超重及肥胖孕妇开展孕期体重管理对母婴结局的影响分析

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【摘要】目的：超重及肥胖初产妇接受孕期体重管理的价值探究。方法：收录研究对象180例，均收录于2019年1月—2022年1月期间，均为超重及肥胖初产妇，建档后进行规范性分组，分别为对照组（常规检查和干预措施）与观察组（个体化医学营养干预指导）。统计两组的干预效果差异。结果：干预后，观察组孕期体重增长范围更小及孕中、晚期体重增长速度更慢，不良母婴结局发生率更低，血脂指标更具优势（P

【关键词】初产妇；孕前体重指数；孕期体重管理；母婴结局

Analysis of the influence of weight management during pregnancy on maternal and infant outcomes in overweight and obese pregnant women

ZHENG Weina1， YANG Yi1， ZOU Qintong1， QIN Baoling1， DONG Yajuan1， WANG Shuyu2 1.Beijing Fengtai Maternal and Child Health Hospital， Beijing 100069， China； 2.Beijing Obstetrics and Gynecology Hospital， Capital Medical University， Beijing 100026， China

【Abstract】Objective：To explore the value of weight management during pregnancy for overweight and obese primiparas.Methods：A total of 180 subjects were included，all of whom were overweight and obese primiparas from January 2019 to January 2022.After filing，they were classified into the control group （routine examination and intervention measures） and the observation group （individualized medical nutrition intervention guidance）.The difference of intervention effects between the two groups was statisticallyanalyzed.Results：After intervention，in the observation group，the range of weight increase during pregnancy was smaller and the rate of weight increase in the middle and late pregnancy were slower，the incidence of adverse maternal and infant outcomes was lower，and the blood lipid index was more advantageous（P

【Key？Words】Primiparia； Pre-pregnancy body mass index； Weight management during pregnancy； Maternal and infant outcomes

对于孕前体重指数（BMI）异常孕妇和孕期体重增加过快的孕妇而言，妊娠期高血压、妊娠期糖尿病等并发症的发生率比正常孕妇更高，且会对母婴健康产生长期的影响，也会大大增加妊娠不良结局的发生率[1]。（剩余3753字）