个体化营养管理对妊娠高血压疾病高风险孕妇围生期结局的影响(1)
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[摘要] 目的 探讨个体化的营养管理对妊娠高血压疾病高风险孕妇围生期结局的影响。 方法 选择2011年1月～2012年2月在我院规范产前检查且经妊娠高血压疾病风险筛查为高风险孕妇157例，按照孕妇意愿进行营养管理67例(观察组)，按常规孕期保健但未进行营养管理90例(对照组)，比较两组孕妇妊娠结局及围生儿结局。 结果 观察组孕妇妊娠高血压疾病、妊娠期糖尿病、妊娠期贫血、胎膜早破发生率明显低于对照组(P < 0.05)，早产、胎儿窘迫，观察组新生儿窒息发生率低于对照组，差异有统计学意义(P < 0.05)，观察组剖宫产分娩低于对照组(P < 0.05)。 结论 个体化的孕期营养管理能改善妊娠高血压疾病高风险孕妇的围生期结局，值得推广。
[关键词] 个体化营养管理；妊娠高血压；围生期
[中图分类号] R714 [文献标识码] A [文章编号] 1673-7210(2012)08(c)-0031-03
Influence of individualized nutritional management on the perinatal outcomes of the pregnancies in pregnancy hypertensive disorders high-risk
HOU Xiangping WU Shiyuan YUAN Jinjin KANG Zhaohai XIONG Jing
Department of Obstetrics and Gynecology, Maternity and Child Health Hospital of Yueyang City in Hu'nan Province, Yueyang 414000, China
[Abstract] Objective To study the influence of individualized nutritional management to the perinatal outcomes of pregnancy hypertensive disorders in high-risk pregnancies. Methods 157 cases of the pregnancies in pregnancy hypertensive disorders high-riskare selected, who was regulated prenatal diagnosis in our hospital from January 2011 to February 2012; in accordance with the wishes pregnant woman had 67 cases to be given nutrition manage as the study group, the rest of the 90 cases which not routine prenatal diagnosis as the control group; pregnancy outcome and perinatal of two groups outcome were compared. Results The incidence of hypertension, gestational diabetes, anemia in pregnancy, premature rupture of membranes in study group were significantly lower than that of the control group (P < 0 ......
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