杨丽英

[摘要] 目的 研究孕期体重监测在高龄妊娠孕妇全程护理中的应用效果及意义。 方法 选取2015年7月～2016年9月我院收治的62例高龄妊娠孕妇纳为研究对象，依据随机原则分为对照组（n=31）与研究组（n=31），对照组孕期全程护理过程中未监测并且未控制体重，研究组孕期全程护理过程中监测体重，同时予以饮食与运动干预，比较两组体重增长情况、分娩方式、妊娠并发症发生率及胎儿结局。 结果 研究组体重增长超标率3.23%、妊娠并发症发生率6.45%、胎儿不良结局率0.00%，明显低于对照组25.81%、35.48%、12.90%，且经阴道分娩率77.42%，明显高于对照组51.61%（P<0.05）。 结论 在高龄妊娠孕妇全过程护理中进行孕期体重监测，依据监测结果给予饮食与运动指导，能有效控制孕妇体重，减小剖宫产率以及妊娠并发症发生率，改善胎儿结局。

[关键词] 体重监测；高龄妊娠孕妇；全程护理；应用

[中图分类号] R473.71 [文献标识码] A [文章編号] 2095-0616（2017）10-121-03

Application of pregnancy weight monitoring in the whole-course nursing of older pregnant women

YANG Liying

Shenzhen Maternal and Child Health Care Hospital，Shenzhen 518028，China

[Abstract] Objective To study the effects and significance of pregnancy weight monitoring in the whole-course nursing of older pregnant women. Methods A total of 62 older pregnant women admitted to the hospital during July 2015 to September 2016 were enrolled in the study.According to the random principle，they were divided into control group （n=31） and study group （n=31）.The control group were not monitored during whole-course nursing and the weight was not controlled while the study group were monitored and given diet and exercise intervention.State of weight gain，delivery mode，the incidence of pregnancy complications and fetal outcomes were compared between the two groups. Results The over standard rate of weight gain，incidence of pregnancy complications andadverse fetal outcomes were significantly lower in the study group than the control group （3.23%，6.45%，0.00% vs 25.81%，35.48%，12.90%） while the rate of vaginal delivery was significantly higher than the control group （77.42% vs 51.61%）（P<0.05）. Conclusion Application of pregnancy weight monitoring in the whole-course nursing of older pregnant women and diet and exercise guidance given ccording to the monitored results can effectively control the maternal weight，reduce the rate of cesarean section and the incidence of pregnancy complications，and improve fetal outcomes.

[Key words] Weight monitoring；Older pregnant women；Whole-course nursing；Application

高龄妊娠孕妇主要指年龄达到35岁的产妇，因为产妇高龄生产，故承担的风险也更加大，若在全程护理过程中未进行体重的管理，则很容易产生各类基础性疾病，其中主要是肥胖[1]。过度肥胖属于孕妇与胎儿主要高危因素，情况严重时甚至危及母儿生命。在肥胖发病率日益提升的今天，妊娠孕妇超重或者肥胖已经成为影响全世界孕产妇以及新生儿结局主要因素。相关研究显示，在全程护理中进行孕期体重监测，能为高龄孕妇体重管理提供有效指导，对控制孕妇体重，改善孕妇与胎儿结局具有重要意义[2-3]。本研究以62例高龄妊娠孕妇作为研究对象，研究孕期体重监测在高龄妊娠孕妇全程护理中的应用效果，现报道如下。

1 资料与方法

1.1 一般资料

抽取2015年7月～2016年9月我院收治的62例高龄妊娠孕妇作为研究对象，所有孕妇均接受全程护理，年龄≥35岁，并且临产前B超诊断与产科检查显示无产科禁忌症；……