个体化的健康评估及营养管理在围生期的应用评价 评估个体营养状态的方法有

　　[摘要] 目的 探讨个体化的健康评估及营养管理对围产期结局的影响。 方法 选择2011年1月1日～12月31日在本院进行规范产前检查、孕前无基础疾病并在本院分娩的孕产妇1 203例，其中，进行孕期个体化健康评估及营养管理者485例（研究组），未进行孕期营养咨询者718例（对照组），比较两组围产期并发症发生情况。 结果 研究组妊娠期糖尿病（GDM）﹑妊娠高血压疾病﹑胎膜早破（PROM）﹑贫血等妊娠并发症及产后出血﹑胎儿窘迫﹑新生儿窒息等分娩期并发症明显低于对照组（P ＜ 0.05），且剖宫产率﹑巨大儿发生率较对照组明显降低，两组比较差异有统计学意义（P ＜ 0.05）。 结论 个体化的健康评估及营养管理能明显降低围产期并发症，改善妊娠结局 。
　　[关键词] 个体化；健康评估；营养管理
　　[中图分类号] R714.25 [文献标识码] A [文章编号] 1673-7210（2012）07（a）-0051-03
　　Evaluation of application of individualized health assessment and nutritional management in perinatal stage
　　GONG Hui WU Shiyuan KANG Zhaohai YUAN Jingjin ZHENG Jie XIONG Jing
　　Department of Gynaecology and Obstetrics, Yueyang Maternal and Child Care Service Center, Hu"nan Province, Yueyang 414000, China
　　[Abstract] Objective To investigate the influence of individualized health assessment and nutrition management on perinatal outcomes. Methods 1 203 cases of puerperas without pre-pregnant underlying diseases who received standard prenatal examination and delivered in our hospital from January 1 to December 31, 2011 were selected. Among them, 485 patients (study group) had received pregnant individualized health assessment and nutrition management and 718 (control group) had not received pregnant nutrition counseling. The occurrences of complications of the two groups were compared. Results The study group were significantly lower than the control group in the gestational diabetes mellitus (GDM), gestational hypertensive disorders, premature rupture of membranes (PROM), anemia and other gestational complications, and postpartum hemorrhage, fetal distress, neonatal asphyxia and other intrapartum complications (P 2；按中国成年BMI标准，BMI＜18.5 kg/m2者占17.04％（205例），BMI为18.5～23.9 kg/m2者占69.99％（842例），BMI≥24.0kg/m2者这占12.97％（156例）；进行孕期个体化的健康评估及营养管理者485例（研究组），未进行孕期营养管理者718例（对照组）。两组年龄、孕产次、孕前体重指数比较，差异无统计学意义（P > 0.05），具有可比性。见表1。