全部 标题 作者
关键词 摘要

OALib Journal期刊
ISSN: 2333-9721
费用:99美元

查看量下载量

相关文章

更多...
-  2017 

孕妇孕期体重指数变化与妊娠结局的相关性研究 Relationship Between Body Mass Index and Pregnancy Outcome in Pregnant Women

Keywords: 体重指数,超重,肥胖,剖宫产

Full-Text   Cite this paper   Add to My Lib

Abstract:

目的:探讨孕妇孕前体重指数(BMI)、孕期体重增重现状与妊娠结局的关系,为孕期体重管理提供科学依据。方法:选择2013年5月至2015年2月我院产科住院分娩的初产妇457例作为研究对象。收集研究对象的一般资料,按照标准进行孕前体重指数分组,孕期增重分组,比较不同组别妊娠结局的差异。结果:457名孕妇孕前超重与肥胖有177人(38.73%),孕期增重过多120人(26.26%);平均年龄(26.99±5.89)岁,平均孕周为(39.27±1.43)周,不同孕前体重指数分组的孕妇年龄、孕周差异无统计学意义,P>0.05;肥胖组的妊娠期高血压综合征发生率(15.79%)、巨大儿发生率(14.04%)最高,体重过低组的低出生体重儿发生率(8.33%)最高,不同孕前BMI孕妇妊娠期高血压综合征、巨大儿、低出生体重儿发生率差异具有统计学意义,P<0.05;增重过多组妊娠期高血压综合征发生率(16.28%)、巨大儿发生率(10.85%)、剖宫产发生率(20.16%)最高,增重不足组低出生体重儿发生率最高(6.20%),不同孕期增重孕妇妊娠期高血压综合征、巨大儿、低出生体重儿、剖宫产发生率差异具有统计学意义,P<0.05。结论:孕前及孕期体重与妊娠结局密切相关,控制孕前体重、孕期体重增重在合理的范围内,对减少不良妊娠有着重要的意义

References

[1]  杨延冬,杨慧霞.美国2009年足月单胎妊娠妇女孕期增重指南的临床适宜性探讨[J].中华妇产科杂志,2012,47(9):646-650.Yang YD,Yang HX.Investigation into the clinical suitability of institute of medicine 2009guidelines regarding weight gain during pregnancy for women with full term singleton fetus in China[J].Chin J Obstet Gynecol,2012,47(9):646-650.
[2]  Fisher SC,Kim SY,Sharma AJ,et al.Is obesity still increasing among pregnant women?Prepregnancy obesity trends in 20states,2003-2009[J].Prev Med,2013,56(6):372-378.
[3]  Xi B,Liang Y,He T,et al.Secular treads in the prevalence of general and abdominal obesity among Chinese adults,1993-2009[J].Obes Rev,2012,13(3):287-296.
[4]  Robinson HE,O'Connell CM,Joseph KS,et al.maternal outcomes in pregnancies complicated by obesity[J].Obstet Gynecol,2005,106(6):1 357-1 364.
[5]  Weiss JL,Malone FD,Emig D,et al.Obesity,obstetric complications and cesarean delivery rate:a population based screening study[J].Am J Obstet Gynecol,2004,190:1 091-1 097.
[6]  杨青,王立新,果崇慧,等.孕前肥胖者孕期增重对妊娠结局的影响[J].临床军医杂志,2011,39(1):46-48.Yang Q,Wang LX,Guo CH,et al.Influence of prepregnancy obese and pregnancy weight gain on pregnancy outcomes[J].Clin J Med Offi,2011,39(1):46-48.
[7]  中国肥胖问题工作组.中国成人超重与肥胖症预防与控制指南(节录)[J].营养学报,2004,26(1):1-4.Group of China Obesity Task Force.Guidelines for prevention and control of overweight and obesity in Chinese adults[J].Acta Nutrimenta Sinica,2004,26(1):1-4.
[8]  De Escobar GM,Obregon MJ,Del Rey FE.Maternal thyroid hormone early in pregnancy and fetal brain development[J].Best Pract Res Clin Endocrinol Metab,2004,18(2):225-248.
[9]  谢志红,苏海,张倩萍,等.妊娠高血压综合征患者远期高血压患病率的调查[J].中华高血压杂志,2008,16(3):261-263.Xie ZH,Su H,Zhang QP,et al.The investigation on long-term hypertension prevalence of PIH in women[J].Chin J Hypertension,2008,16(3):261-263.
[10]  Ray JG,Diamond P,Singh G,et al.Brief overview of maternal triglycerides as a risk factor for pre-eclampsial[J].BJOG,2006,113(4):379-386.

Full-Text

Contact Us

service@oalib.com

QQ:3279437679

WhatsApp +8615387084133