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目的调查江阴市孕妇孕期营养现状及对妊娠结局的影响。方法选择2014年5月-2016年1月在江阴市人民医院进行分娩的124例孕妇作为研究对象,根据随机数表法将所有孕妇分为对照组和干预组,每组62例。对照组孕妇进行常规产检和孕期营养教育,而干预组孕妇在对照组基础上,由专业的营养师制定个性化的营养干预措施。考察孕妇对营养基础知识的掌握程度,测量孕妇摄入的体内的营养物质及微量元素含量,并对比分析两组产妇和新生儿结局。结果干预组孕妇对营养基础知识的掌握程度明显高于对照组,两组比较,差异具有统计学意义(P<0.05);与对照组相比,干预组孕妇能量、蛋白质和钠的摄入量明显下降,而其他营养摄入量显著升高,且差异均具有统计学意义(P<0.05);干预组孕妇的妊娠结局明显优于对照组,两组比较,差异具有统计学意义(P<0.05)。结论对孕妇孕期内进行针对性的营养支持有助于改善妊娠结局,提高孕妇和新生儿的生存质量,为临床制定营养方案提供理论支持。
Objective To investigate the nutritional status of pregnant women during pregnancy in Jiangyin and its effect on pregnancy outcome. Methods A total of 124 pregnant women who gave birth in Jiangyin People’s Hospital from May 2014 to January 2016 were selected as study subjects. All pregnant women were divided into control group and intervention group according to random number table method, with 62 cases in each group. The pregnant women in the control group were given regular antenatal examinations and nutritional education during pregnancy. The pregnant women in the intervention group were given personalized nutrition interventions by professional dietitians on the basis of the control group. To investigate the mastery of pregnant women on the basics of nutrition, nutrition intake of pregnant women to measure the content of nutrients and trace elements, and comparative analysis of the two groups of maternal and neonatal outcomes. Results The level of mastery of nutrition knowledge of pregnant women in the intervention group was significantly higher than that of the control group, the difference was statistically significant (P <0.05). Compared with the control group, the intake of energy, protein and sodium (P <0.05). The pregnancy outcome of pregnant women in the intervention group was significantly better than that of the control group. There was significant difference between the two groups (P <0.05), and the differences were statistically significant (P < 0.05). Conclusions The targeted nutritional support during pregnancy can help to improve the pregnancy outcome, improve the quality of life of pregnant women and newborn, and provide theoretical support for the clinical development of nutritional programs.