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目的探讨定期孕前检查联合步行运动方案对肥胖孕妇妊娠结局及新生儿指标的影响。方法选取2013年2月-2015年2月于该院定期复查的肥胖孕妇150例,根据首次孕检时是否进行步行运动,按照随机数字表法分为对照组(74例)和试验组(76例)。对照组实施常规的定期孕前检查,试验组在对照组基础上实施步行锻炼。比较两组孕妇的妊娠结局和新生儿指标。结果试验组孕期体重增加(9.5±2.1)kg,低于对照组的10.6±2.4 kg(t=2.990,P=0.003);试验组剖宫产率为13.2%,明显低于对照组的28.4%(χ~2=5.298,P=0.021);试验组的产时疼痛评分为(6.1±1.6)分,低于对照组的(7.3±2.3)分(t=3.718,P<0.001);试验组的产程时长为(13.2±5.3)h,低于对照组的(16.4±6.6)h(t=3.278,P=0.001)。试验组的新生儿出生体重为(3.3±0.8)kg,明显低于对照组的(3.8±1.2)kg(t=3.010,P=0.003);试验组巨大儿3例,明显低于对照组的13例(χ~2=7.299,P=0.007)。结论定期孕前检查联合步行运动方案可明显改善肥胖孕妇妊娠结局及降低巨大儿比例。
Objective To investigate the effect of regular pre-pregnancy examination combined with walking program on pregnant outcome and newborns in obese pregnant women. Methods 150 obese pregnant women who were regularly reviewed in our hospital from February 2013 to February 2015 were divided into control group (74 cases) and experimental group (76 cases) according to the random number table according to whether walking exercise was performed during the first pregnancy test. example). Control group routine routine pre-pregnancy examination, the experimental group in the control group based on the implementation of walking exercise. Pregnancy outcomes and neonatal indices were compared between the two groups. Results The body weight of the test group during pregnancy was (9.5 ± 2.1) kg, which was lower than that of the control group (10.6 ± 2.4 kg, t = 2.990, P = 0.003). The cesarean section rate in the test group was 13.2% (χ ~ 2 = 5.298, P = 0.021). The labor-hour pain score in the test group was (6.1 ± 1.6) points lower than that in the control group (t = 3.718, P <0.001) The duration of labor was (13.2 ± 5.3) h, which was lower than that of the control group (16.4 ± 6.6) h (t = 3.278, P = 0.001). The birth weight of neonates in the experimental group was (3.3 ± 0.8) kg, which was significantly lower than that in the control group (3.8 ± 1.2) kg (t = 3.010, P = 0.003) 13 cases (χ ~ 2 = 7.299, P = 0.007). Conclusion Regular pre-pregnancy examination combined with walking program can significantly improve the pregnancy outcome of obese pregnant women and reduce the proportion of giant children.