重度子痫前期病史妇女饮食运动强化干预效果探讨  

Effects of intensive interventions on diet and exercise among women with history of severe preeclampsia

作　　者：卢 郑修霞[1] 

机构地区：[1]北京大学护理学院,北京100191 [2]北京大学第三医院妇产科

出　　处：《护理学杂志》2011年第12期32-35,共4页

摘　　要：目的比较两种不同干预方法对重度子痫前期病史妇女心血管疾病危险因素的影响,为降低其远期心血管疾病的风险提供依据。方法将55例重度子痫前期病史产后1~3年妇女随机分为常规组（26例）和强化组（29例）。常规组行常规饮食和运动指导、开放式咨询;强化组在常规干预基础上按照食物交换份法制定每人每餐饮食方案,每月定期追踪强化。连续干预3个月后评价效果。结果强化组收缩压、体质量、腰围、空腹血糖、总胆固醇/高密度脂蛋白和10年心血管疾病危险分数较干预前显著降低（均P〈0.05）,常规组收缩压、舒张压较干预前显著降低（均P〈0.05）。结论常规和强化干预措施均可改善重度子痫前期病史妇女心血管疾病的危险因素,强化干预措施较常规干预措施更有效。Objective To compare the effects of two interventions on risk factors related to cardiovascular diseases among women with history of severe preeclampsia,and to provide information for reducing risk of long-term cardiovascular diseases.Methods Fifty-five women with history of severe preeclampsia were recruited 1 to 3 years after delivery and randomly divided into two groups.The routine group（n=26） was given conventional nutritional and exercise recommendation and open-ended consultation,while women in the intensive group（n=29） additionally received individualized diet planning by combining food exchange portion with glycemic index concept,and follow-up was taken every month.Results After 3 months′ intervention,systolic pressure,body weight,waist circumference,fasting glucose,TCHO/HDL ratio and Framingham risk score in the intensive group were significantly decreased（P0.05 for all）;systolic and diastolic pressure showed significant reduction in the routine group（P0.05 for both）.Conclusion Both routine and intensive interventions could reduce risk factors of cardiovascular diseases among women with history of severe preeclampsia,and the intensive intervention is more effective.

关 键 词：妇女 重度子痫前期 心血管疾病 危险因素 强化干预 饮食控制 运动 

分 类 号：R473.71[医药卫生—护理学]