[1]郭 瑞,袁淑婷,杜敏霞.步行运动方案对肥胖孕妇妊娠结局的影响[J].新乡医学院学报,2020,37(9):859-861.[doi:10.7683/xxyxyxb.2020.09.012]
 GUO Rui,YUAN Shuting,DU Minxia.Effect of walking exercise program on pregnancy outcome of obese pregnant women[J].Journal of Xinxiang Medical University,2020,37(9):859-861.[doi:10.7683/xxyxyxb.2020.09.012]
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步行运动方案对肥胖孕妇妊娠结局的影响
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《新乡医学院学报》[ISSN:1004-7239/CN:41-1186/R]

卷:
37
期数:
2020年9
页码:
859-861
栏目:
临床研究
出版日期:
2020-09-05

文章信息/Info

Title:
Effect of walking exercise program on pregnancy outcome of obese pregnant women
作者:
郭 瑞1袁淑婷1杜敏霞2
(1.开封市妇产医院产科,河南 开封 475000;2.新乡医学院护理学院,河南 新乡 453003)
Author(s):
GUO Rui1YUAN Shuting1DU Minxia2
(1.Department of Obstetrics,Kaifeng Maternity Hospital,Kaifeng 475000,Henan Province,China;2.School of Nursing,Xin-xiang Medical University,Xinxiang 453003,Henan Province,China)
关键词:
肥胖妊娠结局步行运动影响
Keywords:
overweightpregnancy outcomewalking exerciseinfluence
分类号:
R589.2
DOI:
10.7683/xxyxyxb.2020.09.012
文献标志码:
A
摘要:
目的 探讨步行运动方案对肥胖孕妇妊娠结局的影响。方法 选择2017年1月至2019年12月于开封市妇产医院定期进行产检并自愿坚持执行步行运动方案的60例肥胖孕妇作为观察组,另选择同期未参与执行步行运动方案的60例肥胖孕妇作为对照组。对照组孕妇进行常规孕前产检,观察组孕妇在对照组的基础上执行步行运动方案。比较2组孕妇母儿结局情况,包括新生儿Apgar评分、新生儿窒息率、巨大儿比率、新生儿体质量、产程时间、产时疼痛评分、剖宫产率、早产率、胎膜早破率、出生孕周及孕妇孕期体质量增加等。结果 观察组和对照组孕妇的剖宫率分别为13.33%(8/60)、28.33%(17/60),观察组孕妇剖宫产率显著低于对照组(P<0.05)。观察组孕妇产程时间短于对照组,产时疼痛评分及孕期体质量增加低于对照组(P<0.05)。观察组巨大儿发生率和新生儿出生体质量均低于对照组(P<0.05);2组新生儿Apgar评分和新生儿窒息率比较差异无统计学意义(P>0.05)。结论 步行方案可有效缓解孕妇孕期体质量的增加,降低孕妇剖宫产率及新生儿并发症发生率。
Abstract:
Objective To explore the effect of walking exercise program on pregnancy outcome of obese pregnant women.Methods Sixty obese pregnant women who had regular obstetric examination in Kaifeng Maternity Hospital from January 2017 to December 2019 and volunteered to participate in and insisted on the walking exercise program were selected as the observation group,and the other 60 obese pregnant women who did not participate in the walking exercise program during the same period were selected as the control group.All pregnant women received conventional pre-pregnancy physical examination,based on this,the pregnant women in the observation group received walking exercise plan.The maternal and infant outcomes including neonatal Apgar score,neonatal asphyxia rate,macrosomia rate,neonatal body weight,labor process time,labor pain score,cesarean section rate,preterm birth rate,premature rupture rate,gestational weeks and maternal weight increase during pregnancy were compared between the two groups.Results The rate of uterine-incision delivery of the observation group and the control group was 13.33%(8/60),28.33%(17/60), respectively,the rate of uterine-incision delivery of pregnant women in the observation group was lower than that in the control group (P<0.05).The labor process time of pregnant women in observation group was significantly shorter than that in the control group,and the labor pain score,cesarean section rate and weight gain during pregnancy were lower than those in the control group(P<0.05).The incidence of macrosomia and the neonatal birth weight in the observation group were lower than those in the control group (P<0.05);there was no significant difference in the Apgar score and neonatal asphyxia rate between the two groups (P>0.05).Conclusion The walking program can effectively alleviate the weight gain of pregnant women,decrease cesarean section rate of pregnant women and the incidence of neonatal complications.

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更新日期/Last Update: 2020-09-05