饮食及营养干预对妊娠期高血压疾病的防治作用

doi:10.7504/fk2014070103

摘要/Abstract

摘要：

妊娠期高血压疾病是妊娠常见合并症之一，对母儿危害极大。目前已知肥胖、营养不良及微量元素缺乏是其高危因素。保证妊娠期的合理营养对母体健康和下一代的正常身心发育有重大的意义。近年来，随着经济发展，妊娠期能量、蛋白摄入过多及微量元素缺乏在我国孕产妇群体中日渐凸显，由此引发的妊娠期高血压疾病也逐渐增多。针对此现状，参考国内外相关研究，对饮食及营养干预对妊娠期高血压疾病的作用做一综述。

关键词: 妊娠期高血压疾病, 饮食, 营养, 干预

Abstract:

Abstract: Hypertensive disorders in pregnancy was one of the most common complexity during pregnancy. It was well known that some risk factors such as obesity, malnutrition and deficiency of micro-nutrients. It was important to keep correct pregnant nutrition for maternal health and normal fetal development. Recently, with rapid economical progress, there were two phenomena existed in Chinese pregnant women: one was over-nutrition; the other was deficiency of micronutrient. Incidence of hypertensive disorders in pregnancy increased accordingly. Aiming on this situation, referring to relative researches, the writers made this review for the relationship between diet and nutrition interference with hypertensive disorders in pregnancy.

Key words: hypertensive disorders in pregnancy, diet, nutrition, interference

中图分类号:

R714.2

苟文丽,宗璐,付晶. 饮食及营养干预对妊娠期高血压疾病的防治作用[J]. 中国实用妇科与产科杂志, DOI: 10.7504/fk2014070103.

GOU Wen-li, ZONG Lu, FU Jing.. Prevention for hypertensive disorders in pregnancy with diet and nutrition interference.[J]. Acta Metallurgica Sinica, DOI: 10.7504/fk2014070103.

参考文献

［1］    罗欣，漆洪波. 妊娠期高血压疾病与代谢综合征［J］. 中国实用妇科与产科杂志，2011,27（12）：944-946.

［2］    孙长颢．营养与食品卫生学［M］．北京: 人民卫生出版社，2008: 149．

［3］    王丽萍，赵倩，王郦麟，等. 孕期营养干预和代谢性危险因素对妊娠结局的影响［J］.中国循证儿科杂志，2013，8（6）：425-431.

［4］    Torloni MR, Betrán AP, Horta BL, et al. Prepregnancy BMI and the risk of gestational diabetes: a systematic review of the literature with meta-analysis［J］. Obes Rev,2009,10(2):194-203.

［5］    Zeng L, Dibley MJ, Cheng Y, et al. Impact of micronutrient supplementation during pregnancy on birth weight, duration of gestation, and perinatal mortality in rural western China: double blind cluster randomised controlled trial［J］. BMJ, 2008,337: a2001.

［6］    党少农, 颜虹, 邢远, 等. 育龄妇女血清叶酸及血红蛋白水平调查［J］. 中国公共卫生, 2009,25(2):134-136.

［7］   Yue Cheng,Dibley MJ, Xueli Zhang, et al. Assessment of dietary intake among pregnant women in a rural area of western China［J］. BMC Public Health，2009，9:222. doi: 10.1186/1471-2458-9-222.

［8］    王杰，赵丽云，朴建华．2009年中国8省(市) 孕妇营养与健康状况结果分析［J］．卫生研究，2011，40(2): 201-203．

［9］    Misra A, Khurana L. Obesity and the metabolic syndrome in developing countries［J］.Clin Endocrinol Metab，2008，93(11 Suppl 1):S9-30.

［10］   Wang Y, Beydoun MA, Liang L, et al. Will all Americans become overweight or obese estimating the progression and cost of the US obesity epidemic［J］. Obesity，2008，16(10):2323-2330.

［11］   Bodnar LM, Catov JM, Klebanoff MA, et al. Prepregnancy body mass index and the occurrence of severe hypertensive disorders of pregnancy［J］. Epidemiology， 2007， 18(2):234-239.

［12］   Bodnar LM, Ness RB, Markovic N, et al. The risk of preeclampsia rises with increasing prepregnancy body mass index［J］. Ann Epidemiol，2005，15(7):475-482.

［13］    中国营养学会.中国居民膳食营养素参考摄入量［M］. 北京:中国轻工业出版社,2008：1.

［14］   James M. Roberts, Lisa M, et al. The Role of Obesity in Preeclampsia［J］. Pregnancy Hypertens,2011,1(1): 6-16.

