中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2015年
3期
126-127
,共2页
妊娠期%血脂%孕早期
妊娠期%血脂%孕早期
임신기%혈지%잉조기
Gestation period%Blood lipid%Early pregnancy
目的：分析正常妊娠妇女不同孕期血脂变化的特点，为临床孕期保健和膳食营养指导提供依据。方法：2012年1月-2013年8月收治正常妊娠妇女361例作为观察组，分别在早孕、中孕、晚孕以及产后1～2个月测定患者血脂变化；同期健康体检的正常非妊娠期妇女234例作为对照组，比较分析两组人群的血脂含量。结果：观察组孕早期、孕中期、孕晚期的血清总胆固醇含量、甘油三酯含量、高密度脂蛋白胆固醇含量均明显高于对照组(P＜0.05)。观察组孕中期血清低密度蛋白胆固醇含量明显高于对照组(P＜0.05)。观察组产褥期血清甘油三酯、高密度脂蛋白胆固醇和低密度蛋白胆固醇含量与对照组相比，差异无统计学意义(P＞0.05)。结论：妊娠期妇女存在血脂升高的情况，医师需要结合其临床表现，给予保健和膳食指导，对临床优生优育有重要的意义。
目的：分析正常妊娠婦女不同孕期血脂變化的特點，為臨床孕期保健和膳食營養指導提供依據。方法：2012年1月-2013年8月收治正常妊娠婦女361例作為觀察組，分彆在早孕、中孕、晚孕以及產後1～2箇月測定患者血脂變化；同期健康體檢的正常非妊娠期婦女234例作為對照組，比較分析兩組人群的血脂含量。結果：觀察組孕早期、孕中期、孕晚期的血清總膽固醇含量、甘油三酯含量、高密度脂蛋白膽固醇含量均明顯高于對照組(P＜0.05)。觀察組孕中期血清低密度蛋白膽固醇含量明顯高于對照組(P＜0.05)。觀察組產褥期血清甘油三酯、高密度脂蛋白膽固醇和低密度蛋白膽固醇含量與對照組相比，差異無統計學意義(P＞0.05)。結論：妊娠期婦女存在血脂升高的情況，醫師需要結閤其臨床錶現，給予保健和膳食指導，對臨床優生優育有重要的意義。
목적：분석정상임신부녀불동잉기혈지변화적특점，위림상잉기보건화선식영양지도제공의거。방법：2012년1월-2013년8월수치정상임신부녀361례작위관찰조，분별재조잉、중잉、만잉이급산후1～2개월측정환자혈지변화；동기건강체검적정상비임신기부녀234례작위대조조，비교분석량조인군적혈지함량。결과：관찰조잉조기、잉중기、잉만기적혈청총담고순함량、감유삼지함량、고밀도지단백담고순함량균명현고우대조조(P＜0.05)。관찰조잉중기혈청저밀도단백담고순함량명현고우대조조(P＜0.05)。관찰조산욕기혈청감유삼지、고밀도지단백담고순화저밀도단백담고순함량여대조조상비，차이무통계학의의(P＞0.05)。결론：임신기부녀존재혈지승고적정황，의사수요결합기림상표현，급여보건화선식지도，대림상우생우육유중요적의의。
Objective:To explore the blood lipid changes in normal pregnancy women of different gestation period to provide the basis for the clinical pregnancy care and the guidance of dietary nutrition.Methods:361 cases of normal pregnant women from January 2012 to August 2012 as the observation group had the detection of blood lipid changes respectively in early pregnancy, second trimester,late pregnancy and postpartum for 1~2 months.234 cases of ormal non pregnancy women were chosen as the control group with physical examination.We compared the blood lipid levels of the two groups.Results:The serum total cholesterol, triglycerides,high-density lipoprotein cholesterol levels of the observation group in early pregnancy,second trimester,late pregnancy were all significantly higher than that of the control group(P<0.05).The serum low density protein cholesterol of the observation group was significantly higher than that of the control group in second trimester(P<0.05).There was no statistically significant difference of the serum triglycerides,high-density lipoprotein cholesterol and low density protein cholesterol between the observation group and the control group(P>0.05).Conclusion:The pregnancy women had higher level of blood lipids and the physicians need to give care and dietary guidance combining the clinical manifestations,which was important for clinical eugenics.
