孕妇营养指导效果评价

The evaluation of effect of pregnant women's nutrition guidance

目的 了解孕妇营养指导对孕妇自身健康及新生儿生长发育的影响。方法 将围产期保健的 1 0 0名孕妇随机分为两组 ,一组为孕妇营养指导组 ,一组为自由进食组。对两组孕妇孕中、晚期摄入的食物种类和数量用上海医科大学 SY-营养分析软件进行分析 ;测定孕妇孕中、晚期的血红蛋白和孕 30周胎儿双顶径、股骨径、腹围 ,新生儿体重、身长进行统计分析。结果 孕妇营养指导组摄入营养素均达到 RNI的 90 %以上 ;自由进食组中热能、蛋白质、钙、铁、锌均达不到 RNI的 80 % ,孕中期两组血红蛋白分别为 (1 0 4 .9± 7.770 3) g/ l、 (1 1 6 .0 4± 6 .5 4 33) g/ l,P<0 .0 1有显著性差异 ;孕中晚期血红蛋白分别为 (1 0 5 .1 2± 8.0 80 3) g/ l、 (1 1 6 .96± 6 .5 74 4 ) g/ l,P<0 .0 1有显著差异 ;孕 32周胎儿双顶径分别为 (7.4 86± 0 .5 98) cm、 (7.974± 0 .3832 ) cm P<0 .0 1 ;股骨径分别为 (5 .838±0 .5 6 1 7) cm、 (6 .2 6 2± 0 .2 1 2 ) cm P<0 .0 1 ;腹围分别为 (7.5 1 8± 0 .5 72 9) cm、 (7.94± 0 .30 9) cm P<0 .0 1 ;新生儿身长分别为 (4 9.76± 1 .3486 ) cm、 (5 1 .6 6± 1 .1 0 4 ) cm P<0 .0 1 ;新生儿体重分别为 (3335 .6± 31 5 .6 5 ) g、 (3774 0± 32 3.6 ) g P<0 .0 1有极显著差?

Objective To investigate the influence of the pregnant womens nutrition guidance on pregnant womens health and neonates growth and development.Methods One hundred pregnant women in periatal care were group 2 at random.one is the group of the pregnant womens nutrition guidance,another is the group of free diet.The kind and number of intaken food in pregnant metaphase and anaphase were analyzed by sy nutrition analysis software of shanghai medical university,respectively.Meanwhile examined hemoglobin of women who were in pregnant metaphase and anaphase,fetal biparietal diameter in pregnant 32w femural length,abdominal circumference,neonates body weights and body length.The results were analyzed by statistics.Results The number of intaken nutrients in the group of the pregnant womens nutrition guidance achieved above 90 precent RNI,whereas in the group of free diet,the number of intaken heat energy,protion,calcium,ferrum and zinc yet didnt achieve 80 percent of RNI.In pregnant metaphase,the hemoglobin of two group was (104 9±7 7703)g/l and (116 04±6 5433)g/l respectively.There was significant difference (P<0 01).In pregant anaphase,the hemoglobin of two group was (105 12±8 0803)g/l and (116 96±6 5744)g/l,respectively.There was significant difference(P<0 01).In pregnant 32w,fetal biparictal length was (7 486±0 578)cm and (7 974±0 3832)cm respectively,femural lengh was (5.838±0.5617)cm and (6.26±0.2127)cm respectively (P<0.01),abdominal circumference was (7.518±0.5729)cm and (7.49±0.309)cm respectively (P<0.01),neonates body length was (3335.6±315.65)g and (37740±323.6)g respectively (P<0.01),body length was (49 76±1 3486)cm and (51 66±1 104)cm respectively (P <0 01 ) There was significant diffence.Conclusion The number of intaken protein,heat energy,constant element calcium,paucity element Ferrum and zinc in pregnant phase is closed with the pregnant womens health and neonates growth and development.