摘要 目的 探讨孕期个体化膳食指导,对体重指数正常孕妇妊娠结局及新生儿结局的影响。 方法 采用回顾性队列研究方法,分析2013年1月-2014年8月在乌鲁木齐市妇幼保健院定期产检并结束分娩的体重指数正常孕妇1 490名,比较营养干预组(n=711)与对照组(n=779)孕妇的妊娠结局。 结果 ①孕妇妊娠结局:干预组的剖宫产率、妊娠糖尿病发生率、及子痫前期轻度、重度发生率均小于对照组(38.0% vs. 53.7%;11.7% vs. 15.9%;7.5% vs. 13.5%;1.5% vs. 3.2%),差异均有统计学意义(P<0.05)。②新生儿结局:干预组新生儿Apgar评分高于对照组(9.71±0.64 vs. 9.53±0.94);干预组低出生体重儿、巨大儿发生率及早产、胎儿窘迫发生率低于对照组(1.8% vs. 5.0%;4.4% vs. 8.3%;8.7% vs. 13.4%;4.8% vs. 8.7%)差异均有统计学意义(P<0.05)。 结论 对体重指数正常的孕妇给予妊娠期个体化膳食干预,可以有效改善不良妊娠结局的发生,提高了新生儿的出生质量。
Abstract：Objective To explore the effect of individualized nutrition intervention on the gestational and neonatal outcomes of pregnant women with normal body mass index (BMI). Methods A retrospective cohort study was conducted to analyze 1,490 normal BMI pregnant women who accepted routine prenatal examination and delivered their babies in the Department of Obstetrics, Maternal and Child Health Hospital of Urumqi from January 2013 to August 2014. The gestational outcomes were compared between the nutrition intervention group (n=711) and the control group (n=779). Results The incidence rates of cesarean section, gestational diabetes mellitus (GDM), mild and severe preeclampsia in the nutrition intervention group were all lower than those in the control group(38.0% vs. 53.7%, 11.7% vs. 15.9%, 7.5% vs. 13.5%, 1.5% vs. 3.2%), showing statistically significant differences (all P<0.05). The neonatal Apgar score was higher in the intervention group than in the control group ((9.71±0.64) vs. (9.53±0.94)). The incidence rates of low birth weight infants, giant infants, preterm labor and fetal distress were all lower in the nutrition intervention group than in the control group (1.8% vs. 5.0%, 4.4% vs. 8.3%, 8.7% vs. 13.4%, 4.8% vs. 8.7%), with statistically significant differences (all P<0.05). Conclusions Implementing individualized nutritional intervention among pregnant women with normal BMI can effectively improve the adverse pregnancy outcomes and the birth quality of newborns.
姚雪梅,丁桂凤,王倩,杨蕾,张国珍. 个体化营养干预对体重指数正常孕妇妊娠结局的影响[J]. 实用预防医学, 2017, 24(4): 462-464.
YAO Xue-mei, DING Gui-feng, WANG Qian, YANG Lei, ZHANG Guo-zhen. Effect of individualized nutritional intervention on pregnancy outcomesof pregnant women with normal body mass index. , 2017, 24(4): 462-464.
2017, Vol. 24 
