标题：孕期综合干预对肥胖孕妇体质量指数与母婴预后的影响

      作者：陈红希
    (柳州市鹿寨县妇幼保健院，广西 柳州 545600)

      卷次： 2014年25卷1期

      【摘要】 目的 探讨孕期综合干预对肥胖孕妇体质量指数与母婴预后的影响。方法 选择124例首次受孕
的肥胖孕妇，随机分为观察组和对照组，每组62例，对照组仅进行常规的产检检查，观察组在对照组基础上进行
孕期综合干预，比较两组孕妇体质量指数变化、母婴预后情况。结果 观察组总体重增加、每周体重增加以及总
BMI增加、每周BMI增加均低于对照组(P<0.05)；妊高征、GDM、剖宫产发生率明显低于对照组(P<0.05)；巨大儿、
新生儿窒息发生率明显低于对照组(P<0.05)。结论 孕期综合干预可改善肥胖孕妇母婴预后，提高产科质量，值
得临床推广。

      【关键词】 孕期综合干预；肥胖孕妇；体质量指数；母婴预后

      【中图分类号】 R714.12 【文献标识码】 A 【文章编号】 1003—6350（2014）01—0089—03


Effect of prenatal comprehensive intervention on body mass index of obese pregnant women and perinatal
outcome.
CHEN Hong-xi. Department of Obstetrics and Gynecology, Luzhai County Maternal and Child Health Hospital
of Liuzhou, Liuzhou 45600, Guangxi, CHINA

【Abstract】 Objective To investigate the effect of prenatal comprehensive intervention on body mass index
of obese pregnant women and perinatal outcome. Methods A total of 124 obese pregnant women for the first time
were randomly divided into observation group and control group, with 62 cases in each group. Control group were
only given prenatal routine examination, and observation group were given comprehensive intervention during preg-
nancy on the base of control group. The maternal body weight change, maternal and neonatal outcomes of two
groups were compared. Results Ihe increase in total weight, weekly weight, total BMI, weekly BMI were lower than
those in the control group (P<0.05); pregnancy-induced hypertension syndrome, GDM, cesarean section incidence
were significantly lower than those in control group (P<0.05); fetal macrosomia, neonatal asphyxia incidence were sig-
nificantly lower the control group (P<0.05). Conclusion Prenatal comprehensive intervention can improve the mater-
nal and neonatal prognosis of obese pregnant women, and improve the quality of the Department of Obstetrics.

      【Key words】 Comprehensive intervention during pregnancy; Obesity pregnant women; Body mass index; Ma-
ternal and neonatal outcomes