控制孕期饮食与体重对预防巨大儿的临床意义

Clinical Significance of Controlling Diet and Body Weight during Pregnancy in the Prevention of Macrosomia

目的:探析控制孕期饮食与体重对预防巨大儿的临床意义。方法:选取在某院接受检查发现妊娠的孕妇80例作为研究对象,采用随机数字表法将其分为研究组和参照组,每组40例。参照组按常规方式,不给予饮食和体重控制措施,研究组则在孕期进行合理的饮食指导和体重控制,观察并比较两组孕妇的妊娠结局。结果:研究组产前体重增加及产前BMI增加值均显著低于参照组,且差异具有统计学意义(P<0.05);研究组剖宫产率和巨大儿发生率分别为17.50%和5.00%,对照组剖宫产率和巨大儿发生率分别为37.50%和20.00%,研究组明显低于参照组,且差异具有统计学意义(P<0.05)。结论:在孕妇围产期给予孕期饮食指导和体重控制措施,可以有效地预防巨大儿,具有较高的临床推广价值。

Objective:To explore the clinical significance of controlling diet and body weight during pregnancy in the prevention of macrosomia.Methods:80 cases of pregnant women treated in a hospital were selected as the research object and divided into research group and control group by using the method of random number table,with 40 cases in each group.In the control group,diet and weight control measures were not given according to the conventional way,and the research group was given reasonable diet guidance and weight control during pregnancy,then the pregnancy outcomes of pregnant women of two groups were observed and compared.Results:The prenatal weight gain and prenatal BMI increase in the research group were significantly lower than those in the control group,and the differences were statistically significant(P <0.05);The incidence of cesarean section and macrosomia in the research group were 17.50% and 5% respectively,and the incidence of cesarean section and macrosomia in the control group were 37.50% and 20% respectively.The incidence of cesarean section and macrosomia of research group were significantly lower than those of control group,and the differences were statistically significant(P<0.05).Conclusion:Diet guidance and weight control measures for pregnant women during perinatal period can effectively prevent macrosomia and have high clinical value.