妊娠期高血压疾病发病与产妇妊娠期饮食的相关性研究
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摘要
目的研究妊娠期高血压疾病(HDCP)发病与产妇妊娠期饮食的相关性。方法选取我院2017年1~12月收治的92例妊娠期高血压患者设置为HDCP组,另选取同期90例正常孕妇(正常孕妇组)进行对照观察,对PIH患者与饮食习惯诸因子的相关性进行分析。结果两组的日食肉量、食盐量、节制饮食、体重等方面比较,差异有统计学意义(P<0.05);将上述有差异资料带入Logistic回归方程计算,发现日食肉量、食盐量、节制饮食及体重超标均是HDCP患者的相关因素;且妊娠期食肉量(r=0.624)、食盐量(r=0.638)以及体重(r=0.713)与HDCP间成正相关,节制饮食与HDCP成负相关(r=-0.611)。结论 HDCP发病与产妇妊娠期饮食习惯密切相关,其中过度食肉、食盐及无节制饮食均是导致高血压的主要危险因素,在积极治疗同时,可从产妇的饮食习惯着手干预,可起到辅助治疗作用。
Objective To study the correlation between hypentensive disorder complicatine pregnancy(HDCP) and maternal pregnancy diet. Methods A total of 92 patients with PIH treated in our hospital from January to December in 2017 were selected as HDCP group. In the same period, 90 normal pregnant women(normal pregnant group) were selected for control and observation. The correlation of dietary factors and HDCP was analyzed. Results There were significant differences in the daily intake of meat and salt, diet control, and body weight between the two groups(P <0.05). The above-mentioned differences were brought into the Logistic regression equation and found that the amount of daily meat and salt(r=0.638), diet control and body overweight were all related factors causing HDCP patients. There was a positive correlation between the amount of meat and salt(r=0.638) and body weight(r=0.713) and HDCP during pregnancy, and a negative correlation between diet control(r=-0.611) and HDCP was detected. Conclusion The onset of HDCP is closely related to the dietary habits of the pregnant women during pregnancy. Excessive intake of meat and salt, and uncontrolled diet are the main risk factors for hypertension. In clinical practice, besides active treatment, intervention on the maternal dietary habits can play an adjuvant role.
Objective To study the correlation between hypentensive disorder complicatine pregnancy(HDCP) and maternal pregnancy diet. Methods A total of 92 patients with PIH treated in our hospital from January to December in 2017 were selected as HDCP group. In the same period, 90 normal pregnant women(normal pregnant group) were selected for control and observation. The correlation of dietary factors and HDCP was analyzed. Results There were significant differences in the daily intake of meat and salt, diet control, and body weight between the two groups(P <0.05). The above-mentioned differences were brought into the Logistic regression equation and found that the amount of daily meat and salt(r=0.638), diet control and body overweight were all related factors causing HDCP patients. There was a positive correlation between the amount of meat and salt(r=0.638) and body weight(r=0.713) and HDCP during pregnancy, and a negative correlation between diet control(r=-0.611) and HDCP was detected. Conclusion The onset of HDCP is closely related to the dietary habits of the pregnant women during pregnancy. Excessive intake of meat and salt, and uncontrolled diet are the main risk factors for hypertension. In clinical practice, besides active treatment, intervention on the maternal dietary habits can play an adjuvant role.
引文
[1]熊俊.脂代谢影响因素与妊娠期高血压疾病相关性研究进展[J].实用妇产科杂志,2014,30(4):256-259.
[2]陆丽敏.妊娠期高血压产妇膳食结构的临床护理分析[J].护士进修杂志,2015,30(21):1982-1983.
[3]陆蓓亦,王芳,孙彩凤,等.妊娠期糖尿病孕妇饮食干预与围产结局相关性分析[J].中国妇幼保健,2012,27(36):5897-5899.
[4]马晓春,李娟.25-羟维生素D与妊娠期高血压疾病相关性的研究[J].检验医学与临床,2016,13(19):2723-2724.
[5]周红丽,张建果.妊娠期高血压疾病孕妇发病孕周与胎儿生长受限的关系[J].白求恩医学杂志,2015,13(5):520-521.
[6]张艳,何佩,钱海芬,等.D-二聚体和脂联素水平变化评估妊娠期高血压疾病患者血压水平及病情严重程度的价值[J].中国妇幼保健,2017,32(11):2313-2315.
[7]赵虎,张凌,蔡一玲,等.妊娠期高血压疾病患者胎盘组织中VEGF与MMP-9表达水平与子痫前期病情的相关性[J].实用临床医药杂志,2016,20(15):63-65.
