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目的探讨对初孕妇在孕中晚期实施系统运动及饮食干预的临床效果。方法选取2014年1月至2015年1月在宁晋县妇幼保健院定期行孕期检查直至分娩的124例初孕妇作为研究对象,按照随机投掷方法将其分为干预组与对照组,各62例。对照组孕妇定期行常规孕期检查,干预组孕妇在对照组基础上实施系统运动及饮食干预,比较两组孕妇产时出血量、分娩方式、产程时间及分娩疼痛程度。结果干预组孕妇出血量明显少于对照组,自然分娩率明显高于对照组,剖宫产率明显低于对照组,差异均有统计学意义(均P<0.05);干预组孕妇第1产程、总产程时间均明显短于对照组,差异均有统计学意义(均P<0.05);干预组孕妇Ⅰ度与Ⅱ度分娩疼痛率均明显高于对照组,Ⅲ度与Ⅳ度疼痛率均明显低于对照组,差异均有统计学意义(均P<0.05)。结论孕中晚期对初孕妇实施系统运动及饮食干预,在一定程度上可以提高自然分娩率、缓解分娩过程中的疼痛程度、缩短总产程,对孕妇与胎儿的健康具有重要作用。
Objective To investigate the clinical effect of early pregnant women in the second trimester of pregnancy on exercise and diet intervention. Methods From January 2014 to January 2015 in Ningjin County Maternal and Child Health Hospital regular check-up during pregnancy until delivery of 124 early pregnant women as the research object, according to random throwing method is divided into intervention group and control group, each 62 cases . The pregnant women in the control group were routinely checked during pregnancy. The pregnant women in the intervention group were given systemic exercise and diet intervention on the basis of the control group. The amount of bleeding during delivery, mode of delivery, labor duration and labor pain were compared between the two groups. Results The amount of bleeding in pregnant women in the intervention group was significantly less than that in the control group, and the rate of spontaneous delivery was significantly higher in the intervention group than in the control group. The cesarean section rate was significantly lower than that in the control group (all P <0.05) , And the duration of labor was significantly shorter than that of the control group (all P <0.05). The pain rates of the first and second degree of labor in the intervention group were significantly higher than those in the control group, the third and fourth degree pain rates Significantly lower than the control group, the difference was statistically significant (P <0.05). Conclusions Systemic exercise and diet intervention for first trimester women during the second and third trimester of pregnancy can improve the rate of natural childbirth to a certain extent, relieve the pain during labor and shorten the total labor, which plays an important role in the health of pregnant women and fetus.