孕期膳食指导对脂代谢及妊娠并发症的影响  

Effect of Dietary Guidance on Lipid Metabolism and Pregnancy Complications during Pregnancy

作　　者：潘平山 谭芸 杨钦灵 黄飞燚 

机构地区：[1]广西妇幼保健院产科,广西南宁530000

出　　处：《医学临床研究》2016年第1期109-111,共3页Journal of Clinical Research

摘　　要：【目的】探讨孕期膳食指导对脂代谢及妊娠并发症的影响。【方法】选取血脂异常增高的孕妇80例，根据孕妇在后期接受的膳食不同分为两组，每组40例，在孕32周接受膳食指导的孕妇为观察组，不接受膳食指导的孕妇为对照组，比较两组患者孕32周及分娩前血浆总胆固醇（TC）、高密度脂蛋白胆固醇（HDL—c）、低密度脂蛋白胆固醇（LDL—c）、三酰甘油（TG）水平和妊娠相关并发症与新生儿状况。【结果】在孕32周时，两组孕妇的HDL-C及LDH—C含量的差异无统计学意义（P〉0．05），但观察组TG、TC含量显著低于对照组，其差异均有统计学意义（P〈0．05）；孕妇分娩前，两组孕妇的LDH—C含量的差异无统计学意义（P〉0．05），观察组TG、TC含量显著低于对照组，而HDL—C含量显著高于对照组孕妇，其差异均有统计学意义（P〈0．05）；观察组新生儿体质量显著高于对照组，但新生儿低血糖比例显著的低于对照组，其差异有统计学意义（P〈0．05），两组孕妇新生儿窒息比例比较差异无统计学意义（P〉0．05）。【结论】给予早孕期脂代谢异常升高的孕妇合理的膳食指导可有效的改善脂代谢，降低妊娠相关并发症，值得临床推广。[Objective]To investigate the effect of dietary guidance on lipid metabolism and pregnancy complications during pregnancy. [Methods] Eighty pregnancy with dyslipidemia increased in our hospital were selected and divided into control group and observation group according to the different dietary guidance accepted , 40 cases in each group. During the 32 week of pregnancy, the pregnant women who received dietary guidance were the observation group and the control group did not receive the dietary guidance, 32-week pregnancy , plasma total cholesterol pre-delivery （TC）, high density lipoprotein cholesterol （HDL-C）, low density lipoprotein cholesterol （LDL-C）, triglyceride glycerol （TG） level , pregnancy related complications and neonatal status of the two groups of patients were compared with.[Results] There was no statistically significant difference in the content of LDH-C and HDL-C of the two groups of pregnant women at thirty-second weeks of gestation （ P 〉0.05）, while the content of TG and TC of the observation group were significantly lower than that of the control group, and the difference was statistically significant （ P 〈0.05） ; before childbirth, there were no statistical significance in LDH-C content of the two groups of pregnant women （ P〉0.05）, the content of TG and TC of the observation group were significantly lower than that of the control group, and the content of HDL-C of the observation group was significantly higher than that of the control group, and the difference was statistically significant （ P 〈0.05）. Body weight of the neonates in the observation group was significantly higher than that of the control group, but the proportion of neonatal hypoglycemia was lower than that of the control group, the difference had statistical significance （ P〈0.05）;the neonatal asphyxia rate of the two groups of pregnant women had no statistical significance （ P 〉0.05）. [Conclusion]Reasonable dietary guidance for pregnant women with dyslipidemia increased du

关 键 词：膳食疗法 脂类 妊娠并发症 孕妇 

分 类 号：R714.25[医药卫生—妇产科学]