杨淑妙 邓秋艳 李桂宝 高凌云 许爱娣

[摘要] 目的 评价孕期体重控制联合计划分娩的应用效果。 方法 选取我院2012年6月～2013年10月收治的符合病例选择条件的孕产妇308例作为研究对象，根据干预方法不同分为两组，对照组141例实行常规孕期检查及指导，研究组167例除常规孕期检查指导外，实行孕期体重控制联合计划分娩进行干预。对比两组的妊娠结局、分娩并发症、妊娠期体重增加、产程时间及产妇对护理工作的满意度。 结果 研究组的不良妊娠结局（剖宫产、胎儿窘迫等）发生率明显低于对照组（P<0.05）；两组胎盘早剥发生率差异无统计学意义（P>0.05），研究组的分娩并发症（产后出血、宫内感染、软产道损伤）发生率均低于对照组（P<0.05或P<0.01）；研究组妊娠期体重增加较对照组少（P<0.01）；研究组第一、二、三产程时间及总产程时间较对照组短（P<0.01）；研究组产妇满意度得分较对照组高（P<0.05）。结论 孕期体重控制联合计划分娩的应用能有效改善妊娠结局，缩短产程，同时还可提升护理工作质量。

[关键词] 孕期体重控制；计划分娩；妊娠结局；产程时间

[中图分类号] R715.3 [文献标识码] A [文章编号] 1674-4721（2016）02（b）-0086-04

Application effect of pregnancy weight control combined with programed delivery

YANG Shu-miao DENG Qiu-yan LI Gui-bao GAO Ling-yun XU Ai-di

Department of Obstetrics，Yingde People′s Hospital in Guangdong Province，Yingde 513000，China

[Abstract] Objective To evaluate the application effect of pregnancy weight control combined with programed delivery. Methods 308 pregnant woman meeting the case selection criteria received by our hospital from June 2012 to October 2013 were selected as study object and were divided into two groups according to different intervention method.141 cases in control group were conducted with routine pregnant examination and guidance，167 cases in study group were conducted with pregnancy weight control combined with programed delivery apart from routine pregnant examination and guidance.Pregnancy outcome，delivery complications，weight gain in pregnancy，time of delivery and satisfaction degree for nursing work in maternal between two groups was compared respectively. Results Incidence rate of adverse pregnancy outcome （cesarean delivery，fatal distress and so on） in study group was significantly lower than that of control group （P<0.05）.The incidence rate of placental abruption between two groups had no statistical difference （P>0.05）.The incidence rate of delivery complication （postpartum hemorrhage，intrauterine infection and soft birth canal laceration） in study group was lower than that of control group （P<0.05 or P<0.01）.Weight gain in pregnancy in study group was obviously less than that of control group （P<0.01）.The first stage，second stage，third stage and total stage of delivery in study group was shorter than that of control group （P<0.01）.Maternal satisfaction degree score for nursing work in study group was higher than that of control group （P<0.05）. Conclusion Pregnancy weight control combined with programed delivery can effectively improve pregnancy outcome，shorten stage of delivery and enhance the quality of nursing work.

[Key words] Pregnancy weight control；Programed delivery；Pregnancy outcome；Stage of delivery time

随着人们生活水平的不断提高，妇女孕期营养也逐渐得到加强，巨大胎等不良妊娠结局出现的比例也逐步增高[1]，为此，临床采取各种各样的措施进行干预[2]，使人们对孕期保健知识有了新的认识，孕妇体重的正常增加及分娩的安全性也逐渐得到重视。本研究对孕产妇进行孕期体重控制联合计划分娩进行干预，与常规孕期指导的孕产妇比较，获得较好的临床效果，现报告如下。

1 资料与方法

1.1 一般资料

选取我院2012年6月～2013年10月收治的符合病例选择条件的孕产妇308例，根据干预方法不同分为两组，对照组141例：年龄（25.49±9.03）岁，身高（158.95±22.67）cm，孕次（1.22±0.53）次，生育史：经产妇96例（68.09%），45例（31.91%），文化程度：小学及初中55例（39.01%），初中以上86例（60.99%）；研究组167例……