孕中后期中低等强度有氧运动对高龄孕妇产前生活质量和母婴结局的影响探讨

doi:10.3969/j.issn.1000-8535.2020.05.015

广州医药 ›› 2020, Vol. 51 ›› Issue (5): 66-70.DOI: 10.3969/j.issn.1000-8535.2020.05.015

孕中后期中低等强度有氧运动对高龄孕妇产前生活质量和母婴结局的影响探讨

黄文宇, 林永汉, 熊小英

中山市博爱医院(中山 528400)

收稿日期:2020-01-21 出版日期:2020-09-20 发布日期:2021-11-28
通讯作者: 熊小英,E-mail: 13923350195@139.com
基金资助:
中山市社会发展攻关计划(医疗)项目(2018B1077)

Study on the influences of medium or low stength aerobics during 2^nd and 3^rd trimester on life quality and pregnant outcome of elderly pregnant women

HUANG Wenyu, LIN Yonghan, XIONG Xiaoying

BOAI Hospital of Zhongshan,Zhongshan 528400,China

Received:2020-01-21 Online:2020-09-20 Published:2021-11-28

摘要/Abstract

摘要： 目的探讨孕中后期中低等强度有氧运动对高龄孕妇产前生活质量和母婴结局的影响。方法选2017年8月—2018年12月我院接收的560名高龄孕妇作为研究对象,随机分成数量相等的两组。对照组采取常规孕期保健服务和健康教育,观察组则在此基础上增加孕中后期中低等有氧运动的干预,问卷法调查两组孕妇的抑郁情况、睡眠质量、产前生活质量,并比较两组孕妇的母婴结局。结果 χ²检验结果显示,研究组对象平均每周运动次数≥3次及平均每次运动时间≥30 min的比例高于对照组(P=0.001)。研究组对象的EPDS抑郁分值和SRSS睡眠质量分值均低于对照(P=0.006)。研究组对象产前GQOLI-74生活质量问卷中生活质量总得分高于对照组(P=0.000 1)。研究组对象的妊娠糖尿病、妊娠高血压、难产率、巨大儿发生率均低于对照组(P=0.039),但自然分娩率高于对照组(P=0.004)。结论以瑜伽、慢走或散步为主的中低强度的有氧运动可能有助于提供高龄孕妇的产前生活质量,预防妊娠疾病和不良母婴结局,在临床上具有一定的推广意义。

关键词: 孕中后期, 中低等强度有氧运动, 高龄孕妇, 产前生活质量, 母婴结局

Abstract: Objective To study the influences of medium or low strength aerobics during 2^nd and 3^rd trimester on life quality and pregnant outcome of elderly pregnant women. Methods To select 560 elderly pregnant women in our hospital during August 2017 to December 2018 as the objects of this study. Objects were divided into control group which was given routine pregnant health services and study group which was given medium or low strength aerobicsduring 2^nd and 3^rd trimester excluding in addition. Questionnaires were used for collecting messages of depression, sleeping, life quality of objects. Pregnant outcome were compared of two groups by Chi-square test in this study. Results The ratio of average aerobics more than 3 times per week and average time more than 30min each time of study group were higher than control group(P=0.001). The scores of EPDS and SRSS of study group were lower than control group(P=0.006). The scores of GQOLI-74 of study group were higher than control group(P=0.000 1). The ratio of pregnant diabetes mellitus, pregnant hypertension, dystocia, fetal macrosomia of study group were lower than control group(P=0.039) but the ratio of eutocia was higher than control group(P=0.004). Conclusion The medium or low strength aerobics such as Yoga, taking a walk may improve pregnant life quality of elderly pregnant women and prevent pregnancy disease and abnormal pregnant outcome that deserved to promote in clinic.

Key words: 2^nd and 3^rd trimester, Medium or low strength aerobics, Elderly pregnant women, Life quality, Pregnant outcome

黄文宇, 林永汉, 熊小英. 孕中后期中低等强度有氧运动对高龄孕妇产前生活质量和母婴结局的影响探讨[J]. 广州医药, 2020, 51(5): 66-70.

HUANG Wenyu, LIN Yonghan, XIONG Xiaoying. Study on the influences of medium or low stength aerobics during 2^nd and 3^rd trimester on life quality and pregnant outcome of elderly pregnant women[J]. Guangzhou Medical Journal, 2020, 51(5): 66-70.

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孕中后期中低等强度有氧运动对高龄孕妇产前生活质量和母婴结局的影响探讨

Study on the influences of medium or low stength aerobics during 2^nd and 3^rd trimester on life quality and pregnant outcome of elderly pregnant women

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孕中后期中低等强度有氧运动对高龄孕妇产前生活质量和母婴结局的影响探讨

Study on the influences of medium or low stength aerobics during 2nd and 3rd trimester on life quality and pregnant outcome of elderly pregnant women

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Study on the influences of medium or low stength aerobics during 2^nd and 3^rd trimester on life quality and pregnant outcome of elderly pregnant women