微信在孕晚期指导孕产妇营养膳食的摄入与新生儿体重的关系分析(1)
【摘要】 目的：探討微信在孕晚期指导孕产妇营养膳食的摄入与新生儿体重的关系。方法：选取2014年7月-2016年7月于本院做产前检查的285例孕晚期孕妇作为研究对象。按随机数字法分为微信组和对照组，微信组143例，采用腾讯开发的微信通讯工具经公众号发布食谱、孕期保健知识等对孕妇进行膳食指导及营养管理；对照组142例按常规的孕期管理模式进行孕期保健。结果：微信组孕晚期能量、脂肪和蛋白质的摄入量较对照组低，钙的摄入量较对照组高；能量、脂肪和蛋白质摄入量与新生儿出生体重呈正相关(r=0.247、0.231、0.403，P<0.05)；微信组孕期体重增加(13.62±2.74)kg，对照组孕期体重增加(16.83±3.65)kg，差异有统计学意义(P<0.05)。微信组新生儿出生平均体重为3364.37 g，新生儿出生体重<2500 g者6例，超过4000 g者10例；对照组新生儿出生平均体重为3014.72 g，新生儿出生体重<2500 g者15例，超过4000 g者21例。两组新生儿出生体重比较，差异有统计学意义(P<0.05)。微信组剖宫产率17.48%，对照组为33.80%，差异有统计学意义(P<0.05)。微信组巨大儿和贫血发生率分别6.99%、9.09%，均较对照组的14.79%、23.94%低，差异均有统计学意义(P<0.05)。结论：微信指导孕产妇在孕晚期合理摄入膳食营养，合理控制孕产妇晚期体重增长，提高孕产妇孕期保健认知，降低剖宫产率，减少巨大儿发生率，改善妊娠结局。
【关键词】 微信； 营养膳食； 新生儿体重
【Abstract】 Objective：To explore the relationship between the intake of nutritional diet and the neonatal weight of WeChat in pregnant women.Method：A total of 285 cases of pregnant women were selected from July 2014 to July 2016 in our hospital as the research objects.They were randomly divided into the control group and WeChat group，WeChat group(n=143)，the public release of recipes，knowledge of health care during pregnancy for diet and nutrition management for pregnant women with WeChat communication tools developed by Tencent.The control group(n=142) according to the conventional management mode of prenatal care during pregnancy.Result：WeChat group in late pregnancy energy，fat and protein intake were lower than those of the control group，calcium intake was higher than that of the control group，energy，fat and protein intake were positively correlated with birth weight(r=0.247，0.231，0.403，P<0.05).WeChat group weight gain during pregnancy was (13.62±2.74)kg，the control group pregnancy weight increase (16.83±3.65)kg，the difference was statistically significant(P<0.05).WeChat group was born an average weight of 3364.37 g，6 cases of neonatal birth weight<2500 g，10 cases of more than 4000 g.The control group average birth weight was 3014.72 g，15 cases of neonatal birth weight<2500 g，21 cases of more than 4000 g，the difference was statistically significant (P<0.05).The cesarean section rate of WeChat group was 17.48%，and the control group was 33.80%，the difference was statistically significant(P<0.05).The incidence of fetal and anemia of WeChat group were 6.99% and 9.09%，the control group were 14.79% and 23.94%，and the differences were statistically significant(P<0.05).Conclusion：WeChat guidance of pregnant women in late pregnancy and reasonable intake of dietary nutrition，reasonable control of late maternal weight gain，improve maternal health awareness，reduce the incidence of cesarean，reduce the incidence of fetal macrosomia rate，improve pregnancy outcome., http://www.100md.com(钟小燕)
【关键词】 微信； 营养膳食； 新生儿体重
【Abstract】 Objective：To explore the relationship between the intake of nutritional diet and the neonatal weight of WeChat in pregnant women.Method：A total of 285 cases of pregnant women were selected from July 2014 to July 2016 in our hospital as the research objects.They were randomly divided into the control group and WeChat group，WeChat group(n=143)，the public release of recipes，knowledge of health care during pregnancy for diet and nutrition management for pregnant women with WeChat communication tools developed by Tencent.The control group(n=142) according to the conventional management mode of prenatal care during pregnancy.Result：WeChat group in late pregnancy energy，fat and protein intake were lower than those of the control group，calcium intake was higher than that of the control group，energy，fat and protein intake were positively correlated with birth weight(r=0.247，0.231，0.403，P<0.05).WeChat group weight gain during pregnancy was (13.62±2.74)kg，the control group pregnancy weight increase (16.83±3.65)kg，the difference was statistically significant(P<0.05).WeChat group was born an average weight of 3364.37 g，6 cases of neonatal birth weight<2500 g，10 cases of more than 4000 g.The control group average birth weight was 3014.72 g，15 cases of neonatal birth weight<2500 g，21 cases of more than 4000 g，the difference was statistically significant (P<0.05).The cesarean section rate of WeChat group was 17.48%，and the control group was 33.80%，the difference was statistically significant(P<0.05).The incidence of fetal and anemia of WeChat group were 6.99% and 9.09%，the control group were 14.79% and 23.94%，and the differences were statistically significant(P<0.05).Conclusion：WeChat guidance of pregnant women in late pregnancy and reasonable intake of dietary nutrition，reasonable control of late maternal weight gain，improve maternal health awareness，reduce the incidence of cesarean，reduce the incidence of fetal macrosomia rate，improve pregnancy outcome., http://www.100md.com(钟小燕)