[8]桂元,詹继东,徐芳,等.血清胱抑素C和尿微量白蛋白早期诊断妊娠期高血压疾病的价值[J].中国妇幼保健,2017,32(4):709-711.
[9]Zamanpoor M,Rosli R,Yazid MN,et al.Quantitative analysis of fetal DNA in maternal plasma in gestational diabetes mellitus,iron deficiency anemia and gestational hypertension pregnancies[J].J Matern Fetal Neonatal Med,2013,26(10):960-966.
[10]马启敏.妊娠期高血压疾病与新生儿缺氧缺血性脑病的相关性研究[J].中国实用神经疾病杂志,2017,20(16):56-58.
[11]全贞姬,全贞玉.视黄醇结合蛋白4与妊娠期高血压疾病的相关性研究[J].中国妇幼保健,2015,30(19):3148-3149.
[12]华静,郑剑兰.体外授精-胚胎移植、卵胞浆内单精子显微注射技术与妊娠期高血压疾病的相关性分析[J].中国妇幼保健,2017,32(19):4780-4782.
[13]于津,叶圣权,闫大晶,等.妊娠期高血压疾病患者胎盘及血清中GATA-3和T-bet的表达及临床意义[J].临床误诊误治,2015,28(2):94-97.
[14]Li Z,Ye R,Zhang L,et al.Folic acid supplementation during early pregnancy and the risk of gestational hypertension and preeclampsia[J].Hypertension,2013,61(4):873-879.
[15]Vambergue A,Nuttens MC,Goeusse P.Pregnancy induced hypertensi on in women with gestational carbohydrateint olerance:the diagest study[J].Eur J Obstet Gynecol Reprod Biol,2002,102(1):31-35.
[2]陆丽敏.妊娠期高血压产妇膳食结构的临床护理分析[J].护士进修杂志,2015,30(21):1982-1983.
[3]陆蓓亦,王芳,孙彩凤,等.妊娠期糖尿病孕妇饮食干预与围产结局相关性分析[J].中国妇幼保健,2012,27(36):5897-5899.
[4]马晓春,李娟.25-羟维生素D与妊娠期高血压疾病相关性的研究[J].检验医学与临床,2016,13(19):2723-2724.
[5]周红丽,张建果.妊娠期高血压疾病孕妇发病孕周与胎儿生长受限的关系[J].白求恩医学杂志,2015,13(5):520-521.
[6]张艳,何佩,钱海芬,等.D-二聚体和脂联素水平变化评估妊娠期高血压疾病患者血压水平及病情严重程度的价值[J].中国妇幼保健,2017,32(11):2313-2315.
[7]赵虎,张凌,蔡一玲,等.妊娠期高血压疾病患者胎盘组织中VEGF与MMP-9表达水平与子痫前期病情的相关性[J].实用临床医药杂志,2016,20(15):63-65.
[8]桂元,詹继东,徐芳,等.血清胱抑素C和尿微量白蛋白早期诊断妊娠期高血压疾病的价值[J].中国妇幼保健,2017,32(4):709-711.
[9]Zamanpoor M,Rosli R,Yazid MN,et al.Quantitative analysis of fetal DNA in maternal plasma in gestational diabetes mellitus,iron deficiency anemia and gestational hypertension pregnancies[J].J Matern Fetal Neonatal Med,2013,26(10):960-966.
[10]马启敏.妊娠期高血压疾病与新生儿缺氧缺血性脑病的相关性研究[J].中国实用神经疾病杂志,2017,20(16):56-58.
[11]全贞姬,全贞玉.视黄醇结合蛋白4与妊娠期高血压疾病的相关性研究[J].中国妇幼保健,2015,30(19):3148-3149.
[12]华静,郑剑兰.体外授精-胚胎移植、卵胞浆内单精子显微注射技术与妊娠期高血压疾病的相关性分析[J].中国妇幼保健,2017,32(19):4780-4782.
[13]于津,叶圣权,闫大晶,等.妊娠期高血压疾病患者胎盘及血清中GATA-3和T-bet的表达及临床意义[J].临床误诊误治,2015,28(2):94-97.
[14]Li Z,Ye R,Zhang L,et al.Folic acid supplementation during early pregnancy and the risk of gestational hypertension and preeclampsia[J].Hypertension,2013,61(4):873-879.
[15]Vambergue A,Nuttens MC,Goeusse P.Pregnancy induced hypertensi on in women with gestational carbohydrateint olerance:the diagest study[J].Eur J Obstet Gynecol Reprod Biol,2002,102(1):31-35.