营养指导对体重过重孕妇妊娠结局影响

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1、现代医学2015，Oct;43(10):1238-1241·1238·ModernMedicalJournal·论著·营养指导对体重过重孕妇妊娠结局的影响汤琳琳，徐友娣(南京医科大学附属南京医院，南京市第一医院妇产科，江苏南京210006)［摘要］目的:探讨营养指导对体重过重孕妇妊娠结局的影响。方法:回顾性分析384例在我院进行围产期常规检查、接受个体化孕期营养指导并分娩孕妇的临床资料，分析体重过重孕妇经营养指导后的妊娠结局。结果:营养指导后，仅有部分体重过重孕妇能达到较理想的体重增长;孕妇孕前体质指数越

2、高，其产前体重达标率越低。孕前体重正常而孕中期产前检查发现体重增加过快的孕妇，经营养指导后产前体重达标率较高，且有良好的妊娠结局;孕前超重或肥胖孕妇经营养指导后产前体重达标率偏低，不良妊娠结局多。结论:营养指导对孕前体质指数正常而孕期体重增加过快的孕妇效果较好。超重或肥胖妇女应在孕前将体重减轻至正常范围以期得到最好的妊娠结局。［关键词］营养指导;体质指数;妊娠结局［中图分类号］Ｒ714．7［文献标识码］A［文章编号］1671-7562(2015)10-1238-04doi:10．3969/j．issn．1

3、671-7562．2015．10．009EffectsofnutritionalguidanceonpregnancyoutcomesinoverweightpregnantwomenTANGLin-lin，XUYou-di(DepartmentofObstetricsandGynecology，NanjingFirstHospital，NanjingMedicalUniversity，Nanjing210006，China)［Abstract］Objective:Toinvestigatetheeffe

4、ctsofnutritionalguidanceonthepregnancyoutcomeinoverweightpregnantwomen．Methods:Theclinicaldataof384pregnantwomeninourhospitalwhohadreceivedtheperinatalroutinecheck，theindividualizednutritionalguidanceanddeliveredwereanalyzedandtheoutcomeofpregnancyforover

5、weightpregnantwomenafternutritionguidancewasanalyzedalso．Ｒesults:Afternutritionalguidance，onlypartoftheoverweightpregnantwomencouldachievetheidealweightgain．Thepre-pregnancybodymassindexofpregnantwomenwashigher，theirprenatalweighttargetratewaslower．Thepre

6、gnantwomenwhowerenormalpre-pregnancyweightbutinthemidpregnancyhadrapidincreasedweighthadthehigherantenatalweighttargetrateandgotthegoodpregnancyoutcomesafternutritionalguidance．However，thoseoverweightorobesepregnantwomenhadlowercontrolrateandmoreadversepr

7、egnancyoutcomes．Conclusion:Thenutritionalguidancehasabettereffectonthepregnantwomenwithnormalpre-pregnancybodymassindexandquicklyincrementalweightduringpregnancy．Theoverweightorobesewomenshouldloseweighttothenormalrangebeforepregnancyinordertoachievethebe

8、stpregnancyoutcomes．［Keywords］nutritionalguidance;bodymassindex;pregnancyoutcomes［收稿日期］2015-04-13［修回日期］2015-06-28［作者简介］汤琳琳(1986-)，女，江苏南通人，住院医师，医学硕士。E-mail:381267670@qq．com［通信作者］徐友娣E-mail:1217720475@qq．com［引文格式］汤琳琳，徐