行为生活方式与妊娠结局的相关研究

The relationship between behavioral lifestyle and pregnancy outcome

目的探究行为生活方式与妊娠结局的关联。方法选取1000例行定期孕检并建立回访档案的孕妇,根据随机数字表法分为对照组与试验组,每组500例。对照组采取常规产前检查及孕期指导,试验组采取行为生活综合指导干预。回访所有研究对象的妊娠结局,并采用单因素及多因素Logistic回归模型分析不同行为生活方式与不良妊娠结局的关联。结果干预后试验组各不良妊娠结局(APO)发生率均显著低于对照组(P<0.05),总不良妊娠结局低于对照组(P<0.05);Logistic回归分析显示:睡眠质量差、频繁精神紧张及低迷、噪音暴露、高脂饮食、缺乏锻炼是APO的显著风险因素(P<0.05)。结论睡眠质量差、频繁精神紧张及低迷、噪音暴露、高脂饮食、缺乏锻炼会显著增加APO的发生风险,而营养饮食指导及干预、有氧运动锻炼指导及健康知识宣教与身心行为干预能显著降低APO发生风险。

Objective To explore the relationship between behavioral lifestyle and pregnancy outcome.Methods 1000 pregnant women who underwent regular pregnancy examination and established follow-up records were selected and divided into control group and research group according to random number table method,with 500 cases in each group.The control group received routine prenatal examination and pregnancy guidance,and the experimental group received comprehensive behavior and life guidance intervention.The pregnancy outcomes of all subjects were followed up,and univariate and multifactor Logistic regression models were used to analyze the relationship between different behavioral lifestyles and adverse pregnancy outcomes.Results After intervention,the incidence of all adverse pregnancy outcomes(APO)in experimental groups was significantly lower than that in control group(P<0.05),and the total adverse pregnancy outcomes in experimental groups were significantly lower than that in control group(P<0.05).Logistic regression analysis showed that poor sleep quality,frequent mental stress and depression,noise exposure,high fat diet and lack of exercise were significant risk factors for APO(P<0.05).Conclusion Poor sleep quality,frequent mental stress and depression,noise exposure,high fat diet and lack of exercise can significantly increase the risk of APO,while nutritional diet guidance and intervention,aerobic exercise guidance,health education and physical and mental behavior intervention can significantly reduce the risk of APO.