妊娠中期高脂血症对妊娠的影响并经营养门诊管理改善预后分析  

Effect of hyperlipidemia in the second trimester of pregnancy on pregnancy and the improvement of prognosis by nutrition outpatient management

作　　者：易鹏[1] 刘小阳 廖平英 周世琼[1] YI Peng;LIU Xiaoyang;LIAO Pingying;ZHOU Shiqiong(Department of Obstetrics,Jiangxi Jiujiang Maternal and Child Health Care Hospital,Jiangxi Province,Jiujiang 332000,China)

机构地区：[1]江西省九江市妇幼保健院产科,江西九江332000

出　　处：《中国当代医药》2022年第32期33-36,40,共5页China Modern Medicine

基　　金：江西省卫生健康委科技计划项目(202211908)。

摘　　要：目的研究妊娠中期高脂血症(HL)对妊娠的影响并经营养门诊管理改善预后效果。方法选取2021年5月至2022年1月江西省九江市妇幼保健院收治的300例妊娠中期高脂血症(HL)患者作为研究对象,采用随机数字表分组法将其分为对照组(150例)与试验组(150例),对照组采用普通产科门诊指导,试验组采用营养门诊指导,比较两组患者的血脂水平、妊娠并发症、妊娠结局以及依从性。结果试验组干预后总胆固醇(TC)、三酰甘油(TG)、低密度脂蛋白胆固醇(LDL-C)均低于对照组,高密度脂蛋白胆固醇(HDL-C)高于对照组,差异有统计学意义(P<0.05);试验组妊娠期剖宫产、巨大儿以及早产儿的发生率均低于对照组,差异有统计学意义(P<0.05);试验组妊娠糖尿病、妊娠高血压以及肝功能损害发生率低于对照组,差异有统计学意义(P<0.05);试验组总依从率高于对照组,差异有统计学意义(P<0.05)。结论实施营养门诊管理,可以提高孕妇依从性,能够有效改善妊娠中期高脂血症患者的血脂水平,并减少妊娠期并发症与母婴不良结局,临床与保健结合,改善孕妇及胎儿的预后,值得推广。Objective To study the effect of hyperlipidemia(HL)in the second trimester of pregnancy and improve the prognosis of nursing outpatient management.Methods From May 2021 to January 2022,300 patients with HL in the Department of Obstetrics,Jiangxi Jiujiang Maternal and Child Health Care Hospital were selected as the research object,they were divided into the control group(150 cases)and the experimental group(150 cases)by random number table method.The control group was guided by general obstetrics clinic,and the experimental group was guided by nutrition clinic.The blood lipid levels,pregnancy complications,pregnancy outcomes and compliance were compared between the two groups.Results After intervention,total cholesterol(TC),triglyceride(TG)and low density lipoprotein cholesterol(LDL-C)in the experimental group were lower than those in the control group,while high density lipoprotein cholesterol(HDL-C)was higher than that in the control group,the differences were statistically significant(P<0.05).The incidence of cesarean section,macrosomia and premature infants in the experimental group was lower than that in the control group,and the difference was statistically significant(P<0.05).The incidence of gestational diabetes mellitus,gestational hypertension and liver function damage in the experimental group was lower than that in the control group,and the difference was statistically significant(P<0.05).The total compliance rate of experimental group was higher than that of control group,and the difference was statistically significant(P<0.05).Conclusion The implementation of nutrition outpatient management can improve the compliance of pregnant women,effectively improve the blood lipid level of patients with hyperlipidemia in the second trimester of pregnancy,and reduce pregnancy complications and maternal and infant adverse outcomes,combine clinical and health care,improve the prognosis of pregnant women and fetuses,it is worthy of promotion.

关 键 词：妊娠中期 高脂血症 营养门诊 妊娠结局 

分 类 号：R714[医药卫生—妇产科学]