天津护理

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个体化营养干预在妊娠期铁缺乏孕妇中的应用

原晓华1   刘鹏2   贾红1   耿志洁1   

  1. (1.天津市第三中心医院,天津 300170;2.天津市河东区疾病预防控制中心)
  • 出版日期:2020-06-28 发布日期:2020-06-28
  • 基金资助:
    天津市护理学会2017年度科研课题(tjhlky201770103)

Study on application of individualized nutrition prevention in pregnant women with iron deficiency

YUAN Xiaohua1, LIU Peng2, JIA Hong1, GENG Zhijie1   

  1. (1.Tianjin Third Central Hospital, Tianjin 300170; 2.Hedong District Center for Disease Control and Prevention in Tianjin)
  • Online:2020-06-28 Published:2020-06-28

摘要: 目的:探讨个体化营养干预方案对妊娠期铁缺乏孕妇的影响。方法:采用随机对照试验方法,将患有妊娠期铁缺乏的孕妇分为干预组和对照组各35例。干预组采用个体化营养干预方案,包括营养档案的建立、膳食调查与监测和开具营养处方等。对照组采用常规健康教育方法。分别于孕<12周、孕20周、孕28周和36周评估孕妇血红蛋白、血清铁蛋白、平均红细胞体积和孕期体重增长情况以及新生儿出生体重。结果:干预组的血红蛋白、平均红细胞体积和血清铁蛋白指标均优于对照组;干预组孕妇平均体重增长少于对照组,体重增长达标率高于对照组,差异均有统计学意义(P<0.05)。结论:个体化营养干预方案能够有效改善妊娠期铁缺乏孕妇铁营养相关指标,且对孕期合理增重有较好影响。

关键词: 妊娠期, 铁缺乏, 个体化, 营养干预

Abstract: Objective: To investigate the effect of individualized nutrition intervention program on pregnant women with iron deficiency. Methods: The study used the method of random control. The pregnant women were divided into intervention group and control(35 cases in each group).The intervention group adopted individualized nutrition intervention program, including the establishment of nutrition archives, dietary survey and monitoring, and nutrition prescription, while conventional health education methods was given in control group.Hemoglobin, serum ferritin (SF), mean red blood cell volume(MCV), pregnancy weight and newborn weight were investigated and compared at less than 12 weeks, 20 weeks, 28 weeks and 36 weeks of gestation. Results: The hemoglobin, MCV and SF in the intervention group were better than those in the control group, the average weight gain of pregnant women was less, and the good control rate of weight gain was higher(P<0.05). Conclusion: Individualized nutrition intervention program can effectively improve the indicators of pregnant women with iron deficiency, and has a good influence on reasonable weight gain during pregnancy.

Key words: Gestation period, Iron deficiency, Individualized, Nutrition intervention