本文選題：孕期增重 + 孕期體重管理�。� 參考：《成都體育學(xué)院》2017年碩士論文

【摘要】：孕婦孕期體重增長(zhǎng)過(guò)快、增長(zhǎng)過(guò)多成為當(dāng)今社會(huì)普遍存在的問(wèn)題,也直接導(dǎo)致許多不良妊娠結(jié)局的發(fā)生。孕期體重適宜增長(zhǎng)對(duì)促進(jìn)胎兒生長(zhǎng)發(fā)育、減少產(chǎn)婦分娩并發(fā)癥、促進(jìn)產(chǎn)后母體恢復(fù)及子代遠(yuǎn)期健康都極為重要。為了保證孕期體重穩(wěn)定、科學(xué)地增長(zhǎng),應(yīng)進(jìn)行孕期體重管理。孕期體重管理包括孕期營(yíng)養(yǎng)管理、運(yùn)動(dòng)管理及良好生活方式的管理三個(gè)方面,其通過(guò)對(duì)孕婦孕期營(yíng)養(yǎng)、運(yùn)動(dòng)及生活方式進(jìn)行干預(yù),使孕期體重增長(zhǎng)在與其身高、基礎(chǔ)體重相符,讓孕婦有更好的妊娠結(jié)局,讓嬰兒的出生體重在合理區(qū)間。孕期合理的飲食能有效控制孕期體重已被證實(shí),筆者擬通過(guò)本研究,探討孕期運(yùn)動(dòng)對(duì)控制孕期體重的作用,以及孕期體重對(duì)分娩方式及胎兒體重的影響。并在此過(guò)程中,研發(fā)強(qiáng)度適宜、安全可行的孕期運(yùn)動(dòng)。本文主要采用了實(shí)驗(yàn)法、數(shù)據(jù)分析法、文獻(xiàn)資料法、觀察法等研究方法,隨機(jī)抽取在四川省婦幼保健院建卡、定期產(chǎn)檢的孕婦200名為實(shí)驗(yàn)對(duì)象,以她們的孕期體重管理為研究對(duì)象。隨機(jī)將孕婦分為干預(yù)組和對(duì)照組。干預(yù)組在常規(guī)產(chǎn)檢的基礎(chǔ)上同時(shí)接受營(yíng)養(yǎng)科的營(yíng)養(yǎng)規(guī)劃及產(chǎn)科的孕期生活指導(dǎo),并定期在四川省婦幼保健院參加孕期運(yùn)動(dòng)20次以上。同時(shí),將干預(yù)組根據(jù)孕前BMI的不同情況,分為3個(gè)組別,對(duì)這三個(gè)組別的孕婦施以不同的運(yùn)動(dòng)時(shí)間、頻率及略有區(qū)別的運(yùn)動(dòng)強(qiáng)度。對(duì)照組在常規(guī)產(chǎn)檢的基礎(chǔ)上只接受營(yíng)養(yǎng)科的營(yíng)養(yǎng)規(guī)劃及產(chǎn)科的孕期生活指導(dǎo),不參與四川省婦幼保健院的孕期運(yùn)動(dòng)。實(shí)驗(yàn)結(jié)束后,將實(shí)驗(yàn)對(duì)象的年齡、身高、孕前體重、分娩時(shí)體重、分娩方式、嬰兒出生體重及孕期體重階段性增長(zhǎng)情況進(jìn)行匯總,并采用SPSS17.0統(tǒng)計(jì)軟件分析數(shù)據(jù),計(jì)量資料以均數(shù)±標(biāo)準(zhǔn)差(±S)表示,兩組計(jì)量資料比較采用t檢驗(yàn),兩組率的比較采用檢驗(yàn)。以P0.05表示差異有統(tǒng)計(jì)學(xué)意義。研究表明:1.干預(yù)組里孕前正常和低BMI的孕婦孕期體重增加在推薦范圍內(nèi)。2.干預(yù)組里孕前正常BMI的孕婦順產(chǎn)率最高。3.干預(yù)組里嬰兒出生體重98%在正常區(qū)間。4.干預(yù)組分娩前體重和孕期體重增長(zhǎng)低于對(duì)照組。5.干預(yù)組嬰兒出生體重在正常區(qū)間的比例高于對(duì)照組。6.干預(yù)組順產(chǎn)比例高于對(duì)照組。
[Abstract]:Too fast weight gain during pregnancy has become a common problem in today's society, which directly leads to the occurrence of many adverse pregnancy outcomes. Appropriate weight gain during pregnancy is very important for promoting fetal growth and development, reducing parturient complications, promoting postpartum maternal recovery and long-term health of offspring. In order to ensure stable weight and scientific growth during pregnancy, weight management during pregnancy should be carried out. The weight management during pregnancy includes nutrition management during pregnancy, exercise management and good lifestyle management. By intervening in the nutrition, exercise and lifestyle of pregnant women, the weight gain during pregnancy is consistent with their height and basic weight. Let pregnant women have better pregnancy outcome, let the baby's birth weight in a reasonable range. It has been proved that a reasonable diet during pregnancy can effectively control the weight during pregnancy. The author intends to explore the effect of exercise during pregnancy on the control of weight during pregnancy and the influence of weight during pregnancy on the delivery mode and fetal weight. And in this process, research and development intensity is appropriate, safe and feasible pregnancy exercise. In this paper, 200 pregnant women who were randomly selected from Sichuan Maternal and Child Health Hospital to build cards and regular birth tests were selected as experimental objects by means of experimental method, data analysis method, literature method, observation method and so on. Their weight management during pregnancy was studied. Pregnant women were randomly divided into intervention group and control group. On the basis of routine birth examination, the intervention group received nutrition planning from nutrition department and guidance of life during pregnancy in obstetrics department, and regularly participated in pregnancy exercise more than 20 times in Sichuan Maternal and Child Health Hospital. At the same time, the intervention group was divided into three groups according to the different conditions of pre-pregnancy BMI. The pregnant women in these three groups were given different exercise time, frequency and slightly different exercise intensity. On the basis of routine birth examination, the control group only received nutrition planning of nutrition department and guidance of life during pregnancy in obstetrics, and did not participate in pregnancy movement of Sichuan Maternal and Child Health Hospital. At the end of the experiment, the age, height, weight before pregnancy, weight during delivery, delivery mode, birth weight and pregnancy weight of the subjects were summarized, and the data were analyzed by SPSS17.0 software. The measurement data were expressed as mean 鹵standard deviation (鹵S). T test was used to compare the two groups of metrological data and test was used to compare the rates of the two groups. The difference was statistically significant with P0.05. The study shows that 1: 1. Pregnancy weight gain in the intervention group with normal pre-pregnancy and low BMI was within the recommended range. Pregnant women with normal BMI before pregnancy in the intervention group had the highest rate of spontaneous delivery. 3. In the intervention group, 98% of the birth weight of the baby was in the normal range. 4. The weight gain before delivery and during pregnancy in the intervention group was lower than that in the control group. The proportion of birth weight in normal range in intervention group was higher than that in control group. The proportion of spontaneous labor in intervention group was higher than that in control group.
【學(xué)位授予單位】：成都體育學(xué)院
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R715.3

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本文編號(hào)：1910542