妊娠期高血壓的營(yíng)養(yǎng)治療

妊娠期高血壓疾妊娠期高血壓疾病的營(yíng)養(yǎng)第1妊娠期高血壓疾病的臨床診療概PrevalenceofHDPsin妊娠期高血壓疾病（hypertensivedisordersofpregnancy,HDP） Globalandregionalestimatesofpreeclampsiaandeclampsia:asystematicreview.EurJObstetGynecolReprodBiol.2013Sep;170(1):1-PrevalenceofHDPsin我國(guó)HDP的發(fā)生率約為5%~12Epidemiologyofhypertensivedisordersinpregnancy:prevalence,riskfactors,predictorsandprognosis.HypertensionResearch(2016),DistributionofcausesofdeathsbyMillenniumDevelopmentGoalHypertensionwassecondmostcommondirectcauseofmaternalmortalityworldwide(14.0%,11.1-17.4).Globalcausesofmaternaldeath:aWHO ysis.LancetGlobHealth.FetalMaternalcomplicationsandperinatalmortality:findingsoftheWorldHealthOrganizationMulticountrySurveyonMaternaandNewbornHealth.BGOJ.2014Mar;121Suppl1:76-妊娠期高血壓 （一）妊娠期高血壓(gestational（二）子癇前期-子癇(preeclampsia-（三）妊娠合并慢性高血壓(chronichypertensionin（四）慢性高血壓并發(fā)子癇前期chronichypertensionwithsuperimposedpreeclampsia)————中華醫(yī)學(xué)會(huì)(2015).妊娠期高血壓疾病指Maternalandfetalcomplicationsinseverepre-Population-basedtrendsinpregnancyhypertensionandpre-eclampsia:aninternationalcomparativestudy.BMJOpen.Diagnosis,evaluation,andmanagementofthehypertensivedisordersofpregnancy.PregnancyHypertension:AnInternationalJournalofWomen’sCardiovascularHealth.2014;4:105-Managementofhypertensionin HypertensiveDisorderofPregnancy.QueenslandClinicalPreeclampsiaRiskModifiable Alcohol

UnmodifiableMaternalMultiplePreviousexperienceofpregnant Preexisting FamilyGeneticEpidemiologyofhypertensivedisordersinpregnancy:prevalence,riskfactors,predictorsandprognosis.HypertensionResearch(2016),妊娠期高血壓疾病的營(yíng)養(yǎng)治第2妊娠期高血壓疾病的醫(yī)學(xué)營(yíng)養(yǎng)指南推薦的預(yù)防子癇前期的營(yíng)養(yǎng)干 ----------x----xx---- “±”表示沒(méi)有充足的“x”表示不推指南推薦的預(yù)防子癇前期的營(yíng)養(yǎng)干 2015-----2016---±-±±2014x±±-x2013-x-1.5---x “±”表示沒(méi)有充足的“x”表示不推mendedDailyIntakeDuringCurrentConceptsofMaternalNutrition.ObstetGynecolCurrentConceptsofMaternalCurrentConceptsofMaternal.Nutrition.ObstetGynecolEvidence-BasedNutritionPracticeGuidelinefortheManagementofHypertensioninAdultsEvidence-BasedNutritionPracticeGuidelinefortheManagementofHypertensioninAdults. ysisLibraryDASH（DietaryApproachestoStop 適當(dāng)增A和和礦物 妊娠期高血壓疾病的營(yíng)養(yǎng)治第3妊娠期高血壓疾病的營(yíng)養(yǎng)治療醫(yī)學(xué)營(yíng)養(yǎng)治療本 營(yíng)養(yǎng)評(píng)營(yíng)養(yǎng)診效果營(yíng)養(yǎng)營(yíng)養(yǎng)評(píng)營(yíng)養(yǎng)診效果營(yíng)養(yǎng)干病體格檢的營(yíng)養(yǎng)狀能量和營(yíng)養(yǎng)素?cái)z入是否合

的營(yíng)養(yǎng)狀能量和營(yíng)養(yǎng)素?cái)z入是否合營(yíng)養(yǎng)治療方案的制營(yíng)養(yǎng)治療的途營(yíng)養(yǎng)治療方案的制營(yíng)養(yǎng)攝入量的計(jì)算依營(yíng)養(yǎng)治療方案的制營(yíng)養(yǎng)攝入量的計(jì)算——膳人群人群能碳水蛋白18-50孕早孕晚總每份種質(zhì)份米面8蔬菜（葉菜蔬菜（瓜類0000水果11豆0000全脂奶0000低脂奶整4651蛋00000魚蝦雞鴨畜肉類（瘦00000畜肉類（肥瘦0000堅(jiān)果731油脂00鹽5其能N總能量蛋白質(zhì)化合物營(yíng)養(yǎng)治療方案的制營(yíng)養(yǎng)攝入量的計(jì)算——膳食處方（及（kcal）占比飲食營(yíng)養(yǎng)治療方案的制營(yíng)養(yǎng)攝入量的計(jì)算——EN、飲食記錄及血壓的監(jiān)營(yíng)養(yǎng)再評(píng)營(yíng)養(yǎng)評(píng)營(yíng)養(yǎng)診效果營(yíng)養(yǎng)營(yíng)養(yǎng)評(píng)營(yíng)養(yǎng)診效果營(yíng)養(yǎng)干案例分73→75→76.5→141/88基本情況73→75→76.5→141/88

150→225脂肪蔬菜蔬菜(瓜類水果類豆制品奶類