要：
目的:研究孕前超重孕产妇进行营养干预体重管理,对其脂、糖代谢及妊娠结局的影响.方法:选择2016年6月-2017年5月在本院立卡并分娩的136例孕前超重孕产妇作为研究对象,其中进行营养干预体重管理者设为干预组(70例),采取常规护理者设为对照组(66例).比较两组的血脂水平、整个孕期的增长体重、血糖水平、妊娠结局、胎儿结局、并发症.结果:孕36周时,干预组的TG、TC、LDL、HDL显著低于对照组,差异均有统计学意义(P<0. 01).对照组整个孕期的增长体重显著大于干预组,差异具有统计学意义(P<0. 01).干预组GDM发生率(24. 29%)显著低于对照组GDM发生率(37. 88%),差异具有统计学意义(P<0. 05).干预组剖宫产率、巨大儿率显著低于对照组,对照组阴道分娩率、正常儿率显著低于干预组,差异均有统计学意义(P<0. 05).干预组并发症率为12. 86%,与对照组并发症率19. 69%比较,差异无统计学意义(P>0. 05).结论:对孕前超重孕产妇进行营养干预体重管理,可有效控制其妊娠期间的脂、糖代谢紊乱及体重增加,从而减少剖宫产率,促进母婴良性结局.
作  者：
WANG He-hong;LIAO Jin-lan;LU Jia-kai;People's Hospital of Beijing Daxing District;Beijing Anzhen Hospital,Capital Medical University;
单  位：
WANG He-hong%LIAO Jin-lan%LU Jia-kai%People's Hospital of Beijing Daxing District%Beijing Anzhen Hospital,Capital Medical University
关键词：
nutritional intervention;;weight management;;overweight on pre-Pregnancy;;fatand glucose metabolism;;gestation outcome
摘  要：
【Objective】 To study the effect of nutritional intervention weight management on fat,glucose metabolism and pregnancy outcome in overweight gravida on pre-pregnancy. 【Method】 A total of 136 overweight maternity women on pre-pregnancy delivering in our hospital from June 2016 to May 2017 were selected as the study objects. Women treated with nutritional intervention weight management were set as the intervention group( 70 cases). The rest treated with conventional care were set as the control group( 66 cases). Blood lipid level,growth weight throughout the pregnancy,blood glucose level,pregnancy outcome,fetal outcome and complications were compared between the two groups. 【Result】 At 36 weeks of gestation,TG,TC,LDL and HDL in the intervention group were significantly lower than those in the control group,and the differences were statistically significant( P < 0. 01). The growth weight of the control group during the whole pregnancy was significantly bigger than that of the intervention group,and the difference was statistically significant( P<0. 01). The incidence of GDM in the intervention group was 24. 29%,which was significantly lower than that of the control group( 37. 88%),the difference was statistically significant( P<0. 05). The cesarean section rate and the macrosomia rate in the intervention group were significantly lower than those in the control group. The vaginal delivery rate and the normal rate in the control group were significantly lower than those in the intervention group,and the differences were statistically significant( P<0. 05). The complication rate was 12. 86% in the intervention group and 19. 69% in the control group,with no statistical significance( P>0. 05). 【Conclusion】 Performing nutrition intervention weight managementto overweight gravida on pre-pregnancy can effectively control the lipid and glucose metabolism during pregnancy and weight increase,thereby reduce the cesarean section rate and promote maternal and child benign outcome.

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