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目的通过病例对照研究,分析孕期综合干预对肥胖孕妇体质量指数(BMI)与母婴预后的影响。方法以2015年1月-2015年12月间在金山医院住院的首次受孕肥胖孕妇166例为研究对象,随机分为干预组和常规组,每组84例,其中常规组执行常规产检检查,而干预组则在常规组基础上执行孕期综合干预措施,对两组对象的体质量指数变化及母婴预后情况进行分析。结果干预组每周体重增加、总体重增加以及每周BMI增加、总BMI增加均低于常规组(P<0.05);干预组剖宫产、妊娠期高血压疾病率显著低于常规组;干预组新生儿窒息率和巨大儿率显著低于常规组(P<0.05)。结论对肥胖孕妇进行孕期综合干预可以改善母婴预后,能够有助于提高产科质量,值得临床推广运用。
Objective To analyze the effect of comprehensive pregnancy intervention on body mass index (BMI) and maternal and infant prognosis in obese pregnant women through case-control study. Methods One hundred and sixty-six pregnant women were enrolled in Jinshan Hospital from January 2015 to December 2015. The subjects were randomly divided into intervention group and conventional group, with 84 cases in each group, of whom routine routine examination was performed, Intervention group was carried out in the conventional group based on comprehensive intervention during pregnancy, body mass index changes in both groups of subjects and maternal and child prognosis were analyzed. Results The body weight gain, total body weight gain and weekly BMI increase in intervention group were lower than those in routine group (P <0.05). The incidence of cesarean section and gestational hypertension in intervention group was significantly lower than that in routine group Group neonatal asphyxia and macrosomia rates were significantly lower than the conventional group (P <0.05). Conclusion The comprehensive pregnancy intervention for obese pregnant women can improve the prognosis of maternal and infant, which can help to improve the quality of obstetrics and is worthy of clinical application.