“互联网+”孕期体重管理对妊娠结局影响的研究

来源:用户上传      作者:徐晓梅 李文华

　　[摘要]目的探运用全程健康管理系统平台的“互联网+”孕妇妊娠期体重管理对妊娠结局的影响。方法将2019年1月至2020年8月在成都大学附属医院建卡并分娩符合纳入标准的400例孕妇，按随机数字表法分为对照组（200例，采用常规产检进行体重管理）和试验组（200例，采用全程健康管理系统平台的“互联网+”模式进行体重管理）。对两组孕妇健康教育满意度、体重管理的依从性、孕期体重增加情况及妊娠结局进行比较。结果试验组健康教育满意度、体重管理的依从性均优于对照组，体重增长正常例数高于对照组，妊娠期高血压疾病、妊娠期糖尿病等妊娠并发症发生率低于对照组，顺产率也明显提高，新生儿巨大儿发生率低于对照组，差异均有统计学意义（ P <0.05）。结论孕期运用“互联网+”体重管理有较高的满意度和依从性，可有效控制孕妇体重，降低妊娠并发症和新生儿并发症的发生率，从而改善妊娠结局，保障母婴安全，值得临床推广使用。
　　[关键词]互联网+;孕期;体重管理;妊娠结局
　　[中图分类号] R715.3 [文献标识码] A [文章编号]2095-0616（2022）09-0115-04
　　Study on the influence of "Internet+" pregnancy weight management on pregnancy outcome
　　XU Xiaomei LI Wenhua
　　1.Nursing Department， the Affiliated Hospital of Chengdu University， Sichuan， Chengdu 610081， China;2. Department of Obstetrics and Gynecology， the Affiliated Hospital of Chengdu University， Sichuan， Chengdu 610081， China [Abstract] Objective To explore the effect of "Internet+" pregnancy weight management using the whole health management system platform on pregnancy outcome. Methods According to the random number table method， a total of 400 cases who had registered in the Affiliated Hospital of Chengdu University from January 2019 to August 2020 and delivered in compliance with inclusion criteria were randomly divided into control group （200 cases， weight management by routine prenatal examination） and experimental group （200 cases， weight management by "Internet+" mode of the whole health management system platform）. The satisfaction of health education， compliance of weight management， weight gain during pregnancy and pregnancy outcome were compared between the two groups. Results The satisfaction of health education and compliance of weight management in the experimental group were better than those in the control group. The number of normal weight gain was higher than that of the control group， the incidence of pregnancy complications such as gestational hypertension and gestational diabetes was lower than that of the control group， the rate of vaginal birth was also significantly increased， and the incidence of macrosomia was lower than that of the control group， the differences were statistically significant （P <0.05）. Conclusion The application of "Internet+" pregnancy weight management has a high degree of satisfaction and compliance， can effectively control the weight of pregnant women， reduce the incidence of pregnancy complications and neonatal complications， thus improving the pregnancy outcome and ensuring the safety of mothers and infants， which is worthy of clinical promotion and use.

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