不孕症超重/肥胖患者孕前体质量控制情况及影响因素研究

Study on Pre-Pregnancy BMI Control and Influencing Factors in Infertile Women with Overweight/Obesity

目的:调查不孕症超重/肥胖患者孕前体质量控制情况并分析其影响因素,为今后不孕症超重/肥胖患者体质量管理措施提供依据。方法:采用便利抽样的方法选取2019年7月—2020年1月兰州大学第一医院生殖医学中心不孕症患者130例,应用一般资料调查表进行问卷调查,并进行体质量监测,收集体质量控制前后相关数据,采用SPSS 20.0软件分析体质量控制影响因素。结果:获得有效问卷126例。不孕症超重/肥胖患者孕前体质量平均减轻(7.10±4.00)kg,38.89%(49/126)的患者减质量/原始体质量≥10%。多元线性回归分析结果显示,影响不孕症超重/肥胖患者体质量控制效果的主要因素有患者的基础代谢、原始体质量指数(BMI)、超重/肥胖持续时间及体质量控制时间。结论:不孕症超重/肥胖患者孕前体质量控制效果有待提高,需加强体质量控制健康教育,并根据患者基础代谢、超重/肥胖持续时间制定个性化体质量控制方案,提高减重效果,改善妊娠结局。

Objective:To investigate the weight control in infertile patients with overweight/obesity,and to analyze the influencing factors of weight control.Methods:130 patients with infertility within the period from July 2019 to January 2020 from Center for Reproductive Medicine of The First Hospital of Lanzhou University were selected by convenience sampling.The general information questionnaires were adopted.Body masses were monitored.The data of body mass was analyzed by the SPSS 20.0.The factors influencing body mass control were then explored.Results:126 valid questionnaires were received.Body mass of infertile patients with overweight/obese was significantly decreased by(7.10±4.00)kg when compared with the weight before treatment,and the decreased range of body mass≥10%in 49 patients(49/126,38.89%).The multivariate linear regression analysis showed that the primary factors influencing the body mass control were patients′basal metabolism,original body mass index(BMI),duration of overweight/obesity and body mass control time.Conclusions:The body mass control of overweight/obese patients with infertility before pregnancy should be improved.The individualized body mass control schemes are based on the patients′basal metabolism and duration of overweight/obesity,as well as health education,so as to improve the pregnancy outcomes of infertile patients with overweight/obesity.