［15］ National Collaborating Centre for Women's and Children's Health (UK). Pregnancy and Complex Social Factors: A Model for Service Provision for Pregnant Women with Complex Social Factors［M］. London: RCOG Press,2010 Sep. (NICE Clinical Guidelines, No. 110.)

［16］   Salehi-Pourmehr H, Mohamad-Alizadeh S, Malakouti J, et al. Association of the folic acid consumption and its serum levels with preeclampsia in pregnant women［J］.Iran J Nurs Midwifery Res，2012,17(6):461-466.

［17］   Shi Wu Wen, Champagne J, White RR, et al. Effect of Folic Acid Supplementation in Pregnancy on Preeclampsia: The Folic Acid Clinical Trial Study［J］. J Pregnancy,2013, 2013: 294312. Published online 2013 November 18. doi: 10.1155/2013/294312

［18］   Lee DC, Romero R, Kim JS, et al. miR-210 targets iron-sulfur cluster scaffold homologue in human trophoblast cell Lines: siderosis of interstitial trophoblasts as a novel pathology of preterm preeclampsia and small-for-gestational-age pregnancies［J］.Am J Pathol,2011,179(2): 590-602.

［19］   Catov JM, Nohr EA, Bodnar LM, et al. Association of Periconceptional Multivitamin Use With Reduced Risk of Preeclampsia Among Normal-Weight Women in the Danish National Birth Cohort［J］.Am J Epidemiol,2009,169(11): 1304-1311.

［20］    冯启明，李慕军，李敏清,等.营养干预对妊娠高血压综合征预防效果的对比研究［J］. 广西医学,2007, 29（1）:20-23.

（2014-04-10收稿    2014-05-08 修回）

[1]	漆洪波, 冉雨鑫. 重视早产综合征的病因及发病机制研究[J]. 中国实用妇科与产科杂志, 2022, 38(2): 134-137.
[2]	漆洪波，胡小靖. 妊娠期高血压疾病产前保健的“六个重视”[J]. 中国实用妇科与产科杂志, 2021, 37(5): 512-514.
[3]	陈艺璇，牛建民. 妊娠期院外血压监测与管理[J]. 中国实用妇科与产科杂志, 2021, 37(5): 535-538.
[4]	郁琦. 生殖健康与补充多种微量营养素的中国专家共识[J]. 中国实用妇科与产科杂志, 2021, 37(4): 453-456.
[5]	肖云山, 林雪燕, 张雪芹. 产褥期重症感染的处理[J]. 中国实用妇科与产科杂志, 2021, 37(10): 1016-1020.
[6]	邹刚，孙路明. 双胎妊娠的产前筛查、诊断与干预：转诊是关键[J]. 中国实用妇科与产科杂志, 2020, 36(9): 814-817.
[7]	朱宝生. 先天性巨细胞病毒感染筛查与临床干预指南[J]. 中国实用妇科与产科杂志, 2019, 35(4): 417-423.
[8]	陈丽娜，官文征. 多囊卵巢综合征糖脂代谢异常筛查及管理[J]. 中国实用妇科与产科杂志, 2019, 35(3): 283-286.
[9]	王子莲，陈汉青. 妊娠期糖尿病健康生活方式管理[J]. 中国实用妇科与产科杂志, 2018, 34(9): 976-979.
[10]	吴琳琳，周欣. 《妊娠期高血压疾病：国际妊娠期高血压研究学会分类、诊断和管理指南（2018）》解读[J]. 中国实用妇科与产科杂志, 2018, 34(7): 758-763.
[11]	蔡雁，王晓莹. 如何监测、预防子痫前期走向重度[J]. 中国实用妇科与产科杂志, 2018, 34(5): 520-525.
[12]	马国珺，林建华. 妊娠期高血压性心脏病的防与治[J]. 中国实用妇科与产科杂志, 2018, 34(5): 515-519.
[13]	刘希婧，周容. 孕期饮食营养管理防范子痫前期[J]. 中国实用妇科与产科杂志, 2018, 34(5): 508-512.
[14]	胡蓉，李笑天. 妊娠期高血压疾病降压的再认知及管理与子痫前期防范[J]. 中国实用妇科与产科杂志, 2018, 34(5): 484-488.
[15]	单楠，黄冬妮. 美国妇产科医师学会（2017）“分娩过程中限制干预措施的建议”要点解读[J]. 中国实用妇科与产科杂志, 2017, 33(7): 705-708.