【摘要】 目的 探讨通过产科营养门诊进行孕期个体化膳食指导及体重管理对妊娠结局的影响，以提供临床指导。方法选取2020年5月～2021年3月在内蒙古自治区妇幼保健院产科门诊建档常规行产前检查并分娩的孕妇180例，其中接受在营养门诊行孕期个体化膳食指导及体重管理的孕妇90例作为观察组，未行孕期个体化膳食指导及体重管理的孕妇90例作为对照组，比较分析两组孕妇孕期体重增加(gestational weight gain, GWG)的程度、妊娠结局及分娩方式的差异。结果 观察组的孕妇GWG低于对照组，差异有统计学意义(P<0.05);观察组孕妇适度GWG率高于对照组(P<0.05)。观察组妊娠期高血压疾病、妊娠期糖尿病、妊娠期贫血、巨大儿的发生率均低于对照组，差异有统计学意义(P<0.05);观察组剖宫产率显著低于对照组(P<0.05)。结论 实施孕期个体化膳食指导及体重管理能有效降低不良妊娠结局的发生率，降低剖宫产率，可在临床中广泛推广。更多还原

【Abstract】 Objective To explore the effect of individualized dietary guidance and weight management during pregnancy on pregnancy outcomes through obstetric nutrition clinic, so as to provide clinical guidance. Methods From May 2020 to March 2021, 180 pregnant women with routine antenatal examination and delivery in the obstetric clinic of maternal and Child Health Hospital of Inner Mongolia Autonomous Region were selected. Among them, 90 pregnant women who received individualized dietary guidance and weight management during pregnancy in the nutrition clinic were selected as the observation group, and 90 pregnant women who did not receive individualized dietary guidance and weight management during pregnancy were selected as the control group. The extent of gestational weight gain(GWG), pregnancy outcomes and mode of delivery were compared between the two groups. Results The GWG of pregnant women in the observation group was lower than that of the control group, and the difference was significant(P<0.05). The moderate GWG rate of the observation group was significant higher than control group(P<0.05). The incidences of hypertensive disorders of pregnancy、gestational diabetes mellitus、anemia and macrosomia in the observation group were lower than those in the control group, the differences were significant(P<0.05). The cesarean section rate of the observation group was significantly lower than that of the control group(P<0.05). Conclusion Individualized dietary guidance and weight management during pregnancy can effectively reduce the incidence of adverse pregnancy outcomes and the rate of cesarean section, which can be widely promoted in clinic.更多还原