步行运动联合营养干预对肥胖孕妇体重和妊娠结局的影响

Effect of walking exercise combined with nutritional intervention on weight and pregnancy outcome of obese pregnant women

目的分析步行运动联合营养干预对肥胖孕妇体重和妊娠结局的影响,探讨其临床应用价值。方法选取本院2018年1月至2018年6月收治的180例肥胖孕妇为研究对象,采用随机数表法将其分为观察组和对照组,每组各90例。所有孕妇均给予营养干预,观察组孕妇增加步行运动训练。比较两组孕妇体重变化、妊娠并发症发生率、妊娠结局和新生儿结局。结果两组孕妇妊娠高血压、妊娠糖尿病发生率比较差异均无统计学意义(均P>0.05)。观察组孕妇孕期体重增加、产时疼痛评分、剖宫产率和新生儿出生体重、巨大儿比率均显著低于对照组(均P<0.05),产程时长显著短于对照组(P<0.05)。结论步行运动联合营养干预能够有效控制肥胖孕妇孕期体重增加,对降低剖宫产率、新生儿出生体重、巨大儿风险均有着积极意义,是一种安全有效的孕期干预方案,值得推广。

Objective To analyze the effect of walking exercise combined with nutritional intervention on weight and pregnancy outcome of obese pregnant women, and to explore its clinical value. Method 180 cases of obese pregnant women admitted to our hospital from January 2018 to June 2018 were divided into observation group and control group by random number table method, 90 cases in each group. All pregnant women were given nutritional intervention, and pregnant women in observation group increased walking exercise training. The weight change, the incidence of pregnancy complications, pregnancy outcomes and neonatal outcomes were compared between the two groups. Result There were no significant differences in the incidence of gestational hypertension and gestational diabetes mellitus between the two groups (all P > 0.05). The weight gain, pain score and cesarean section rate of preg nant women and the neonatal weight and the macrosomia rate in observation group were lower than those of control group (all P < 0.05), duration of labor was significantly shorter than that of control group (P < 0.05). Conclusion Walking exercise combined with nutritional intervention can effectively control the increase of weight in obese pregnant women during pregnancy, and it has positive significance in reducing the rate of cesarean section, neonatal weight and macrosomia risk. It is a safe and effective intervention program and worth promoting.